Recruiting and retaining primary care physicians in urban underserved communities: the importance of having a mission to serve.
OBJECTIVES: We examined factors influencing physician practice decisions that may increase primary care supply in underserved areas. METHODS: We conducted in-depth interviews with 42 primary care physicians from Los Angeles County, California, stratified by race/ethnicity (African American, Latino,...
| Publicado en: | American Journal of Public Health Vol. 100; no. 11; pp. 2168 - 2176 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Nov2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105007273&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105007273 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Nov2010 vid: 100 iid: 11 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105007273 55089314 2010833969 10.2105/AJPH.2009.181669 NLM20935263 105007273 ppf: 2168 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Recruiting and retaining primary care physicians in urban underserved communities: the importance of having a mission to serve. aug: au: Walker KO Ryan G Ramey R Nunez FL Beltran R Splawn RG Brown AF affil: Robert Wood Johnson Foundation Clinical Scholars Program, University of California, Los Angeles, USA. kara.o.walker@gmail.com sug: subj: Medically Underserved Area California Motivation Physicians, Family Practice Patterns Action Research Adult Aged Audiorecording California Career Mobility Descriptive Statistics Ethnic Groups Female Funding Source Geographic Factors Human Interviews Life Style Male Middle Age Personnel Recruitment Methods Personnel Retention Physician's Role Race Factors Salaries and Fringe Benefits Schools, Medical Thematic Analysis Work Environment Workload Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: OBJECTIVES: We examined factors influencing physician practice decisions that may increase primary care supply in underserved areas. METHODS: We conducted in-depth interviews with 42 primary care physicians from Los Angeles County, California, stratified by race/ethnicity (African American, Latino, and non-Latino White) and practice location (underserved vs nonunderserved area). We reviewed transcriptions and coded them into themes by using standard qualitative methods. RESULTS: Three major themes emerged in relation to selecting geographic- and population-based practice decisions: (1) personal motivators, (2) career motivators, and (3) clinic support. We found that subthemes describing personal motivators (e.g., personal mission and self-identity) for choosing a practice were more common in responses among physicians who worked in underserved areas than among those who did not. By contrast, physicians in nonunderserved areas were more likely to cite work hours and lifestyle as reasons for selecting their current practice location or for leaving an underserved area. CONCLUSIONS: Medical schools and shortage-area clinical practices may enhance strategies for recruiting primary care physicians to underserved areas by identifying key personal motivators and may promote long-term retention through work-life balance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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