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논문 기본 정보

자료유형
학술저널
저자정보
이정찬 (대한의사협회 의료정책연구소) 임선미 (대한의사협회 의료정책연구소) 김계현 (대한의사협회 의료정책연구소)
저널정보
경희대학교 경영연구원 의료경영학연구 의료경영학연구 제15권 제4호
발행연도
2021.12
수록면
13 - 23 (11page)

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초록· 키워드

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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.

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