ArticleBMJ open2021
Fostering student motivation towards community healthcare: a qualitative study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Comparing medical school strategies to reduce regional physician shortages: lessons from the United States and Japan.BMC medical education · 2026Article
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- A Qualitative Study on Ethics Education at Pharmacy Colleges in Japan Based on a Survey of Ethics Educators.Pharmacy (Basel, Switzerland) · 2025Article
- Integrating Simulation-Based Education Into Regional Clinical Clerkship for Future Doctors: A Narrative Review.Cureus · 2024Review
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- Comparison of attitudes toward community-based medicine between regional-quota and general-selected medical student in Japan.Journal of rural medicine : JRM · 2024Article
- Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Is there a difference between distance and in-person learning during the COVID-19 pandemic in decentralized settings?International journal of medical education · 2022Article
- Medical students' attitudes towards and views of general practice careers in Singapore: a cross-sectional survey and qualitative analysis.BMC medical education · 2022Article
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- How Community Pharmacists Perceive Ethics in Clinical Research: A Qualitative Study.Healthcare (Basel, Switzerland) · 2021Article
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4 authors.
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Abstract
objectivesThis study investigated what kinds of experiences influence regional quota (chiikiwaku) medical students' motivation to practice community healthcare (CH), and the mechanism of this influence, by focusing on their experiences in a community-based medical education (CBME) programme.
designA qualitative thematic analysis based on interviews.
settingParticipants were recruited from the chiikiwaku students of Kobe University, Japan, using purposive sampling.
participantsFourteen students participated. The median (IQR) age of participants was 23 (23-24); half were sixth-year and half fifth-year students. ANALYSIS: From September to December 2018, the interviews were audiorecorded and transcribed verbatim. Data were analysed according to the 'Steps for Coding and Theorisation' method. Our theoretical framework comprised three internal motives (ie, needs, cognitions and emotions) and their subordinate motivation theories self-determination theory, expectancy-value theories, and positive and negative emotions, respectively.
resultsThree mechanisms and corresponding experiences emerged. The first mechanism, envisioning and preparing for practising CH, included corresponding experiences-empathy for the community, grasping the demands for CH, understanding the practices of CH, finding a role model and diminishing the conflicts between personal life and career. The second mechanism, belonging to a supportive community, included the robust construction of students' CH community and harmonisation with community residents. The third mechanism, psychological effects included the affect heuristic and framing effect. Student experiences brought about the changes and influences described in the presented mechanisms, and had both positive and negative impacts on their motivation towards CH. These results can be interpreted through the multifaceted lenses of motivation theories.
conclusionsThe authors revealed that motivation mechanisms of medical students towards CH derived from positive interaction with community residents, healthcare professionals and other students, and from exposure to attractive community environments and cultures. These experiences should be incorporated into CBME programmes to further encourage positive attitudes towards CH.
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