+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: a review of the literature

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(8): 790-798

A systematic review of factors associated with recruitment and retention of primary care physicians in rural areas. Using PubMed and Medline databases, 21 quantitative articles analyzing recruitment and retention of primary care physicians in rural areas from 1990 to 2000 were found. To assess the methodologic strengths of these articles, a formal evaluation was conducted based on study design, study population, response rate, years studied, data source, and statistical methods (total possible score = 60 points). Studies were grouped by whether the factors assessed were related to pre-medical school, medical school, or residency. A total of six studies (score range: 30-52) analyzed pre-medical school factors, 15 (score range: 30-52) considered medical school factors, and six (score range: 20-52) analyzed residency factors related to rural recruitment and retention. Pre-medical school factors such as rural upbringing and specialty preference were most strongly correlated with recruitment of physicians to rural areas. Training factors such as commitment to rural curricula and rotations, particularly during residency, were most strongly correlated with retention in rural areas. Although important gaps exist, scientific studies available to health educators and policymakers show there are predictable factors that influence recruitment and retention in rural areas. Policies for staffing rural areas with primary care physicians should be aimed at both selecting the right students and giving them during their formal training the curriculum and the experiences that are needed to succeed in primary care in rural settings.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 047733204

Download citation: RISBibTeXText

PMID: 12176692

Related references

Twenty-first-century Primary Care. Academic Medicine 77(8): 776-780, 2002

Retention of pesticides in filter membranes. Journal of environmental quality 29(2): 654-657, 2000

Preliminary evidence of toxicity associated with the benthic cyanobacterium Phormidium in South Australia. Environmental Toxicology 16(6): 506-511, 2001

Recruitment and retention of primary care patients into a research study investigating medication adherence. Journal of Primary Health Care 3(3): 204-209, 2011

A non-targeted metabolomic approach to identify food markers to support discrimination between organic and conventional tomato crops. Journal of Chromatography. a 1546: 66-76, 2018

Politics of resistance and accommodation: managing refugee and immigrant movements in the post-Cold War era. Current World Leaders 38(2): 102-118, 1995

Recruitment of pregnant women for self-examination of the postpartum return of fertility. Advances in Contraception 10(1): 37-41, 1994

Recruitment, retention and characteristics of women in a prospective study of preconceptional risks to reproductive outcomes: experience of the Diana Project. Paediatric and Perinatal Epidemiology 11(3): 345-358, 1997

Efforts to explain low-energy nuclear reactions. Die Naturwissenschaften 100(11): 1103, 2013

Recruitment and retention of participants in prevention trials involving family-based interventions. American Journal of Preventive Medicine 20(1 Suppl): 31-37, 2001

The road to Rome. Gut 45(Suppl. 2): Ii80, 1999

Recruitment and retention of ethnic minority elders into clinical research. Alzheimer Disease and Associated Disorders 24 Suppl: S35-S41, 2010

Recruitment and retention of patients into emergency medicine clinical trials. Academic Emergency Medicine 17(10): 1104-1112, 2010

Predictors of Preoperative Weight Loss in Morbidly Obese Adults Waiting for Bariatric Surgery: A Prospective Cohort Study. Obesity Surgery 25(9): 1610-1617, 2015

The influence of motivating operations on generalization probes of specific mands by children with autism. Journal of Applied Behavior Analysis 45(3): 565-577, 2012