Fulton G P, Syiek J A, Evans C W, Mayes C R
J Med Educ. 1980 Oct;55(10):865-71. doi: 10.1097/00001888-198010000-00008.
A combination of several educational strategies for improving the distribution of physicians and other health professionals is proposed as a coordinated state-level approach designed to achieve equitable access to health care in rural areas. The strategies in place in South Carolina are described to exemplify the concept and potential of such an approach. A unique characteristic is the suggestion that state health planners and sparsely populated rural communities accept as reality that health professionals, in general, and physicians, in particular, are unlikely to remain permanently in such communities and that communities institute procedures for a planned turnover that will assure continuity of the service rather than of the individual practitioner. Rural practice fellowship and rural practice scholarship components are proposed.
作为一种旨在实现农村地区公平医疗服务的州级协调方法，本文提出了几种改善医生和其他卫生专业人员分布的教育策略组合。文中描述了南卡罗来纳州实施的策略，以例证这种方法的概念和潜力。一个独特的特点是建议州卫生规划者和人口稀少的农村社区接受这样一个现实，即一般而言，卫生专业人员，尤其是医生，不太可能长期留在这些社区，并且社区应制定有计划更替的程序，以确保服务的连续性，而不是个别从业者的连续性。文中还提出了农村实习奖学金和农村实习助学金的组成部分。
