Gessert C, Blossom J, Sommers P, Canfield M D, Jones C
West J Med. 1989 Feb;150(2):226-30.
Graduates of four rural and four urban family practice programs were interviewed to determine the nature of their practices and the factors that had influenced their practice location decisions. All programs gave residents substantial experience providing continuity of care for underserved populations. Of the 158 physicians surveyed, 58 (46%) were working in areas designated as underserved. The percentage of physicians in underserved areas was higher than that reported in other studies and was much higher than would be expected if practice sites were selected on the basis of population distribution alone. Notable differences in personal and practice characteristics were found between the physicians who chose to work in underserved areas and those who did not and between those who established practices in rural and in urban underserved areas.
对四个农村和四个城市家庭医疗项目的毕业生进行了访谈,以确定他们的执业性质以及影响他们执业地点选择的因素。所有项目都为住院医师提供了为服务不足人群提供连续性护理的丰富经验。在接受调查的158名医生中,有58名(46%)在被指定为服务不足的地区工作。服务不足地区的医生比例高于其他研究报告的比例,并且远高于仅根据人口分布选择执业地点时的预期比例。在选择在服务不足地区工作的医生和未选择在服务不足地区工作的医生之间,以及在农村和城市服务不足地区执业的医生之间,发现了个人和执业特征的显著差异。