2023-09-28 14:46:10 +00:00
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abstract: 'Objectives. To identify the preferred specialties, salary perception and
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other factors that influence the choice of a career in primary care
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among last-year medical students or social service students in Central
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America.
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Methods. A cross-sectional, multicenter study using a survey that
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investigated demographic information, preferred specialty, salary
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perception, and other factors that influence the choice of a specialty.
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Results. A total of 1 722 students from 31 universities participated and
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identified as future specialties: surgery (11.7\%),
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gynecology/obstetrics (10.3\%), pediatrics (9.9\%) and internal medicine
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(6.6\%). General medicine was preferred by 3.8\% and family medicine by
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1.1\%. On grouping them, the greatest interest was observed for medical
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specialties (49.7\%), followed by surgical specialties (31.7\%). Primary
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care registered an interest of 17.1\%. Surgical specialties were
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perceived as having the highest income (USD 36 000); primary care was
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perceived as having the lowest income (USD 24 000). Income (23.6\%),
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future work (19.7\%) and ``making a difference in people{''''} (8.9\%)
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were the main factors involved in the choice. ``Working with people with
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low access{''''} was significantly associated with preference for primary
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care. Preference for other specialties was influenced by ``perceived
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prestige{''''} and ``enjoying life{''''} (P < 0.05). Most participants who
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chose primary care were studying at a public university (P < 0.05),
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highlighting the role of public institutions of higher education.
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Conclusions. There is a combination of facilitating factors and barriers
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that affect the low interest in primary care careers. There is a need
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for strategies from academia and the government sector, as well as the
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definition of public policies, that support the choice of primary care.'
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affiliation: 'Puertas, EB (Corresponding Author), Org Panamer Salud, San Salvador,
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El Salvador.
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Benjamin Puertas, Eduardo, Org Panamer Salud, San Salvador, El Salvador.
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Antonio Orellana, Rafael; Jose Vindell, Juan, Univ El Salvador, San Salvador, El
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Salvador.
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Erazo Munoz, Brian, Univ Nacl Autonoma Honduras, Tegucigalpa, Honduras.
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Arturo Jimenez, Jorge, Ctr Desarrollo Estrateg \& Informac Salud \& Seguri, San
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Jose, Costa Rica.
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Medina Quiroz, Isamara Gilmiani, Univ Nacl Autonoma Nicaragua, Managua, Nicaragua.
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Terron, Lucia, Ejercicio Profes Supervisado Rural, Ciudad De Guatemala, Guatemala.
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Florencio, Alexandre, Org Panamer Salud, Managua, Nicaragua.
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Leal, Hilda M., Org Panamer Salud, San Salvador, El Salvador.'
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article-number: e94
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author: Benjamin Puertas, Eduardo and Antonio Orellana, Rafael and Erazo Munoz, Brian
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and Arturo Jimenez, Jorge and Medina Quiroz, Isamara Gilmiani and Terron, Lucia
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and Florencio, Alexandre and Leal, Hilda M. and Jose Vindell, Juan
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author-email: puertasb@paho.org
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author_list:
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- family: Benjamin Puertas
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given: Eduardo
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- family: Antonio Orellana
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given: Rafael
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- family: Erazo Munoz
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given: Brian
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- family: Arturo Jimenez
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given: Jorge
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- family: Medina Quiroz
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given: Isamara Gilmiani
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- family: Terron
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given: Lucia
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- family: Florencio
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given: Alexandre
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- family: Leal
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given: Hilda M.
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- family: Jose Vindell
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given: Juan
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da: '2023-09-28'
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doi: 10.26633/RPSP.2020.94
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files: []
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issn: 1020-4989
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journal: 'REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
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HEALTH'
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keywords: Primary health care; specialization; health workforce; Central America
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keywords-plus: 'FAMILY MEDICINE; SPECIALTY CHOICE; HEALTH; SELECTION; IMPACT; MONEY;
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WORK; DEBT'
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language: Spanish
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number-of-cited-references: '40'
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orcid-numbers: Erazo Munoz, Brian/0000-0002-6582-9392
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papis_id: ca9cec4e10c0c585d2d6fc5a362506b5
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ref: Benjaminpuertas2020factorsinfluencing
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times-cited: '0'
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title: Factors influencing the choice of a career in primary care among medical students
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in Central America
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000556126900001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '44'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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