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培养农村口腔卫生人力:农村背景对牙医执业选择的影响。

Training a rural oral health workforce: Effects of rural background on dentist practice choice.

作者信息

Forsyth Anna R, Melkonyan Arsen A, Kerns Kristopher, Flake Natasha M, Greene Rachel M, Roberts Frank A

机构信息

Department of Pediatric Dentistry, University of Washington, Seattle, Washington, USA.

Private Practice Pediatric Dentistry, Troy, Michigan, USA.

出版信息

J Dent Educ. 2025 Feb;89(2):177-185. doi: 10.1002/jdd.13713. Epub 2024 Sep 22.

DOI:10.1002/jdd.13713
PMID:39307975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11862983/
Abstract

PURPOSE

The Regional Initiatives in Dental Education (RIDE) program is an educational track of the University of Washington School of Dentistry that aims to produce leaders who practice in rural areas of the Pacific Northwest. This study assesses outcomes of the first 10 years of the RIDE program. The hypothesis tested is that rural background is the most important predictor of long-term rural dental practice.

METHODS

This descriptive study assessed existing data including graduates' location of practice, demographics, rurality of origin, parental occupation, and practice type over time. Subjects are all graduates of the RIDE program from 2012 to 2021 (N = 80), and range in age from 25 to 50 years. Statistical analyses were utilized to explore associations.

RESULTS

Within the study sample 78% of graduates practiced in a rural and/or underserved area, 32.5% of graduates pursued post-graduate dental training, 40% participated in Medicaid, and 78% practiced in the Pacific Northwest at the time of analysis (March 2023). Statistical analysis demonstrated a strong association and medium to large effect sizes between both rural upbringing and training sites and established dental practice in a rural region.

CONCLUSIONS

Graduates of the RIDE program practice in rural areas in greater proportion compared to the general population of practicing dentists. RIDE graduates from the study period tended to be male, and white, and practice in a health professional shortage area or rural site. The rurality of origin analysis was confounded by the substantial number of graduates from Spokane, Washington, an urban area surrounded by extensive rural territory.

摘要

目的

牙科教育区域倡议(RIDE)项目是华盛顿大学牙科学院的一个教育项目,旨在培养在太平洋西北地区农村地区执业的领导者。本研究评估了RIDE项目头10年的成果。所检验的假设是,农村背景是长期在农村从事牙科执业的最重要预测因素。

方法

这项描述性研究评估了现有数据,包括毕业生的执业地点、人口统计学特征、出身地的农村程度、父母职业以及不同时期的执业类型。研究对象为2012年至2021年RIDE项目的所有毕业生(N = 80),年龄在25岁至50岁之间。采用统计分析来探索关联。

结果

在研究样本中,78%的毕业生在农村和/或服务不足地区执业,32.5%的毕业生接受了牙科研究生培训,40%参与了医疗补助计划,在分析时(2023年3月),78%的毕业生在太平洋西北地区执业。统计分析表明,农村成长经历和培训地点与在农村地区建立牙科执业之间存在很强的关联,效应大小为中等至较大。

结论

与执业牙医的总体人群相比,RIDE项目的毕业生在农村地区执业的比例更高。研究期间的RIDE项目毕业生往往为男性、白人,且在卫生专业人员短缺地区或农村地区执业。出身地的农村程度分析因大量来自华盛顿州斯波坎市(一个被广阔农村地区环绕的城市)的毕业生而受到混淆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/25d4ce702908/JDD-89-177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/7b17af5f1e74/JDD-89-177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/7ddb8d1e4fb8/JDD-89-177-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/25d4ce702908/JDD-89-177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/7b17af5f1e74/JDD-89-177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/7ddb8d1e4fb8/JDD-89-177-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bf/11862983/25d4ce702908/JDD-89-177-g002.jpg

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本文引用的文献

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2
Dentists of tomorrow 2020: An analysis of the results of the 2020 ADEA Survey of U.S. Dental School Seniors.明日牙医 2020:对 2020 年美国牙科学院高年级学生 ADEA 调查结果的分析。
J Dent Educ. 2021 Mar;85(3):427-440. doi: 10.1002/jdd.12568. Epub 2021 Feb 26.
3
Preparing Physicians for Rural Practice: Availability of Rural Training in Rural-Centric Residency Programs.为乡村医疗实践培养医生:以乡村为中心的住院医师培训项目中的乡村培训可及性。
J Grad Med Educ. 2019 Oct;11(5):550-557. doi: 10.4300/JGME-D-18-01079.1.
4
Dental Students' Intent to Practice in Rural Communities Before and After Community-Based Rotations in a Rural Area.农村地区社区实习前后对牙科学生到农村社区执业意向的影响
J Dent Educ. 2019 Nov;83(11):1296-1303. doi: 10.21815/JDE.019.142. Epub 2019 Aug 26.
5
University-based initiatives towards better access to oral health care for rural and remote populations: A scoping review.以大学为基础的举措,改善农村和偏远地区人群获得口腔保健的机会:范围综述。
PLoS One. 2019 May 31;14(5):e0217658. doi: 10.1371/journal.pone.0217658. eCollection 2019.
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Influence of Community-Based Dental Education on Practice Choice: Preliminary Data from East Carolina University.以社区为基础的牙科教育对实践选择的影响:来自东卡罗来纳大学的初步数据。
J Dent Educ. 2019 Sep;83(9):1000-1011. doi: 10.21815/JDE.019.101. Epub 2019 May 27.
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