Definition of "rural" determines the placement outcomes of a rural medical education program: analysis of Jichi Medical University graduates

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Masatoshi MatsumotoEiji Kajii

Abstract

To show the impact of changing the definition of what is "rural" on the outcomes of a rural medical education program. A cross-sectional sample of 643 graduates under obligatory rural service and 1,699 graduates after serving their obligation, all from Jichi Medical University (JMU), a binding rural education program in Japan, were used as the data source. Communities were divided into decile groups according to population density, and the cut-off for "rural/nonrural" was altered in order to study its impact on the data. The rural practice rate of obliged graduates had its peak in the decile groups with the lowest population densities, while the peak rates of postobligation graduates and non-JMU physicians were at the decile groups with the highest population densities. Rural practice rates of all of the 3 groups of physicians increased with the increase in inclusiveness of rural definition. The ratio of rural practice rate of obliged graduates to that of non-JMU physicians ("relative effectiveness") increased remarkably with the increase in exclusiveness of rural definition. The relative effectiveness of postobligation graduates did not substantially increase after the cut-off exceeded a certain point of exclusiveness. Definit...Continue Reading

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Nov 15, 2008·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Masatoshi MatsumotoEiji Kajii

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Citations

Jun 2, 2009·BMC Health Services Research·Till Bärnighausen, David E Bloom
Jul 8, 2017·PloS One·Marcella M S KwanGeoffrey C Nicholson
Mar 8, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Masatoshi MatsumotoTakahiro Maeda
Dec 4, 2019·Journal of General and Family Medicine·Ryuichi OhtaJun Otani

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