ArticleBMC health services research2015
Differences in medical schools' regional retention of physicians by school type and year of establishment: effect of new schools built under government policy.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 27 Years of retention outcomes for a nine-university primary health care nurse practitioner program in Ontario, Canada.BMC primary care · 2025Article
- Medical school service regions in Canada: exploring graduate retention rates across the medical education training continuum and into professional practice.Medical education online · 2024Article
- Factors associated with regional retention of physicians: a cross-sectional online survey of medical students and graduates in Japan.Human resources for health · 2023Article
- Distribution of Physicians to Public Health Facilities and Factors Contributing to New Medical Graduates Serving in Public Facilities, 2016-2020, Thailand.Risk management and healthcare policy · 2022Article
- How is increased selectivity of medical school admissions associated with physicians' career choice? A Japanese experience.Human resources for health · 2020Article
- Future projection of the physician workforce and its geographical equity in Japan: a cohort-component model.BMJ open · 2018Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundPhysician maldistribution is an ongoing concern globally. The extent of medical schools retaining graduates within their geographical areas has rarely been explored in Japan or in other countries. This study aimed to investigate whether the proportion of medical school graduates practicing in the vicinity of medical school (retention rate) differs by the year of the school's establishment and by the school's funding source.
methodsThis cross-sectional study used a set of databases on medical institutions and personnel. We analyzed a sample of 168,594 clinically active physicians practicing in institutions as of May 2014, who passed the National Medical Practitioners Examination between 1985 and 2013. We assessed the retention rate and the schools' establishment period and funding source (pre-1970/post-1970, private/public), using a hierarchical regression model with random intercept unique to each medical school. We used the following factors as covariates: gender, physicians' length of professional experience, and the geographical features of the medical schools.
resultsThe retention rate was widely distributed from 16.2 to 81.5 % (median: 48.4 %). Physicians who graduated from post-1970 medical schools were less likely to practice in the prefecture of their medical school location, relative to those who graduated from pre-1970 medical schools (adjusted odds ratio: 0.75; 95 % confidence interval: 0.62-0.90). Physicians who graduated from private medical schools were also less likely to practice in the prefecture of their medical school location, relative to those who graduated from public medical schools (adjusted odds ratio: 0.63; 95 % confidence interval: 0.51-0.77). In addition, the ability to retain graduates varied by school according to the school's characteristics.
conclusionsThere was a considerable difference between medical schools in retaining graduates locally. The study results may have significant implications for government policy to alleviate maldistribution of physicians in Japan.
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