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Am J Public Health. 2000 August; 90(8): 1225–1228.
PMCID: PMC1446348

The impact of multiple predictors on generalist physicians' care of underserved populations.

Abstract

OBJECTIVES: This study examined the relative and incremental importance of multiple predictors of generalist physicians' care of underserved populations. METHODS: Survey results from a 1993 national random sample of 2955 allopathic and osteopathic generalist physicians who graduated from medical school in 1983 or 1984 were analyzed. RESULTS: Four independent predictors of providing care to underserved populations were (1) being a member of an underserved ethnic/minority group, (2) having participated in the National Health Service Corps, (3) having a strong interest in practicing in an underserved area prior to attending medical school, and (4) growing up in an underserved area. Eighty-six percent of physicians with all 4 predictors were providing substantial care to underserved populations, compared with 65% with 3 predictors, 49% with 2 predictors, 34% with 1 predictor, and 22% with no predictors. Sex, family income when growing up, and curricular exposure to underserved populations during medical school were not independently related to caring for the underserved. CONCLUSIONS: A small number of factors appear to be highly predictive of generalist physicians' care for the underserved, and most of these predictive factors can be identified at the time of admission to medical school.

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Selected References

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  • Politzer RM, Harris DL, Gaston MH, Mullan F. Primary care physician supply and the medically underserved. A status report and recommendations. JAMA. 1991 Jul 3;266(1):104–109. [PubMed]
  • Cunningham PJ. Pressures on safety net access: the level of managed care penetration and uninsurance rate in a community. Health Serv Res. 1999 Apr;34(1 Pt 2):255–270. [PMC free article] [PubMed]
  • Whitcomb ME, Cohen JJ. Obstacles to attracting physicians to underserved communities. Front Health Serv Manage. 1998 Winter;15(2):36–44. [PubMed]
  • Keith SN, Bell RM, Swanson AG, Williams AP. Effects of affirmative action in medical schools. A study of the class of 1975. N Engl J Med. 1985 Dec 12;313(24):1519–1525. [PubMed]
  • Moy E, Bartman BA. Physician race and care of minority and medically indigent patients. JAMA. 1995 May 17;273(19):1515–1520. [PubMed]
  • Rabinowitz HK, Diamond JJ, Markham FW, Hazelwood CE. A program to increase the number of family physicians in rural and underserved areas: impact after 22 years. JAMA. 1999 Jan 20;281(3):255–260. [PubMed]
  • Rabinowitz HK, Diamond JJ, Hojat M, Hazelwood CE. Demographic, educational and economic factors related to recruitment and retention of physicians in rural Pennsylvania. J Rural Health. 1999 Spring;15(2):212–218. [PubMed]
  • Cantor JC, Miles EL, Baker LC, Barker DC. Physician service to the underserved: implications for affirmative action in medical education. Inquiry. 1996 Summer;33(2):167–180. [PubMed]
  • Xu G, Veloski J, Hojat M, Politzer RM, Rabinowitz HK, Rattner SL. Factors influencing primary care physicians' choice to practice in medically underserved areas. Acad Med. 1997 Oct;72(10 Suppl 1):S109–S111. [PubMed]
  • Xu G, Veloski JJ, Hojat M, Politzer RM, Rabinowitz HK, Rattner S. Factors influencing physicians' choices to practice in inner-city or rural areas. Acad Med. 1997 Dec;72(12):1026–1026. [PubMed]
  • Weaver DL. The National Health Service Corps: a partner in rural medical education. Acad Med. 1990 Dec;65(12 Suppl):S43–S44. [PubMed]
  • Martini CJ, Veloski JJ, Barzansky B, Xu G, Fields SK. Medical school and student characteristics that influence choosing a generalist career. JAMA. 1994 Sep 7;272(9):661–668. [PubMed]
  • Grumback K, Vranizan K, Bindman AB. Physician supply and access to care in urban communities. Health Aff (Millwood) 1997 Jan-Feb;16(1):71–86. [PubMed]
  • Anderson KM, Odell PM, Wilson PW, Kannel WB. Cardiovascular disease risk profiles. Am Heart J. 1991 Jan;121(1 Pt 2):293–298. [PubMed]
  • Pathman DE. Medical education and physicians' career choices: are we taking credit beyond our due? Acad Med. 1996 Sep;71(9):963–968. [PubMed]
  • Bowman RC, Penrod JD. Family practice residency programs and the graduation of rural family physicians. Fam Med. 1998 Apr;30(4):288–292. [PubMed]
  • Blumenthal D, Campbell EG, Weissman JS. The social missions of academic health centers. N Engl J Med. 1997 Nov 20;337(21):1550–1553. [PubMed]

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