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:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... Today, the ... , announced that the much-anticipated feature with author Jahnavi Foster, specialist in healthy vegetarian ... TV Network. , Each week, on his weekly Whole-Food Warrior TV show, Frank Davis ...
(Date:2/5/2016)... ... February 05, 2016 , ... Francisco Canales, MD ... in their Napa Valley office. The technique utilizes the body’s own healing abilities ... and Dr. Furnas, are part of only a select few cosmetic surgeons bringing ...
(Date:2/5/2016)... ... February 05, 2016 , ... The Lymphoma ... innovative lymphoma research and serving the lymphoma community through a comprehensive series of ... host, Swirl, A Wine Tasting Event at the La Gorce Country Club in ...
(Date:2/5/2016)... ... 2016 , ... Regular gym users know the routine: each January, they see ... the treadmills. It’s a predictable trend. After the excesses of November and December, people ... by joining gyms, starting new walking or running routines, or signing up for Zumba. ...
(Date:2/5/2016)... ... February 05, 2016 , ... At its annual meeting held ... as Chairman of the National Board of Directors. Mr. McDermott succeeds former APDA Chairman, ... stated Leslie A. Chambers , APDA President and CEO. “Pat has tirelessly served ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... 5, 2016 Amgen (NASDAQ: AMGN ) will ... Healthcare Conference at 9:15 a.m. ET on Wednesday, Feb. 10, ... David W. Meline , executive vice president and chief financial ... of the presentation can be accessed from the Events Calendar ... of the webcast will also be available on Amgen,s website ...
(Date:2/5/2016)... Feb. 5, 2016  ivWatch, a medical devices company, is ... Award granted by Governor Terry McAuliffe,s office. ivWatch ... February 25th at an event to be held at the ... award honors professionals and business that have made significant contributions ... Logo - http://photos.prnewswire.com/prnh/20160205/330117LOGO ...
(Date:2/5/2016)... , Feb. 5, 2016  Aralez Pharmaceuticals Inc. ("Aralez") ... POZEN Inc. ("POZEN") and Tribute Pharmaceuticals Canada Inc. ("Tribute") following ... shareholders of Tribute. The combined company will operate under ... with operations in Canada , ... States . Under the terms of the Agreement ...
Breaking Medicine Technology: