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Geographic distribution of regional quota graduates of Japanese medical schools: a cohort study

Research Project

Project/Area Number 25460803
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hygiene and public health
Research InstitutionHiroshima University

Principal Investigator

Matsumoto Masatoshi  広島大学, 医系科学研究科(医), 寄附講座教授 (40348016)

Co-Investigator(Kenkyū-buntansha) 前田 隆浩  長崎大学, 医歯薬学総合研究科(医学系), 教授 (40284674)
Project Period (FY) 2013-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords地域枠 / 都道府県奨学金 / 医療政策 / コホート研究 / 医師偏在 / 地理分析 / 地域医療 / 奨学金 / へき地医療 / 医学教育
Outline of Final Research Achievements

This cohort study is to investigate the geographic distribution, specialty choice, obligation compliance status of regional quota graduates of Japanese medical schools and prefecture-scholarship recipient physicians. The cohort includes 2117 regional quota and scholarship recipient physicians, and follow the workplace and other related information of them by connecting the baseline and follow-up information via the physician registration number of each subject. The passing rate of regional quota graduates was significantly higher than the other physicians. The obligation compliance rate of quota graduates with scholarship was over 90% at three years after graduation. The proportion of physicians working in non-metropolitan municipalities for quota graduates with scholarship (88.8%) was significantly higher than that for other physicians (58.1%). The disparity tended to increase with the number of years since graduation.

Academic Significance and Societal Importance of the Research Achievements

地域枠入学制度は医師偏在是正のための国策として推進されており、現在その入学者は医学部医学科入学定員の16%を占めている。これは医師養成に関連して行われた施策としては1970~80年代の「一県一医大政策」に匹敵する規模の政策である。本コホート研究は政策としての地域枠入学制度の成果を評価した最初の学術研究である。地域枠入学制度の規模や在り方について現在政府内において検討が行われているが、本研究結果はその基礎データとなりうるものである。また国際的にも地域枠入学制度は医師偏在是正策としてユニークなものであり、その成果を発信することは国際学術の向上に貢献するものである。

Report

(7 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (17 results)

All 2019 2018 2017 2016 Other

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (12 results) (of which Int'l Joint Research: 2 results,  Invited: 7 results) Remarks (1 results)

  • [Journal Article] Geographic Distribution of Regional Quota Program Graduates of Japanese Medical Schools2019

    • Author(s)
      Matsumoto Masatoshi、Kashima Saori、Owaki Tetsuhiro、Iguchi Seitaro、Inoue Kazuo、Tazuma Susumu、Maeda Takahiro
    • Journal Title

      Academic Medicine

      Volume: epub Issue: 8 Pages: 1244-1252

    • DOI

      10.1097/acm.0000000000002688

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Results of physician license examination and scholarship contract compliance by the graduates of regional quotas in Japanese medical schools: a nationwide cross-sectional survey.2017

    • Author(s)
      Matsumoto M, Takeuchi K, Owaki T, Iguchi S, Inoue K, Kashima S, Tazuma S, Maeda T
    • Journal Title

      BMJ Open

      Volume: 7 Issue: 12 Pages: e019418-e019418

    • DOI

      10.1136/bmjopen-2017-019418

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Rural health in Japan: past and future.2017

    • Author(s)
      Takamura, A., Matsumoto, M., Ishikawa, S
    • Journal Title

      Rural Remote Health

      Volume: 17 Pages: 4521-4521

    • DOI

      10.22605/rrh4521

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Follow-up study of the regional quota system of Japanese medical schools and prefecture scholarship programmes: a study protocol2016

    • Author(s)
      Masatoshi Matsumoto, Keisuke Takeuchi, Junko Tanaka, Susumu Tazuma, Kazuo Inoue, Tetsuhiro Owaki, Seitaro Iguchi, Takahiro Maeda
    • Journal Title

      BMJ Open

      Volume: 6 Issue: 4 Pages: e011165-e011165

    • DOI

      10.1136/bmjopen-2016-011165

    • NAID

      120006786985

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Geographic distribution of regional quota graduates of Japanese medical schools: a nationwide cohort study2019

    • Author(s)
      Matsumoto Masatoshi, Kashima Saori, Regional Quota Cohort Study Group
    • Organizer
      WONCA Asia Pasific Regional Conference
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The emigration of regional quota graduates of Japanese medical schools to non-designated prefectures: a prospective nationwide cohort study2019

    • Author(s)
      Yoshida Shuhei, Matsumoto Masatoshi, Regional Quota Cohort Study Group
    • Organizer
      WONCA Asia Pasific Regional Conference
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 地域枠出身医師の地理的分布について:全国コホート研究2019

    • Author(s)
      松本正俊、鹿嶋小緒里、大脇哲洋、井口清太郎、井上和男、田妻進、前田隆浩
    • Organizer
      第51回日本医学教育学会大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 地域枠出身医師と都道府県奨学金受給医師の国家試験合格率と義務順守率について2018

    • Author(s)
      松本正俊、大脇哲洋、井口清太郎、井上和男、前田隆浩
    • Organizer
      第50回日本医学教育学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 地域枠出身医師のコホート研究について2017

    • Author(s)
      松本正俊
    • Organizer
      日本医学教育学会地域医療教育委員会 地域医療教育講演会
    • Place of Presentation
      京都市
    • Year and Date
      2017-03-18
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 地域枠入学制度のアウトカムについて2017

    • Author(s)
      松本正俊
    • Organizer
      第8回日本プリマリ・ケア連合学会学術大会シンポジウム「地域医療と総合診療」
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 地域枠入学制度のアウトカムについて―地域医療教育のエビデンスを交えて2017

    • Author(s)
      松本正俊
    • Organizer
      奈良県立医科大学医学教育フォーラム
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 地域枠制度のアウトカムについて:全国および広島県の状況2017

    • Author(s)
      松本正俊
    • Organizer
      全国医学部長病院長会議地域枠制度についての意見交換会(中国・四国ブロック)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 日本および広島県の医師偏在の現状と対策について2017

    • Author(s)
      松本正俊
    • Organizer
      広島県国保診療施設協議会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 地域枠制度のアウトカムについて:全国および広島県の状況2017

    • Author(s)
      松本正俊
    • Organizer
      全国医学部長病院長会議地域枠制度についての意見交換会(近畿ブロック)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 地域枠制度のアウトカムについて:全国および広島県の状況2017

    • Author(s)
      松本正俊
    • Organizer
      全国医学部長病院長会議地域枠制度についての意見交換会(九州沖縄ブロック)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 地域枠出身者や奨学金受給者の国家試験合格率は高い:全国コホート調査の中間報告2016

    • Author(s)
      松本正俊、竹内啓祐、井上和男、大脇哲洋、井口清太郎、前田隆浩
    • Organizer
      第48回日本医学教育学会
    • Place of Presentation
      大阪医科大学
    • Year and Date
      2016-07-29
    • Related Report
      2016 Research-status Report
  • [Remarks] 研究について「地域枠出身医師の進路に関するコホート研究」

    • URL

      http://cbms.hiroshima-u.ac.jp/scholarship.html

    • Related Report
      2018 Annual Research Report 2017 Research-status Report 2016 Research-status Report

URL: 

Published: 2014-07-25   Modified: 2020-03-30  

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