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首页> 外文期刊>Journal of Rural Health >A cohort study of family practice residency graduates in a predominantly rural state: initial practice site selection and trajectories of practice movement
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A cohort study of family practice residency graduates in a predominantly rural state: initial practice site selection and trajectories of practice movement

机译：家庭实践居留权毕业生的队伍校园队列：初步实践现场选择与实践运动轨迹

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Limited information is available on long-term patterns of practice location choice among family physicians, although these patterns will significantly affect the quantity, quality, and continuity of health care provided in rural areas. From 1992 through 2000, five biennial surveys were administered to graduates of three family practice residency programs. Graduates were asked the location of their current and previous practice site locations, specific practice information, and global satisfaction with family practice. Identifiable practice sites were assigned a U.S. Department of Agriculture rural-urban continuum code based on the county in which the practice was located. The use of rural-urban continuum codes as a measure of rurality was believedto be particularly applicable to the small rural and frontier counties typical of the Great Plains region. Far purposes of this study, practice locations were considered rural if they were in rural-urban continuum codes 7,8, or 9. Of 593 graduates, 514(87 percent) returned at least one questionnaire. Overall, about one-third of graduates had chosen their first practice sites in counties with rural-urban continuum codes of 7, 8, or 9. While most graduates remained in their initial practice site, almosthalf moved at least once. Those who left nonmetropolitan practices tended to move to less rural locations, though a few moved against this gradient. Moves away from the initial practice site occurred after a median of 3 years, and the likelihood of a first move decreased rapidly 5 to 6 years after graduation. Much remains to be learned about decisions to enter or leave practice in rural-urban continuum code 7,8, and 9 counties.
机译：虽然这些模式将在家庭医生之间的长期实践位置选择，但这些模式将显着影响农村地区提供的医疗保健的数量，质量和连续性的有限的信息。从1992年到2000年，将使用五个两年期调查，以三个家庭实践居住计划的毕业生。毕业生被问到他们当前和以前的实践网站，具体的实践信息以及与家庭惯例的全球满意度的位置。基于该县的县，可识别的练习网站被分配了美国农业部农业部城市连续内代码。据信，利用农村城市连续管守则被认为是特别适用于大平原地区典型的小型农村和边境县。本研究的目的是，如果在农村城市连续统一号7,8或9中，练习地点被认为是农村的7,8或9.593年毕业生，514（87％）至少返回一个问卷。总体而言，大约三分之一的毕业生选择了他们的第一个县的县的县城连续统一数7,8或9。虽然大多数毕业生仍然在他们的初始实践现场，但阿尔莫斯特劳动力至少移动一次。那些留下非聚集实践的人往往往往迁移到较少的农村地区，但几个逆向这种渐变。远离初始练习网站发生在3年后发生的，第一次移动的可能性在毕业后迅速下降5至6年。在农村城市连续性代码7,8和9个县中进入或离开实践的决定，有些遗体仍有待了。

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