Navigation Links
Doctors' sense of mission, self-identity key in choice to work in underserved areas
Date:10/27/2010

Medical schools and clinics could boost the number of primary care physicians in medically underserved areas by selecting and encouraging students from these communities, who often exhibit a strong sense of responsibility for and identification with the people there, according to a new study by UCLA researchers and colleagues published in the current issue of the American Journal of Public Health.

Training these students in underserved settings during medical school and their residencies could also increase the likelihood they would continue serving those populations, the researchers found. Physicians-in-training who are not from underserved populations or who do not train in such areas are unlikely to work for any length in these communities.

The findings highlight the importance of identifying doctors who are motivated by mission-based values such as a sense of responsibility to a particular community or patient population early in medical training, said Dr. Kara Odom Walker, who led the study while in the Robert Wood Johnson Foundation Clinical Scholars program at the David Geffen School of Medicine at UCLA.

"In the current health care reform debate, if health insurance coverage increases, residents in areas with an inadequate physician supply will have greater difficulty receiving timely and appropriate clinical care, and this could create poorer population health indicators," said Walker, now an assistant clinical professor of family and community medicine at the University of California, San Francisco.

In their findings, which were based on in-depth interviews with 42 Los Angeles County African American, Hispanic and non-Hispanic white primary care physicians in both underserved and non-underserved areas, the researchers noted three themes that emerged to explain physicians' choice of practice location: personal motivators, career motivators and clinic support.

Physicians who worked in underserved areas were more likely to cite motivators such as personal mission and self-identity as reasons for their choice, compared with physicians who didn't work in those areas. Physicians who had never worked in or had left underserved areas, by contrast, cited factors such as work hours and lifestyle in their choice of practice location.

The authors noted that incentives such as loan-repayment reform for primary care medical students and more medical education opportunities for minorities and immigrants could help draw more physicians to critically underserved areas, which have been particularly hard hit, given the overall national shortage of primary care physicians.

"By using enlightened and informed recruitment strategies that seek out and develop a corps of motivated, mission-driven and committed primary care physicians and retaining them by employing strategies to improve work-life balance, we can meet the challenge of disparities in care among the underserved," the authors conclude. "The current health care reform debate provides unique opportunities to develop and implement such strategies."

The study has some limitations, the researchers noted. Despite using some strategies to reduce potential bias, the themes that emerged during the interviews were still subject to the researchers' interpretation. Also, the researchers found their interview subjects through referrals from a seven-member community advisory board, so the opinions expressed by the the surveyed physicians may not be representative of those from other areas.


'/>"/>

Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California -- Los Angeles
Source:Eurekalert

Related medicine news :

1. Wiser Pregnancy Reveals What Doctors Did In Situations Like Yours
2. Helmets must be part of skiing and snowboarding culture, doctors urge
3. Doctors Have Many Ways to Say No
4. Doctors Working Less, Earning Less
5. Doctors Share Longevity Secrets on CBS Broadcasts
6. Shortage of Black Doctors Rooted in Social, Economic Ills
7. Doctors Practice Medicine in Fear, New Study Finds
8. Doctors Applaud House Vote to Remove Anti-Trust Exemption for Health Insurers
9. Napa State Hospital Doctors Question DMH Judgment
10. Doctors Applaud Latest Furlough Reversal
11. Star of TVs The Doctors Helping Put Smiles on Faces of Needy Children in India
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... was developed to enhance the health of felines. The formula is all-natural and is ... herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus ...
(Date:6/26/2016)... ... June 26, 2016 , ... ... they have been diagnosed with endometriosis. These women need a treatment plan to ... a comprehensive approach that can help for preservation of fertility and ultimately achieving ...
(Date:6/25/2016)... ... , ... Austin residents seeking Mohs surgery services, can now turn to Dr. ... Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include ... in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the ... to 2022" report to their offering. ... patients with kidney failure, it replaces the function of kidneys ... blood and thus the treatment helps to keep the patient ... Increasing number of ESRD patients & substantial ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
(Date:6/23/2016)... RIDGE, Ill. and INDIANAPOLIS ... of students receiving a Lilly Diabetes Tomorrow,s Leaders Scholarship ... The 2016 scholarship winners, announced today online at ... to let type 1 diabetes stand in the way ... Diabetes has supported the Foundation,s scholarship program since 2012, ...
Breaking Medicine Technology: