Abstract
In a study in the State of Washington during 1971-73, 41 general practitioners in rural areas were asked their opinions about (a) their present practices, (b) the medical care needs of their communities, and (c) rural medical care in general. The most frequently mentioned enjoyable aspects of their practices were the variety and challange of medical problems confronted, the favorable working conditions of the practices, and the types of communities in which the practices were located. The most frequently mentioned sources of frustration to the physicians were the "excess work, responsibility, demands and expectations by patients and community." The physicians were more reluctant to criticize the care received by the residents of their communities than they were to criticize the care that patients received in other rural areas. Suggestions made by the physicians for improving medical care in rural Washington focused on ways to increase the number of resources used to produce medical care, rather than on structural changes in the way medical care is organized, delivered, and financed.
Full text
PDF






Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Andrus L. H., Fenley M. Health science schools and rural health manpower. Med Care. 1974 Mar;12(3):274–278. doi: 10.1097/00005650-197403000-00010. [DOI] [PubMed] [Google Scholar]
- Bible B. L. Physicians' views of medical practice in nonmetropolitan communities. Public Health Rep. 1970 Jan;85(1):11–17. [PMC free article] [PubMed] [Google Scholar]
- Bynum G., Sanchez R., Odegard B. Medical education: a causal agent in physicians' maldistribution. J Med Educ. 1972 Nov;47(11):922–922. [PubMed] [Google Scholar]
- COKER R. E., Jr, MILLER N., BACK K. W., DONNELLY T. The medical student, specialization and general practice. N C Med J. 1960 Mar;21:96–101. [PubMed] [Google Scholar]
- Champion D. J., Olsen D. B. Physician behavior in Southern Appalachia: some recruitment factors. J Health Soc Behav. 1971 Sep;12(3):245–252. [PubMed] [Google Scholar]
- Cooper J. K., Heald K., Samuels M., Coleman S. Rural or urban practice: factors influencing the location decision of primary care physicians. Inquiry. 1975 Mar;12(1):18–25. [PubMed] [Google Scholar]
- Crawford R. L., McCormack R. C. Reasons physicians leave primary practice. J Med Educ. 1971 Apr;46(4):263–268. doi: 10.1097/00001888-197104000-00001. [DOI] [PubMed] [Google Scholar]
- Cullison S., Reid C., Colwill J. M. Medical school admissions, specialty selection, and distribution of physicians. JAMA. 1976 Feb 2;235(5):502–505. [PubMed] [Google Scholar]
- DuVal M. K. A program for rural health development. JAMA. 1972 Jul 10;221(2):168–171. [PubMed] [Google Scholar]
- Elesh D., Schollaert P. T. Race and urban medicine: factors affecting the distribution of physicians in Chicago. J Health Soc Behav. 1972 Sep;13(3):236–250. [PubMed] [Google Scholar]
- Fenderson D. A. Health manpower development and rural services. JAMA. 1973 Sep 24;225(13):1627–1631. [PubMed] [Google Scholar]
- Haverty J. R. Distribution of physicians rendering pediatric care in Georgia. J Med Assoc Ga. 1970 May;59(5):169–172. [PubMed] [Google Scholar]
- Hostetter C. L., Felsen J. D. Multiple variable motivators involved in the recruitment of physicians for the Indian Health Service. Public Health Rep. 1975 Jul-Aug;90(4):319–324. [PMC free article] [PubMed] [Google Scholar]
- Joroff S., Navarro V. Medical manpower: a multivariate analysis of the distribution of physicians in urban United States. Med Care. 1971 Sep-Oct;9(5):428–438. [PubMed] [Google Scholar]
- Kaplan R. S., Leinhardt S. Determinants of physician office location. Med Care. 1973 Sep-Oct;11(5):406–415. doi: 10.1097/00005650-197309000-00005. [DOI] [PubMed] [Google Scholar]
- Knowles J. H. The quantity and quality of medical manpower: a review of medicine's current efforts. J Med Educ. 1969 Feb;44(2):81–118. doi: 10.1097/00001888-196902000-00001. [DOI] [PubMed] [Google Scholar]
- Lave J. R., Lave L. B., Leinhardt S. Medical manpower models: need, demand and supply. Inquiry. 1975 Jun;12(2):97–125. [PubMed] [Google Scholar]
- Loveland G. C. Rural practice: what health professionals look for. J Kans Med Soc. 1973 Jun;74(6):234–235. [PubMed] [Google Scholar]
- Madison Donald L. Recruiting physicians for rural practice. Health Serv Rep. 1973 Oct;88(8):758–762. [PMC free article] [PubMed] [Google Scholar]
- Marden P. G. A demographic and ecological analysis of the distribution of physicians in metropolitan America, 1960. AJS. 1966 Nov;72(3):290–300. doi: 10.1086/224297. [DOI] [PubMed] [Google Scholar]
- Martin E. D. The federal initiative in rural health. Public Health Rep. 1975 Jul-Aug;90(4):291–297. [PMC free article] [PubMed] [Google Scholar]
- McCormack R. C., Miller C. W. The economic feasibility of rural group practice: influence of non-physician practitioners in primary care. Med Care. 1972 Jan-Feb;10(1):73–80. doi: 10.1097/00005650-197201000-00008. [DOI] [PubMed] [Google Scholar]
- Parker R. C., Jr, Tuxill T. G. The attitudes of physicians toward small-community practice. J Med Educ. 1967 Apr;42(4):327–344. doi: 10.1097/00001888-196704000-00004. [DOI] [PubMed] [Google Scholar]
- Richardson E. L. Meeting the nation's health manpower needs. J Med Educ. 1972 Jan;47(1):3–9. doi: 10.1097/00001888-197201000-00001. [DOI] [PubMed] [Google Scholar]
- Rousselot L. M. Federal efforts to influence physician education, specialization distribution projections and options. Am J Med. 1973 Aug;55(2):123–130. doi: 10.1016/0002-9343(73)90159-9. [DOI] [PubMed] [Google Scholar]
- Scheffler R. M. The relationship between medical education and the statewide per capita distribution of physicians. J Med Educ. 1971 Nov;46(11):995–998. doi: 10.1097/00001888-197111000-00012. [DOI] [PubMed] [Google Scholar]
- Steinwald B., Steinwald C. The effect of preceptorship and rural training programs on physicians' practice location decisions. Med Care. 1975 Mar;13(3):219–229. doi: 10.1097/00005650-197503000-00004. [DOI] [PubMed] [Google Scholar]
- Taylor M., Dickman W., Kane R. Medical students' attitudes toward rural practice. J Med Educ. 1973 Oct;48(10):885–895. doi: 10.1097/00001888-197310000-00001. [DOI] [PubMed] [Google Scholar]
- Warner A. R. NHC's Manpower Distribution Project--finding ways to interest students to practice in shortage areas. J Allied Health. 1975 Winter;4(1):27–34. [PubMed] [Google Scholar]