Fryer G E, Stine C, Vojir C, Miller M
Department of Family Medicine, University of Colorado Health Sciences Center, Denver, USA.
Fam Med. 1997 Feb;29(2):115-8.
Much of rural Colorado has been designated a shortage area for primary care health personnel. The state's only medical school and its family practice residency programs are expected to address this long-standing problem. This study identified predictors of rural practice location and contrasted the service profiles of rural versus urban family physicians and general practitioners.
The Colorado Board of Medical Examiners mailed a questionnaire to all licensed Colorado physicians. Logistic regression analyses were conducted using variables determined to be significantly related to practice location (rural versus urban) by univariate statistical tests. Information from the 986 family physician and general practitioner respondents identified personal and educational variables strongly associated with choice of rural practice location and differentiated between practice tendencies of rural versus urban physicians.
Having been raised in rural Colorado was the most powerful predictor of rural practice location in the state. Family physicians and general practitioners serving rural populations spent much more time weekly providing direct patient care and more often cared for Medicaid patients.
Personal characteristics and background may be useful considerations in selecting among applicants for medical schools and family practice residency programs committed to reducing the severe shortage of health care service in rural areas.
科罗拉多州的许多农村地区已被指定为初级保健卫生人员短缺地区。该州唯一的医学院及其家庭医学住院医师培训项目有望解决这一长期存在的问题。本研究确定了农村执业地点的预测因素，并对比了农村和城市家庭医生及全科医生的服务概况。
科罗拉多州医学考试委员会向所有获得科罗拉多州行医执照的医生邮寄了一份问卷。使用单变量统计检验确定与执业地点（农村与城市）显著相关的变量进行逻辑回归分析。来自986名家庭医生和全科医生受访者的信息确定了与农村执业地点选择密切相关的个人和教育变量，并区分了农村和城市医生的执业倾向。
在科罗拉多州农村地区长大是该州农村执业地点最有力的预测因素。为农村人口服务的家庭医生和全科医生每周花费更多时间提供直接的患者护理，并且更经常照顾医疗补助患者。
在选拔致力于减少农村地区医疗服务严重短缺的医学院和家庭医学住院医师培训项目的申请人时，个人特征和背景可能是有用的考虑因素。
