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国际医学毕业生与农村缺医少药地区的基层医疗劳动力

International medical graduates and the primary care workforce for rural underserved areas.

作者信息

Fink Kenneth S, Phillips Robert L, Fryer George E, Koehn Nerissa

机构信息

Department of Family Medicine, University of North Carolina at Chapel Hill, USA.

出版信息

Health Aff (Millwood). 2003 Mar-Apr;22(2):255-62. doi: 10.1377/hlthaff.22.2.255.

DOI:10.1377/hlthaff.22.2.255
PMID:12674429
Abstract

The proportion of international medical graduates (IMGs) serving as primary care physicians in rural underserved areas (RUAs) has important policy implications. We analyzed the 2000 American Medical Association Masterfile and Area Resource File to calculate the percentage of primary care IMGs, relative to U.S. medical graduates (USMGs), working in RUAs. We found that 2.1 percent of both primary care USMGs and IMGs were in RUAs, where USMGs were more likely to be family physicians but less likely to be internists or pediatricians. IMGs appear to have been no more likely than USMGs were to practice primary care in RUAs, but the distribution by specialty differs.

摘要

在农村医疗服务欠缺地区(RUA)担任初级保健医生的国际医学毕业生(IMG)比例具有重要的政策意义。我们分析了2000年美国医学协会主文件和区域资源文件,以计算在RUA工作的初级保健IMG相对于美国医学毕业生(USMG)的百分比。我们发现,初级保健USMG和IMG中均有2.1%在RUA,其中USMG更有可能成为家庭医生,但成为内科医生或儿科医生的可能性较小。IMG在RUA从事初级保健工作的可能性似乎并不比USMG高,但专业分布有所不同。

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