Heath Christopher, Stoddart Christan, Renwick Jane
Higher Education Development Centre, University of Otago, Dunedin.
N Z Med J. 2002 Nov 8;115(1165):U238.
To investigate the home town population characteristics of medical students admitted to the Otago Medical School (OMS) in the context of recruitment for rural practice.
Data on home town population characteristics were collected from successful New Zealand applicants to the OMS between 1987 and 2000. Trends in the data across these years were examined, and the data compared to the wider New Zealand population.
Of the students surveyed, 2353 responded to the questionnaire (98.4%). Of these, 2257 (94.4%) had identifiable home towns in New Zealand at the year before entry into the OMS. Of those with identifiable New Zealand home towns, 84.5% came from main urban areas, while only 2.9% came from rural areas, compared with 11.9% of the wider New Zealand population aged 17-27 years. The proportion of students in each of the urban/rural groups indicated only minor trends across the years surveyed, with the main urban group increasing and the rural and secondary urban groups decreasing.
Between 1987 and 2000, in comparison with the wider New Zealand population, the pool of Otago medical students was disproportionately weighted towards highly populated, main urban areas and away from rural, low populated areas. The significance of the under-representation of rural students is discussed in relation to the recruitment and retention of rural doctors.
在农村医疗实践招聘的背景下,调查奥塔哥医学院(OMS)录取的医学生的家乡人口特征。
收集了1987年至2000年间成功申请OMS的新西兰学生的家乡人口特征数据。研究了这些年份数据的趋势,并将数据与更广泛的新西兰人口进行比较。
在接受调查的学生中,2353人回复了问卷(98.4%)。其中,2257人(94.4%)在进入OMS前一年在新西兰有可识别的家乡。在有可识别的新西兰家乡的学生中,84.5%来自主要城市地区,而只有2.9%来自农村地区,相比之下,17至27岁的新西兰更广泛人口中有11.9%来自农村地区。各城乡组学生的比例在调查年份中仅显示出微小趋势,主要城市组增加,农村和次要城市组减少。
1987年至2000年间,与更广泛的新西兰人口相比,奥塔哥医学生群体在人口密集的主要城市地区的比例过高,而农村人口稀少地区的比例过低。讨论了农村学生代表性不足对于农村医生招聘和留用的意义。