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Characteristics of medical students with rural origin: Implications for selective admission policies

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  • Matsumoto, Masatoshi
  • Inoue, Kazuo
  • Kajii, Eiji

Abstract

Objectives Selective admission policies of medical schools favoring students of rural origin have been implemented in many countries in hope of increasing rural physicians. This study evaluated the characteristics of medical students from rural origins and their choice of future practice location.Methods Personal, familial, and academic information of 1929 graduates of Jichi Medical University (JMU), a Japanese medical school with a special mission to produce rural doctors, was collected on admission and graduation between 1972 and 1997, and follow-up information on workplace addresses were collected in 2000, 2004, and 2006. Jichi Medical University has a unique contract system under which all the graduates have the obligation to work in rural areas in exchange for having their tuition fee during their 6 years of undergraduate medical education waived.Results Subjects with rural origin were more likely to have parents with lower academic background, improve their academic standing throughout undergraduate medical education, and engage in rural practice than those from urban origins. Positive linear relationships between places of upbringing and workplaces were recognized in various geographic/demographic indicators.Conclusions The selective admission policy seems to be a reasonable way of increasing the number of rural physicians without placing an undue burden on medical schools.

Suggested Citation

  • Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2008. "Characteristics of medical students with rural origin: Implications for selective admission policies," Health Policy, Elsevier, vol. 87(2), pages 194-202, August.
  • Handle: RePEc:eee:hepoli:v:87:y:2008:i:2:p:194-202
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    References listed on IDEAS

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    1. Hart, L.G. & Larson, E.H. & Lishner, D.M., 2005. "Rural definitions for health policy and research," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1149-1155.
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    1. Matsumoto, Masatoshi & Kajii, Eiji, 2009. "Medical education program with obligatory rural service: Analysis of factors associated with obligation compliance," Health Policy, Elsevier, vol. 90(2-3), pages 125-132, May.
    2. Feder-Bubis, Paula & Bin-Nun, Gabi & Zarhin, Dana & Sherf, Michael & Heiman-Neuman, Nitza, 2023. "Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations," Health Policy, Elsevier, vol. 132(C).
    3. Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2010. "Policy implications of a financial incentive programme to retain a physician workforce in underserved Japanese rural areas," Social Science & Medicine, Elsevier, vol. 71(4), pages 667-671, August.
    4. Hancock, Christine & Steinbach, Alan & Nesbitt, Thomas S. & Adler, Shelley R. & Auerswald, Colette L., 2009. "Why doctors choose small towns: A developmental model of rural physician recruitment and retention," Social Science & Medicine, Elsevier, vol. 69(9), pages 1368-1376, November.

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