Xu G, Cummings M, Veloski J J, Brose J
Office of Research, Ohio University College of Osteopathic Medicine, Athens 45701, USA.
J Am Osteopath Assoc. 1996 Dec;96(12):737-42.
This study examines the differences between osteopathic and allopathic physicians regarding those factors influencing their career choice of family practice. A total of 256 osteopathic physicians and 717 allopathic family physicians were surveyed. The surveyed physicians graduated in 1983 and 1984. Comparisons were made on 19 variables that influenced the physicians' decisions to enter family practice as well as on the six factor scores derived from these 19 variables. Osteopathic physicians' decisions to choose family practice was more influenced by financial obligations, medical school experiences, and family values, whereas the allopathic physicians were more influenced by personal social value. Overall, medical school experience and personal social value were two important factors that explained the largest variances of the 19 predictors influencing physicians' decisions to enter family practice. Those allopathic medical schools whose mission emphasizes the production of generalist physicians may be able to model some approaches already in place at osteopathic medical schools. Because of the influence of the personal social value factor in medical students' choosing family practice medicine, this factor warrants further study.
本研究考察了整骨疗法医生和西医医生在影响其选择家庭医疗职业的因素方面的差异。共对256名整骨疗法医生和717名西医家庭医生进行了调查。这些接受调查的医生于1983年和1984年毕业。对影响医生决定从事家庭医疗的19个变量以及从这19个变量得出的六个因素得分进行了比较。整骨疗法医生选择家庭医疗的决定更多地受到经济负担、医学院经历和家庭价值观的影响，而西医医生则更多地受到个人社会价值观的影响。总体而言，医学院经历和个人社会价值观是解释影响医生决定从事家庭医疗的19个预测因素中最大差异的两个重要因素。那些使命强调培养全科医生的西医医学院或许能够效仿整骨疗法医学院已经采用的一些方法。由于个人社会价值观因素在医学生选择家庭医疗医学方面的影响，这一因素值得进一步研究。
