Medical education program with obligatory rural service: Analysis of factors associated with obligation compliance

Health Policy

Volumn 90, Issue 2-3, 2009, Pages 125-132

  Matsumoto, Masatoshi ^a   Kajii, Eiji ^a  

^a JICHI MEDICAL UNIVERSITY   (Japan)

Author keywords

Health policy; Japan; Medical education; Rural health

Indexed keywords

ADULT; ARTICLE; FEMALE; FOLLOW UP; HEALTH SERVICE; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL STUDENT; MULTIVARIATE ANALYSIS; PRIMARY MEDICAL CARE; RETROSPECTIVE STUDY; RURAL AREA; UNIVARIATE ANALYSIS;

CONTRACTS; EDUCATION, MEDICAL; FEMALE; HUMANS; JAPAN; MALE; RETROSPECTIVE STUDIES; RURAL HEALTH SERVICES; SCHOOLS, MEDICAL; SOCIAL RESPONSIBILITY; STUDENTS, MEDICAL;

EID: 63749085111     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2008.09.004     Document Type: Article

References (49)

1. International Conference on Primary Health Care. Declaration of Alma-Ata; 1978. Available at: http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf. Accessed 12 May 2008.
2. Kobayashi Y., and Takaki H. Geographic distribution of physicians in Japan. Lancet 340 (1992) 1391-1393
3. Australian Medical Workforce Advisory Committee. The general practice workforce in Australia (2000), Australian Medical Workforce Advisory Committee, Sydney
4. Bureau of Health Professions. Rural health professions facts: supply and distribution of health professions in rural America (1992), Health Resources and Services Administration, Rockville, MD
5. Rivo M.L., and Kindig D.A. A report card on the physician work force in the United States. New England Journal of Medicine 334 (1996) 892-896
6. Statistic Bureau, Ministry of Internal Affairs and Communications. Nihon toukei nenkan (Japan statistical yearbook) (2007), Japan Statistical Association, Tokyo, Japan
7. Director-General's Secretariat, National Land Agency. Kokudo toukei youran (National Land Statistics); 1982. Available at: http://www.stat.go.jp/kids/datastore/zuhyou/y0108000.xls. Accessed 2 June 2007.
8. Jichi Medical School. Chiiki-iryo hakusyo (the white paper on community healthcare) (2002), Jichi Medical School, Tochigi, Japan
9. Ministry of Health Labour and Welfare. Ishi no jukyu ni kansuru kentoukai houkokusyo (the working party report on national supply of physicians); 2006. Available at: http://www.mhlw.go.jp/shingi/2006/07/dl/s0728-9c.pdf. Accessed 25 March 2007.
10. Asano N., Kobayashi Y., and Kano K. Issues of intervention aimed at preventing prospective surplus of physicians in Japan. Journal of Medical Education 35 (2001) 488-494
11. Matsumoto M., Inoue K., and Kajii E. Characteristics of medical students with rural origin: implications for selective admission policies. Health Policy 87 (2008) 194-202
12. Statistic Bureau, Ministry of Internal Affairs and Communications. Toukei de miru shikuchouson no sugata (statistical observations of the municipalities.) Electronic ed. (2005), Japan Statistical Association, Tokyo, Japan
13. Matsumoto M., Okayama M., Inoue K., and Kajii E. Factors associated with rural doctors' intention to continue a rural career: a survey of 3072 doctors in Japan. Australian Journal of Rural Health 13 (2005) 219-225
14. Organisation for Economic Co-operation and Development. OECD health data 2006 Elecronic ed. (2006), OECD, Paris, France
15. Kobayashi Y. Ishisu to ishi no bunpu (the number of physicians and their distribution). Iryokeizai Kenkyu 18 (2006) 142-146
16. Inoue K. Ishibunpu no chiikikankakusa (intercommunity variation in physician distribution.) Kouseiroudou Kagaku Kenkyu (H16-Seisaku-010) (2006), Ministry of Health, Labour and Welfare, Tokyo
17. Inoue K., Hirayama Y., and Igarashi M. A medical school for rural areas. Journal of Medical Education 31 (1997) 430-434
18. Inoue K., Matsumoto M., and Sawada T. Evaluation of a medical school for rural doctors. Journal of Rural Health 23 (2007) 183-187
19. Matsumoto M., Inoue K., and Kajii E. Contract-based training system for rural physicians: follow-up of Jichi Medical University graduates (1978-2006). Journal of Rural Health 24 (2008) 360-368
20. Matsumoto M., Inoue K., and Kajii E. Long-term effect of the home prefecture recruiting scheme of Jichi Medical University. Rural Remote Health 8 (2008) 930
21. Yomiuri Shinbun Newspaper. Igakubu ni hekichi iryou waku (rural quota in medical schools). Yomiuri Online, 2007.
22. Pathman D.E., Konrad T.R., King T.S., Taylor Jr. D.H., and Koch G.G. Outcomes of states' scholarship, loan repayment, and related programs for physicians. Medical Care 42 (2004) 560-568
23. Pathman D.E., Taylor Jr. D.H., Konrad T.R., King T.S., Harris T., Henderson T.M., et al. State scholarship, loan forgiveness, and related programs: the unheralded safety net. Journal of the American Medical Association 284 (2000) 2084-2092
24. Government of South Australia. South Australia Rural Health Scholarships; 2008. Available at: http://www.countryhealthsa.sa.gov.au/Default.aspx?tabid=40. Accessed 12 May 2008.
25. New South Wales Rural Doctors Network. New South Wales Rural Resident Medical Officer Cadetships; 2008. Available at: http://www.nswrdn.com.au/site/index.cfm?module=RDNSCHOLARSHIPS&leca=275&pagemode=indiv&page_id=1839. Accessed 12 May 2008.
26. Department of Health and Ageing, Australian Government. Medical Rural Bonded (MRB) Scholarships; 2008. Available at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/work-mrb-summary. Accessed 12 May 2008.
27. Department of Health and Ageing, Australian Government. The HECS Reimbursement Scheme; 2008. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/work-pr-hecs-about. Accessed 12 May 2008.
28. Mathews J.E. The ailing NHSC scholarship program: government battles recipient in default. Journal of Law Medicine & Ethics 21 (1993) 262-264
29. Matsumoto M., Okayama M., and Kajii E. Rural doctors' satisfaction in Japan: a nationwide survey. Australian Journal of Rural Health 12 (2004) 40-48
30. Matsumoto M., Okayama M., Inoue K., and Kajii E. High-tech rural clinics and hospitals in Japan: a comparison to the Japanese average. Australian Journal of Rural Health 12 (2004) 215-219
31. Health and Welfare Statistics Association. Iryo-sisetsu chosa 2004 (health facility census 2004) (2006), Ministry of Health, Labour and Welfare, Tokyo, Japan
32. Brooks R.G., Walsh M., Mardon R.E., Lewis M., and Clawson A. The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: a review of the literature. Academic Medicine 77 (2002) 790-798
33. Policy Research Institute, Ministry of Finance. Syakaikaisou ishiki ni kansuru kenkyukai houkokusyo (report on social class and class consciousness in Japan.); 2005. Available at: http://www.mof.go.jp/jouhou/soken/kenkyu/zk064/zk064.htm. Accessed 13 May 2008.
34. Statistic Bureau, Ministry of Internal Affairs and Communications. Jinkou no suii to syourai suikei (longitudinal change and projection of the population). Ministry of Internal Affairs and Communications; 2005; Available at: http://www.stat.go.jp/data/nihon/zuhyou/n0200100.xls. Accessed 6 December 2007.
35. Verby J.E., Newell J.P., Andresen S.A., and Swentko W.M. Changing the medical school curriculum to improve patient access to primary care. Journal of the American Medical Association 266 (1991) 110-113
36. Rabinowitz H.K. The role of the medical school admission process in the production of generalist physicians. Academic Medicine 74 (1999) S39-44
37. Rabinowitz H.K. Recruitment, retention, and follow-up of graduates of a program to increase the number of family physicians in rural and underserved areas. New England Journal of Medicine 328 (1993) 934-939
38. Cullen T.J., Hart L.G., Whitcomb M.E., and Rosenblatt R.A. The National Health Service Corps: rural physician service and retention. Journal of American Board of Family Practice 10 (1997) 272-279
39. Brazeau N.K., Potts M.J., and Hickner J.M. The Upper Peninsula Program: a successful model for increasing primary care physicians in rural areas. Family Medicine 22 (1990) 350-355
40. Boulger J.G. Family medicine education and rural health: a response to present and future needs. Journal of Rural Health 7 (1991) 105-115
41. Adkins R.J., Anderson G.R., Cullen T.J., Myers W.W., Newman F.S., and Schwarz M.R. Geographic and specialty distributions of WAMI Program participants and nonparticipants. Journal of Medical Education 62 (1987) 810-817
42. Sriratanaban A., and Sangprasert B. The Rural Area Project (RAP) in Thailand: curriculum development. Journal of Medical Education 17 (1983) 374-377
43. Rabinowitz H.K., Diamond J.J., Markham F.W., and Hazelwood C.E. A program to increase the number of family physicians in rural and underserved areas: impact after 22 years. Journal of the American Medical Association 281 (1999) 255-260
44. Rabinowitz H.K., and Paynter N.P. The role of the medical school in rural graduate medical education: pipeline or control valve?. Journal of Rural Health 16 (2000) 249-253
45. Rabinowitz H.K., Diamond J.J., Markham F.W., and Paynter N.P. Critical factors for designing programs to increase the supply and retention of rural primary care physicians. Journal of the American Medical Association 286 (2001) 1041-1048
46. Pathman D.E., Konrad T.R., and Ricketts III T.C. The National Health Service Corps experience for rural physicians in the late 1980s. Journal of the American Medical Association 272 (1994) 1341-1348
47. Rosenblatt R.A., Saunders G., Shreffler J., Pirani M.J., Larson E.H., and Hart L.G. Beyond retention: National Health Service Corps participation and subsequent practice locations of a cohort of rural family physicians. Journal of American Board of Family Practice 9 (1996) 23-30
48. Pathman D.E., Konrad T.R., and Ricketts III T.C. The comparative retention of National Health Service Corps and other rural physicians. Results of a 9-year follow-up study. Journal of the American Medical Association 268 (1992) 1552-1558
49. Ministry of Health, Labour and Welfare. Kinkyu ishikakuho taisaku ni kansuru torikumi (the emergency appropriations bill for securing physicians.); 2005. Available at: http://www.mhlw.go.jp/topics/bukyoku/isei/kinkyu/dl/01b.pdf. Accessed 23 May 2008.