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

Author

Listed:
  • Rabinowitz, H.K.
  • Diamond, J.J.
  • Veloski, J.J.
  • Gayle, J.A.

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.

Suggested Citation

  • Rabinowitz, H.K. & Diamond, J.J. & Veloski, J.J. & Gayle, J.A., 2000. "The impact of multiple predictors on generalist physicians' care of underserved populations," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1225-1228.
    • Handle: RePEc:aph:ajpbhl:2000:90:8:1225-1228_6
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    Cited by:

    1. George M. Holmes, "undated". "The Long Term Effect of the National Health Service Corps," Working Papers 0104, East Carolina University, Department of Economics.
    2. Holmes, George M., 2005. "Increasing physician supply in medically underserved areas," Labour Economics, Elsevier, vol. 12(5), pages 697-725, October.
    3. Till Bärnighausen & David E. Bloom, 2008. "Financial incentives for return of service in underserved areas: a systematic review," PGDA Working Papers 3608, Program on the Global Demography of Aging.
    4. Till Bärnighausen & David E. Bloom, 2008. "Designing financial-incentive programmes for return of medical service in underserved areas of sub-Saharan Africa," PGDA Working Papers 3708, Program on the Global Demography of Aging.
    5. Aaron Baugh & Reginald F. Baugh, 2020. "Assessment of Diversity Outcomes in American Medical School Admissions: Applying the Grutter Legitimacy Principles," Sustainability, MDPI, vol. 12(12), pages 1-17, June.
    6. Till Bärnighausen & David E. Bloom, 2009. "Changing Research Perspectives on the Global Health Workforce," NBER Working Papers 15168, National Bureau of Economic Research, Inc.

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