PMID: 9178410Jun 1, 1997Paper

Community and self: concepts for rural physician integration and retention

Social Science & Medicine
M P Cutchin

Abstract

Low physician availability in rural areas of the United States is a long-standing issue. While most research has focused upon the locational decisions of physicians to understand the causes of the problem, a relatively new and neglected research focus is the retention of rural physicians. This paper takes the perspective that integration of physicians within rural communities is the basis for retention. It introduces concepts of self and community as a basis for understanding "domains" of rural physician integration. From data collected during in-depth qualitative research in rural Kentucky, a framework of integration domains is developed. The three domains of physician self, medical community, and community-at-large are elaborated with examples from the data. To further explain the relationships among the integration domains and their value, the findings are combined with three concepts from social theory. Social capital, core participation, and community reconstruction add dynamic and meaningful aspects to the context in which integration and retention occur, and they provide a conceptual basis to use when investigating or devising actions to facilitate integration.

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Citations

Feb 27, 2003·The Australian Journal of Rural Health·Sarah Lee, Lynette Mackenzie
Dec 4, 2003·The Australian Journal of Rural Health·Richard HaysLisa Crossland
Apr 30, 2008·Teaching and Learning in Medicine·Diann EleyDavid Wilkinson
Apr 27, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Patricia ToomeyJoanna Bates
Feb 22, 2005·The Australian Journal of Rural Health·Wayne WoloschukOlga Szafran
Dec 29, 2000·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·J A Stearns, M A Stearns
Jan 16, 2007·BMC Health Services Research·Marie-Pierre GagnonRéjean Landry
Sep 29, 2004·American Journal of Public Health·Donald E PathmanGary Koch
Mar 29, 2001·Teaching and Learning in Medicine·D C LynchJ D Bernstein
Aug 13, 2014·Social Science & Medicine·Chad WalkerDanielle Ouellette
Oct 7, 2003·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Holly FelixM Kathryn Stewart
Jul 4, 2003·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Thomas Hugh Feeley
Jan 31, 2006·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Michael GlasserMartin Macdowell
Nov 15, 2008·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Joseph StengerJudith A Savageau
Sep 18, 2007·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Thomas C Ricketts, Randy Randolph
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May 15, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Dorothy HughesJoanna Veazey Brooks
May 25, 2002·Journal of Interprofessional Care·Allison M Williams, Malcolm P Cutchin
Jun 18, 2002·The Medical Journal of Australia·John S HumphreysPaul R Mara

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