Burnett W H, Mark D H, Midtling J E, Zellner B B
California Health Manpower Policy Commission, University of California, Irvine, USA.
West J Med. 1995 Dec;163(6):532-6.
Using the definitions of "medically underserved areas" developed by the California Health Manpower Policy Commission and data on physician location derived from a survey of California physicians applying for licensure or relicensure between 1984 and 1986, we examined the extent to which different kinds of primary care physicians located in underserved areas. Among physicians completing postgraduate medical education after 1974, board-certified family physicians were 3 times more likely to locate in medically underserved rural communities than were other primary care physicians. Non-board-certified family and general physicians were 1.6 times more likely than other non-board-certified primary care physicians to locate in rural underserved areas. Family and general practice physicians also showed a slightly greater likelihood than other primary care physicians of being located in urban underserved areas.
利用加利福尼亚州卫生人力政策委员会制定的“医疗服务不足地区”定义,以及从1984年至1986年申请执照或重新执照的加利福尼亚州医生调查中得出的医生所在地数据,我们研究了不同类型的初级保健医生在服务不足地区的分布情况。在1974年之后完成研究生医学教育的医生中,获得委员会认证的家庭医生在医疗服务不足的农村社区执业的可能性是其他初级保健医生的3倍。未获得委员会认证的家庭医生和普通医生在农村服务不足地区执业的可能性比其他未获得委员会认证的初级保健医生高1.6倍。家庭医生和普通执业医生在城市服务不足地区执业的可能性也比其他初级保健医生略高。