Factors Impacting Sumatran Private Medical Students Inclination to Work In Rural Areas
DOI:
https://doi.org/10.14738/assrj.87.10623Keywords:
Doctor’s contribution, equity, student interest, rural areas.Abstract
At present the progress of Indonesia's health currently has significant problems with the unequal distribution of doctors in rural areas; doctors are only concentrated in urban areas. The environment and policies at private universities have a big influence on the educational process, which causes the low interest of private medical students to work in rural areas. Getting the right results on the pattern of interest in private medical students to work in rural areas will ultimately help policymakers to resolve differences in the distribution of doctors in Indonesia. This quantitative analytical study was conducted at 12 private medical faculties on the island of Sumatra, Indonesia. The total sample obtained was 446 active private medical students in 2016 from a total population of 5,106 students. Data were collected by questionnaire and analyzed using software namely SPSS. From the results of the binary logistic regression analysis, there are four dominant factors of private students that affect the interest in working in rural areas. Then a multivariate logistic regression analysis using the enter method was conducted that the tendency of medical students to work in rural areas was 58% for private universities. By using patterns and student acceptance variables, it is expected to increase the interest of private medical students working in rural areas, and ultimately be able to distribute doctors equally in Indonesia.
References
Lingkup CR, Batasan DAN, Dan AP, Pembangunan M. Rencana Pengembangan Tenaga Kesehatan Tahun 2011 –2025. 2011; (September).
Indonesia KR. Rencana Pengembangan Tenaga Kesehatan Tahun 2011-2015 Berdasarkan Kemenkokesra Nomor 54 Tahun 2013. Kemenkes Republik Indonesia.
Borracci RA, Arribalzaga EB, Couto JL, Dvorkin M, Ahuad Guerrero RA, Fernandez C, et al. Factors affecting willingness to practice medicine in underserved areas: A survey of Argentine medical students. Rural Remote Health. 2015;15(4):1–11.
Nallala S, Swain S, Das S, Kasam SK, Pati S. Why medical students do not like to join rural health service? An exploratory study in India. J Family Community Med. Wolters Kluwer--Medknow Publications; 2015;22(2):111.
Khairunnisa, Syakurah RA & Fadilah M. Determinat Minat Mahasiswa Fakultas Kedokteran di Sumatera untuk bekerja didaerah rural. (Skripsi unpublish). 2016.
Gazali KM, Syakurah RA, Fadilah M. Medical students’ interests on rural practices. International Journal pf Public Health Science 2019;8(2):192-6.
Badan PPSDM Kesehatan. Data Tenaga Medis yang didayagunakan di Fasilitas Pelayanan Kesehatan (Fasyankes).BPPSDM Kesehatan, Jakarta. 2015.
Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: A literature review. Rural Remote Health. 2012;12(3).
Kotha SR, Johnson JC, Galea S, et al. Lifecourse factors and likelihood of rural practice and emigration: a survey of Ghanaian medical students. Rural Remote Health. 2012;12:1898. Fadilah, M. (2021). Factors Impacting Sumatran Private Medical Students Inclination to Work in Rural Areas. Advances in Social Sciences Research
Agyei-Baffour P, Kotha SR, Johnson JC, Gyakobo M, Asabir K, Kwansah J, dkk. Willingness to work in rural areas and the role of intrinsic versus extrinsic professional motivations-a survey of medical students in Ghana. BMC Med Educ. Springer; 2011;11(1):56.
Henry JA, Edwards BJ, Crotty B. Why do medical graduates choose rural careers? Rural Remote Health. Australian Rural Health Education Network; 2009;9(1083):1–13.
Myhre D, Bajaj S, Jackson W. Determinants of an urban origin student choosing rural practice: a scoping review. 2015;
Mollahaliloðlu S, Uðurluoðlu Ö, Iþýk O, Kosdak M, Taþkaya S. Factors affecting the work of physicians in rural areas of Turkey. Rural Remote Health. 2015;15(3):3048.
Goel S, Angeli F, Singla N, Ruwaard D. Measuring the reasons that discourage medical students from working in rural areas: Development and validation of a new instrument. Medicine (Baltimore). Wolters Kluwer Health; 2018;97(2).
Kumar K, Jones D, Naden K, Roberts C. Rural and remote young people's health career decision making within a health workforce development program: a qualitative exploration. Rural Remote Health. 2015;15(4):3303
Crump WJ, Ziegler CH, Martin LJ, Fricker RS, Shaw M, Crump AM, dkk. Changes in rural affinity among rural medical students as they experience education in an urban setting. Marshall J Med. 2017;3(1):57.
Rabinowitz HK, Diamond JJ, Markham FW, Santana AJ. The relationship between entering medical students’ backgrounds and career plans and their rural practice outcomes three decades later. Acad Med. LWW; 2012;87(4):493–7.
Shankar PR. Attracting and retaining doctors in rural Nepal. Rural Remote Health. 2010;10(3):1420.
Walker JH, Dewitt DE, Pallant JF, Cunningham CE. Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study. Rural Remote Health. 2012;12:1908.
Rourke J. How can medical schools contribute to the education, recruitment and retention of rural physicians in their region? Bull World Health Organ. SciELO Public Health; 2010;88:395–6.
King KR, Purcell RA, Quinn SJ, Schoo AM, Walters LK. Supports for medical students during rural clinical placements: factors associated with intention to practise in rural locations. Rural Remote Health. 2016;16(2):3791.
Jutzi L, Vogt K, Drever E, Nisker J. Recruiting medical students to rural practice: perspectives of medical students and rural recruiters. Can Fam Physician. 2009;55(1):72-73.e734.
PJ Royston, K Mathieson, J Leafman, O Ojan-Sheehan, Medical student characteristics predictive of intent for rural practice. A licence to publish this material has been given to James Cook University, 2012;
Zina M, Daniels PT , Betty J, Betsy J, Margaret L, Robert L. Factors in Recruiting and Retaining Health Professionals for Rural Practice. National Rural Health Association. 2007;
Dolea C, Stormont L, Braichet JM. Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bull World Health Organ. 2010;88(5):379-385. doi:10.2471/BLT.09.070607.
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