Kimball Erin B, Crouse Byron J
University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
WMJ. 2007 Aug;106(5):256-9.
While approximately 30% of the Wisconsin population lives in rural areas, only 11% of physicians practice in these areas. More women are entering medicine today and some studies have raised concerns that women are less likely to practice in rural areas. The intent of this study was to identify which factors influenced female physicians to enter rural practice and to look at the issues they are confronting.
Ten female physicians practicing in rural Wisconsin towns agreed to participate in 30- to 60-minute semi-structured interviews. Transcripts of the interviews were analyzed to identify common themes in answers to the questions.
The physicians had been in practice between 2-26 years, with an average of 13 years. Seven of the 10 had rural backgrounds, which influenced their decisions to practice in rural areas. The physicians cited other factors, such as professional satisfaction, the ability to be engaged with and serve one's community, and having a good place to raise one's family, that made practicing and living in a rural community attractive. However, these physicians also found some drawbacks to rural practice, including too few providers, too much call, and finding a balance between professional and family life. Despite this, all plan to stay in their current practices indefinitely and recommend rural practice to female medical students and residents.
These female physicians find the value of being in rural practice overcome the challenges. The participants provided insight into motivating women to enter rural practice, finding a balance between the challenges and benefits of rural medicine, and promoting the future of rural health care.
虽然约30%的威斯康星州人口生活在农村地区,但只有11%的医生在这些地区执业。如今有更多女性进入医学领域,一些研究引发了人们对女性在农村地区执业可能性较低的担忧。本研究的目的是确定哪些因素影响女性医生进入农村执业,并探讨她们所面临的问题。
十位在威斯康星州农村城镇执业的女性医生同意参加30至60分钟的半结构化访谈。对访谈记录进行分析,以确定问题答案中的共同主题。
这些医生的执业年限在2至26年之间,平均为13年。十位医生中有七位有农村背景,这影响了她们在农村地区执业的决定。医生们提到了其他因素,如职业满意度、与社区互动并为社区服务的能力,以及有一个养育家庭的好地方,这些使得在农村社区执业和生活具有吸引力。然而,这些医生也发现农村执业存在一些缺点,包括医疗服务提供者太少、值班太多,以及在职业和家庭生活之间找到平衡。尽管如此,所有人都计划无限期地留在目前的执业岗位上,并向女性医学生和住院医生推荐农村执业。
这些女性医生发现农村执业的价值超过了挑战。参与者为激励女性进入农村执业、在农村医学的挑战和益处之间找到平衡以及促进农村医疗保健的未来提供了见解。