Résumé :
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[BDSP. Notice produite par INIST-CNRS jCrR0xE0. Diffusion soumise à autorisation]. Context The Physician Shortage Area Program (PSAP) of Jefferson Medical College (Philadelphia, Pa) is one of a small number of medical school programs that addresses the shortage of rural primary care physicians. However, little is known regarding why these programs work. Objectives To identify factors independently predictive of rural primary care supply and retention and to determine which components of the PSAP lead to its outcomes. Design Retrospective cohort study. Setting and Participants A total of 3414 Jefferson Medical College graduates from the classes of 1978-1993, including 220 PSAP graduates. Main Outcome Measures Rural primary care practice and retention in 1999 as predicted by 19 previously collected variables. Twelve variables were available for all classes ; 7 variables were collected only for 1978-1982 graduates. Results Freshman-year plan for family practice, being in the PSAP, having a National Health Service Corps scholarship, male sex, and taking an elective senior family practice rural preceptorship (the only factor not available at entrance to medical school) were independently predictive of physicians practicing rural primary care. For 1978-1982 graduates, growing up in a rural area was the only additionally collected independent predictor of rural primary care (odds ratio [OR], 4.0 ; 95% CI, 2.1-7.6 ; P<. participation in the psap was only independent predictive factor of retention for all classes cl p among graduates taking a senior rural preceptorship independently primary care ci>
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