Foreign Medical Graduates in Rural Primary Care
The Case of Western New York State
Bibliographic Data
| ID | 9101166 |
|---|---|
| Authors | Christine M Swearingen, C Swearingen (Community Health Center, corresponding author), James M Perrin (0000-0002-1810-3708, University of Rochester Medicine) |
| Year | 1977 |
| Volume | 15 |
| Issue | 4 |
| Pages | 331-337 |
| Publication date | 1977-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-197704000-00008 |
| PMID | 870777 |
| OpenAlex | W2094373851 |
| Language | EN |
| Citations received | 6 |
To determine whether foreign medical graduates (FMGs) provide a disproportionate and increasing share of primary care in some rural areas, changes in physician distribution in a rural section of upstate New York over a 20-year period (1953-1973) were evaluated by country of medical education and type of practice. A contiguous urban area was examined for comparison. In 1953, FMGs accounted for a higher proportion of primary care physicians in rural areas (11%) than in urban practice (6%) (p less than 0.01). By 1973, this distribution had increased to 26% rural and 14% urban (p less than 0.001). During the two decades, the number of U.S. medical graduates in primary care declined by 15% in the rural areas but increased by 13% in the urban center. The number of primary care FMGs in this same period increased 88% in the rural area. With a 10% decline in (rural) FMGs trained in developed countries, this net increase in FMGs was accounted for by physicians from developing countries. Primary care physicians trained in the U.S. or in developed countries increased more in the urban center, while physicians from developing countries increased more in rural (53%) than urban (47%) practices. Finally, by 1973, rural primary care physicians were more likely than urban primary care physicians to be from developing countries (p less than 0.001)
Developing country · Economic growth · Family medicine · Medical care · Primary care · Rural area · Socioeconomics · Dental Education, Practice, Research · Global Health Workforce Issues · Medicine
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| Unique citing works | 6 |
|---|---|
| Citations per year | 0,13 |
| Citation span | 1978 - 1999 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |