우리나라 활동 전문의의 근무지역에 영향을 미치는 요인: 성장(출신) 지역, 의대 졸업지역, 수련지역을 중심으로
Factors associated with practice locations of active specialist physicians in Korea: focusing on their hometown, medical education and residency training locations
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This study examines the influence of Korean specialist physicians’ hometown, medical education and residency training locations on the choice of practice locations. We used the data of 4,133 specialists of the 2020 Korean Physician Survey(KPS) conducted by the Korean Medical Association(KMA). Two types of practice locations were defined as dependent variables. One was divided into near-Seoul area and others, and the other was divided into dong and the eup-myeon area. The independent variables, the specialists’ hometown, medical education and residency training locations, were divided into near-Seoul area, local metropolitan area, and provincial area. The binomial logistic regression analyses were conducted adjusting for gender, age, marital status, type of employment, specialties, type of affiliated healthcare organizations. The results show that specialists whose hometown, medical education, and residency training locations were in local metropolitan or provincial area were more likely to practice in non-Seoul area than those who were in near-Seoul area(hometown: odds rato[OR]=2.24 and 2.27, medical education: OR=2.02 and 1.91, residency training: OR=12.51 and 5.97). Specialists who received medical school education in local metropolitan or provincial area were more likely to practice in eup-myeon area than those who received in near-Seoul area(OR=1.71 and 1.69). Specialists who trained in provincial area were more likely to practice in eup-myeon area than those who trained in near-Seoul area(OR=1.65). Physicians with rural backgrounds in terms of hometown, medical education, and residency training are relatively more likely to practice in rural areas. These findings could inform policy-makers to resolve the regional maldistribution of physicians.
Abstract
This study examines the influence of Korean specialist physicians’ hometown, medical education and residency training locations on the choice of practice locations. We used the data of 4,133 specialists of the 2020 Korean Physician Survey(KPS) conducted by the Korean Medical Association(KMA). Two types of practice locations were defined as dependent variables. One was divided into near-Seoul area and others, and the other was divided into dong and the eup-myeon area. The independent variables, the specialists’ hometown, medical education and residency training locations, were divided into near-Seoul area, local metropolitan area, and provincial area. The binomial logistic regression analyses were conducted adjusting for gender, age, marital status, type of employment, specialties, type of affiliated healthcare organizations. The results show that specialists whose hometown, medical education, and residency training locations were in local metropolitan or provincial area were more likely to practice in non-Seoul area than those who were in near-Seoul area(hometown: odds rato[OR]=2.24 and 2.27, medical education: OR=2.02 and 1.91, residency training: OR=12.51 and 5.97). Specialists who received medical school education in local metropolitan or provincial area were more likely to practice in eup-myeon area than those who received in near-Seoul area(OR=1.71 and 1.69). Specialists who trained in provincial area were more likely to practice in eup-myeon area than those who trained in near-Seoul area(OR=1.65). Physicians with rural backgrounds in terms of hometown, medical education, and residency training are relatively more likely to practice in rural areas. These findings could inform policy-makers to resolve the regional maldistribution of physicians.
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