2017 Fiscal Year Final Research Report
Motives and concerns for practicing medically underserved areas among Japanese medical students in a special quota system
| Project/Area Number |
15K08540
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | University of Tsukuba |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
前野 哲博 筑波大学, 医学医療系, 教授 (40299227)
前野 貴美 筑波大学, 医学医療系, 講師 (80528480)
片岡 義裕 筑波大学, 医学医療系, 助教 (80779596)
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Keywords | 地域枠入学 / 医師不足地域 / 奨学金返還 / career preference |
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| Outline of Final Research Achievements |
To improve physician shortages in medically underserved areas (MUAs) in Japan, many of Japanese medical schools have introduced a rural quota called “Chiikiwaku” since 2008. The aim of this study is to investigate the motives and concerns of the quota students.
We conducted a nationwide cohort survey using questionnaire to 1st-year Chiikiwaku students in Japanese medical schools in 2010 and followed in 2015(sixth-year).
Among 208 students from 31 schools who responded in 2010 and 2015, The proportion of students who anticipated being willing to remain in MUAs decreased from 54% to 19% after 5 years. In multivariate analysis, anticipated willingness to remain in MUAs in the sixth-year was associated with rural upbringing, and willingness to remain in MUAs as assessed during the first year, less feeling stressful and more encouraging as Chiikiwaku student, to have a role model physician in the community medicine and carrier preference in general medicine at sixth-year.
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| Free Research Field |
医学教育、総合診療
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