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ID 48618
本文ファイル
著者
Matsumoto, Masatoshi 大学院医系科学研究科(医) 広大研究者総覧
Kashima, Saori 大学院国際協力研究科 広大研究者総覧
Owaki, Tetsuhiro
Iguchi, Seitaro
Inoue, Kazuo
Tazuma, Susumu 病院(医)
Maeda, Takahiro
抄録(英)
Purpose
To show the practice location of graduates from two Japanese programs recruiting physicians to rural areas: a regional quota program of medical schools and a prefecture scholarship program (a prefecture is an administrative geographic division). Graduates of each program must work in a designated rural prefecture for a fixed period.

Method
A nationwide cohort study was conducted for three groups of participants graduating between 2014 and 2016: quota graduates without scholarship (quota alone), nonquota graduates with scholarship (scholarship alone), and quota graduates with scholarship. A questionnaire was sent via medical school or prefecture office to each potential subject to collect baseline individual data, including home prefecture and graduation year. Data were connected through physician identification number to the Physician Census 2016 of the Ministry of Health, Labour and Welfare to identify the subjects’ practice location and compared with data for other physicians in the census. Comparisons were conducted with Mann-Whitney and chi-square tests.

Results
The proportion of physicians working in nonmetropolitan municipalities for quota alone (185/244; 75.8%), scholarship alone (305/363; 84.0%), and quota with scholarship (341/384; 88.8%) was significantly higher than for other physicians (13,299/22,906; 58.1%). Median population density of the municipalities where subjects worked for quota alone (1,042.4 persons per square kilometer), scholarship alone (613.5), and quota with scholarship (547.4) was significantly lower than that for other physicians (3,214.0). These disparities increased with number of years since graduation.

Conclusions
The regional quota and prefecture scholarship programs succeeded in producing physicians who practiced in rural areas of Japan.
内容記述
This study was funded by the Japanese Ministry of Education, Culture, Sports, Science and Technology KAKENHI Grant-in-Aid for Scientific Research (C), Grant Number (25460803) and (18K10084).
掲載誌名
Academic Medicine
94巻
8号
開始ページ
1244
終了ページ
1252
出版年月日
2019-08
出版者
Association of American Medical Colleges
ISSN
1040-2446
1938-808X
出版者DOI
PubMedID
言語
英語
NII資源タイプ
学術雑誌論文
広大資料タイプ
学術雑誌論文
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
author
権利情報
Copyright © by the Association of American Medical Colleges
This is not the final published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認、ご利用ください。
関連情報URL
部局名
医系科学研究科
備考
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