Fowkes V K, Gamel N N, Wilson S R, Garcia R D
Primary Care Associate Program, Stanford University School of Medicine, CA.
Public Health Rep. 1994 Sep-Oct;109(5):673-82.
A study of physician assistant, nurse practitioner, and certified nurse midwifery programs was undertaken to identify and assess the effectiveness of recruitment, educational, and deployment strategies that programs use to prepare practitioners for medically underserved areas. The 51 programs studied were those having mission statements or known track records relating to this goal. A total of 170 interviews were conducted with faculty, students, graduates, and employers from 9 programs visited on-site and 42 programs surveyed by telephone. All programs had some recruitment and training activities in underserved sites. Only about half of the programs were able to submit data on their graduates' practice settings and specialties. These data suggest that older students who have backgrounds in underserved areas and clearly identified practice goals are more likely to practice in underserved areas. Programs that actively promote service to the underserved do so through publicly stated missions and recruitment and educational strategies that complement these missions. Such programs also are more likely to evaluate and document their success than programs that lack strategies.
开展了一项针对医师助理、执业护士和认证助产士项目的研究，以确定和评估这些项目用于为医疗服务不足地区培养从业者的招聘、教育和部署策略的有效性。所研究的51个项目是那些有与该目标相关的使命声明或已知记录的项目。对来自9个实地考察项目和42个电话调查项目的教师、学生、毕业生和雇主共进行了170次访谈。所有项目在服务不足地区都有一些招聘和培训活动。只有约一半的项目能够提交有关其毕业生执业地点和专业的数据。这些数据表明，有在服务不足地区背景且有明确确定的执业目标的年长学生更有可能在服务不足地区执业。积极推动为服务不足人群提供服务的项目是通过公开声明的使命以及与这些使命相辅相成的招聘和教育策略来实现的。与缺乏策略的项目相比，这类项目也更有可能评估并记录其成功之处。
