Evidence map›Paper›PMID 30764867›Full record

ArticleIsrael journal of health policy research2019

Self-reported influence of monetary grants in the choice of a medical residency in remote or under-served areas.

Yishay Wasserstrum, Racheli Magnezi, Ofer Tamir, Stav Koren, Dor Lotan, Arnon Afek

Abstract read
In one paragraph

Article in Israel journal of health policy research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The Israeli anesthesiology workforce crisis: a reassessment survey.Israel journal of health policy research · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Yishay WasserstrumInternal Medicine Department "T", Chaim Sheba Medical Center in Tel-Ha'Shomer, Ramat-Gan, Israel. Yishay.Wasserstrum@sheba.health.gov.il.ORCID http://orcid.org/0000-0001-8063-2806
Racheli MagneziDepartment of Management, Bar Ilan University, Ramat Gan, Israel.
Ofer TamirBaruch Padeh Medical Center in Poria, Tiberias, Israel.
Stav KorenGoldman School of Medicine, Ben Gurion University, Be'er Sheva, Israel.
Dor LotanInternal Medicine Department "T", Chaim Sheba Medical Center in Tel-Ha'Shomer, Ramat-Gan, Israel.
Arnon AfekInternal Medicine Department "T", Chaim Sheba Medical Center in Tel-Ha'Shomer, Ramat-Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effect of monetary grants on young physicians' choice of remote or rural hospital-based practice.

backgroundIn late 2011, The Israeli Ministry of Health attempted to address a severe physician maldistribution, which involved severe shortages in remotely-located institutions (RLI). The policy intervention included offering monetary grants to residents who chose a residency program in a RLI.

methodsA total of 222 residents from various disciplines were recruited; 114 residents from RLI and 108 residents from central-located institutions (CLI), who began their residency during 2012-2014. Participants were surveyed on demographic, academic and professional data, and on considerations in the choice of residency location.

resultsResidents in RLI attributed significantly more importance to the grant in their decision-making process than did residents from CLI. This effect remained significant in a multivariate model (OR 1.65, 95% CI 1.20-2.27, p = 0.002). The only parameter significantly associated with attributing importance to the grant was older age (OR 1.09, 95% CI 1.00-1.19, p = 0.049).

conclusionThe choice of a RLI for residency may be influenced by monetary grants. This is consistent with real-life data showing an increase in medical staffing in these areas during the program's duration. Further studies are needed to determine causality and physical practicality of such programs.

Indexed as

Medically Underserved AreaAdultConflict of InterestFemaleHumansInternship and ResidencyIsraelMaleMultivariate AnalysisPhysiciansRetrospective StudiesSelf ReportSurveys and QuestionnairesTraining Support

Identifiers

PMID30764867
PMCPMC6376660

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.