A program to increase the number of family physicians in rural and underserved areas : Impact after 22 years.
Context The shortage of physicians in rural areas is a longstanding and serious problem, and national and state policymakers and educators continue to face the challenge of finding effective ways to increase the supply of rural physicians.
Objective To determine the direct and long-term impact of the Physician Shortage Area Program (PSAP) of Jefferson Medical College (JMC) on the rural physician workforce.
Design Retrospective cohort study.
Participants and Setting A total of 206 PSAP graduates from the classes of 1978 to 1991.
Main Outcome Measures The PSAP graduates currently practicing family medicine in rural and underserved areas of Pennsylvania, compared with all allopathic medical school graduates in the state, and with all US and international allopathic graduates.
All PSAP graduates were also compared with their non-PSAP peers at JMC regarding their US practice location, medical specialty, and retention for the past 5 to 10 years.
Results The PSAP graduates account for 21% (32/150) of family physicians practicing in rural Pennsylvania who graduated from one of the state's 7 medical schools, even though they represent only 1% (206/14710) of graduates from those schools (relative risk [RR], 19.1).
Among all US and international medical school graduates, PSAP graduates represent 12% of all family physicians in rural Pennsylvania.
Results were similar for PSAP graduates practicing in underserved areas. (...)
Mots-clés Pascal : Médecin généraliste, Milieu rural, Etude cohorte, Enseignement programmé, Impact environnement, Aspect politique, Facteur accroissement, Long terme, Prévention, Pénurie, Homme, Etats Unis, Amérique du Nord, Amérique, Enseignement, Education santé
Mots-clés Pascal anglais : General practitioner, Rural environment, Cohort study, Programmed education, Environment impact, Political aspect, Enhancement factor, Long term, Prevention, Shortage, Human, United States, North America, America, Teaching, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0096778
Code Inist : 002B30A05. Création : 31/05/1999.