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Graduate doctors' rural work increases over time

机译：研究生的农村工作随着时间的推移而增加

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摘要

Background: The contribution of rural clinical school (RCS) and rural origin to developing a long-term rural medical workforce was examined. Methods: Longitudinal cohort study, after undergraduate location in either rural or urban setting, for all medical graduates 2004-2010, identified in the Australian Health Practitioner Regulation Agency, in the following groups: Urban origin/no RCS; Rural origin/no RCS; Urban origin/RCS; and Rural origin/RCS. Results: Proportions of all graduates working rurally increased from 2013 to 2018, including amongst urban origin/nonRCS graduates. Rural origin/RCS participants worked rurally at the highest rates across all time points, with an endpoint of 47%, and an odds ratio of 9.70 (5.41, 17.40) relative to the urban reference group. They had a cumulative duration of rural practice over 5 times higher than the urban reference group. RCS graduates were more likely to be working in remote areas than nonRCS graduates. Conclusion: All graduates' contribution to rural and remote workforce is dynamic and increasing. Both RCS participation and rural student recruitment make synergistic and increasing contributions to rural work. RCS effects workforce distribution to more remote areas. Single cross-sectional studies do not capture this dynamic growth in the rural workforce.
机译：背景：审查了农村临床学校（RCS）和农村发展发展长期农村医疗劳动力的贡献。方法：纵向队列研究，经过农村或城市环境的本科位置，为澳大利亚卫生医生监管机构确定的所有医学毕业生2004 - 2010年，在以下几年：城市来源/没有RCS;农村来源/没有rcs;城市起源/ rcs;和农村来源/ rcs。结果：所有从2013年到2018年工作中培养的所有毕业生的比例，包括城市来源/非铅毕业生。农村来源/ RCS参与者在所有时间点的最高速率下策划，终点为47％，差价率为9.70（5.41,17.40），相对于城市参考组。它们的累积持续时间超过城市参考组的5倍。 RCS毕业生更有可能在偏远地区工作，而不是非批准毕业生。结论：所有毕业生对农村和远程劳动力的贡献都是动态和增加的。 RCS参与和农村学生招聘都为农村工作做出协同作用和越来越多的贡献。 RCS效果员工分发到更多偏远地区。单一的横截面研究不会捕捉农村劳动力的这种动态增长。

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  • 来源
    《Medical teacher》 |2019年第9期|共8页
  • 作者

    Playford Denese; Hanh Ngo; Atkinson David; Puddey Ian B.;

  • 作者单位

    Univ Western Australia Fac Hlth &

    Med Sci Rural Clin Sch Western Australia Sch Med Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Rural Clin Sch Western Australia Sch Med Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Rural Clin Sch Western Australia Sch Med Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Sch Med &

    Pharmacol Sch Med Crawley WA Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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