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Regional quota students are required to take out a student loan but are exempted from repayment after fulfilling an approximately 9-year obligatory practice period. This study investigated the anticipated willingness of final-year regional quota students to remain in MUAs after their obligatory practice period, as well as factors associated with this willingness during students’ first year.\n\nMethods: The participants in this prospective observational study were all regional quota students at Japanese medical schools. Baseline data were collected when students were in their first year, and their anticipated willingness to remain in MUAs after their obligatory practice period was the primary outcome, determined by questionnaire during the students’ final year. The association between baseline data and willingness to remain in MUAs was analyzed by the Χ2 test and logistic regression analysis.\nResults: At baseline, 405 first-year students in 38 medical schools answered the questionnaire; of these, 208 (51.4%) students were followed up 5 years later. The proportion of regional quota students who anticipated being willing to remain in MUAs decreased from 52.3% to 19.2% after 5 years. In multivariate analysis, anticipated willingness to remain in MUAs in the sixth year was associated with rural upbringing (odds ratio (OR) 2.1), influence of income on work preference (OR 0.3) and willingness to remain in MUAs as assessed during the first year (OR 3.3).\n\nConclusions: Regional quota students’ anticipated willingness to remain in MUAs decreased as they progressed through medical school. 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Japanese regional-quota medical students in their final year are less motivated to work in medically underserved areas than they were in their first year: a prospective observational study
http://hdl.handle.net/2241/00154692
http://hdl.handle.net/2241/00154692eb2ec07a-7d98-484b-b45a-9e54565a6e1e
名前 / ファイル | ライセンス | アクション |
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rrh_18-4-4840 (1.1 MB)
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Item type | Journal Article(1) | |||||||||||
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公開日 | 2019-03-01 | |||||||||||
タイトル | ||||||||||||
タイトル | Japanese regional-quota medical students in their final year are less motivated to work in medically underserved areas than they were in their first year: a prospective observational study | |||||||||||
言語 | ||||||||||||
言語 | eng | |||||||||||
資源タイプ | ||||||||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
タイプ | journal article | |||||||||||
著者 |
高屋敷, 明由美
× 高屋敷, 明由美
WEKO
204476
× 前野, 哲博× Kataoka, Yoshihiro× Sato, Mikiya |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Introduction: In Japanese medical schools, a special regional quota (chiikiwaku) system has been widely implemented to increase the number of physicians in medically underserved areas (MUAs). Regional quota students are required to take out a student loan but are exempted from repayment after fulfilling an approximately 9-year obligatory practice period. This study investigated the anticipated willingness of final-year regional quota students to remain in MUAs after their obligatory practice period, as well as factors associated with this willingness during students’ first year. Methods: The participants in this prospective observational study were all regional quota students at Japanese medical schools. Baseline data were collected when students were in their first year, and their anticipated willingness to remain in MUAs after their obligatory practice period was the primary outcome, determined by questionnaire during the students’ final year. The association between baseline data and willingness to remain in MUAs was analyzed by the Χ2 test and logistic regression analysis. Results: At baseline, 405 first-year students in 38 medical schools answered the questionnaire; of these, 208 (51.4%) students were followed up 5 years later. The proportion of regional quota students who anticipated being willing to remain in MUAs decreased from 52.3% to 19.2% after 5 years. In multivariate analysis, anticipated willingness to remain in MUAs in the sixth year was associated with rural upbringing (odds ratio (OR) 2.1), influence of income on work preference (OR 0.3) and willingness to remain in MUAs as assessed during the first year (OR 3.3). Conclusions: Regional quota students’ anticipated willingness to remain in MUAs decreased as they progressed through medical school. To increase the number of physicians in MUAs, it may be useful to recruit regional quota students who come from rural areas, who do not place a high priority on expected incomes, and who initially anticipate a willingness to remain in MUAs. |
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書誌情報 |
Rural and Remote Health 巻 18, 号 4, p. 4840, 発行日 2018-10 |
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ISSN | ||||||||||||
収録物識別子タイプ | ISSN | |||||||||||
収録物識別子 | 1445-6354 | |||||||||||
PubMed番号 | ||||||||||||
識別子タイプ | PMID | |||||||||||
関連識別子 | 30365899 | |||||||||||
DOI | ||||||||||||
識別子タイプ | DOI | |||||||||||
関連識別子 | 10.22605/RRH4840 | |||||||||||
権利 | ||||||||||||
権利情報 | ETHICS APPROVAL: This study was approved by the Ethics Committee of the Faculty of Medicine of the University of Tsukuba. The approval numbers were 21-413 and 21-413-2. Except where otherwise noted, this work is licensed under a Creative Commons Attribution 4.0 International Licence | |||||||||||
著者版フラグ | ||||||||||||
値 | publisher | |||||||||||
出版者 | ||||||||||||
出版者 | AUSTRALIAN RURAL HEALTH EDUC NETWORK |