2023-09-28 14:46:10 +00:00
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abstract: 'Objective. To determine which factors influence a medical student''s
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decision to choose a career in primary care; and to establish if these
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factors are similar or different among students in high-, middle-and
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low-income countries.
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Methods. An extensive search was done of PubMed, Google Scholar, and
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Virtual Library of Health for articles on primary care careers published
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in 2003-2013 in English, Spanish, and/or Portuguese. Initially, 600
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records were identified; 74 full-text articles were assessed for
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eligibility and 55 were selected (42 from high-income countries; 13 from
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middle-and low-income). These were assessed to identify intrinsic and
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extrinsic factors that influence career choice among medical students
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from high-, middle-, and low-income countries.
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Results. A comparison framework with common and specific factors that
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influence career choice in primary care among medical students from
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high-, middle-and low-income was developed. Factors were classified as
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extrinsic or intrinsic, and as facilitators or barriers. Several factors
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common to all countries were identified: facilitators were exposure to
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rural location, role models, working conditions; barriers were low
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income, prestige, and medical school environment. Some factors specific
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to middle-and low-income countries were: understanding of rural needs
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and intellectual challenge. Other factors specific to high-income
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countries were: attitude towards social problems, voluntary work,
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influence of family, and length of residency.
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Conclusions. Further studies on the subject are needed, especially in
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low-and middle-income countries. Identifying factors as barriers or
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facilitators for career choice will promote a better understanding of
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the reasons behind the shortage of primary care professionals and will
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contribute to policy building, improved training, and recruitment and
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retention of these professionals.'
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affiliation: 'Puertas, EB (Corresponding Author), Pan Amer Hlth Org, Tegucigalpa,
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Honduras.
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Benjamin Puertas, E., Pan Amer Hlth Org, Tegucigalpa, Honduras.
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Arosquipa, Carlos; Gutierrez, Daniela, Pan Amer Hlth Org, Lima, Peru.'
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author: Benjamin Puertas, E. and Arosquipa, Carlos and Gutierrez, Daniela
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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: E.
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- family: Arosquipa
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given: Carlos
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- family: Gutierrez
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given: Daniela
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da: '2023-09-28'
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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: Career choice; students; medical; primary health care; human resources
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keywords-plus: 'FAMILY MEDICINE; SPECIALTY CHOICE; RURAL PRACTICE; PHYSICIAN WORKFORCE;
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LIFE-STYLE; DEBT; UNIVERSITIES; ASSOCIATIONS; PERSONALITY; PREFERENCE'
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language: English
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month: NOV
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number: '5'
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number-of-cited-references: '57'
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orcid-numbers: 'González-Rodríguez, Diego/0000-0001-7584-9103
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Puertas, Eduardo Benjamin/0000-0002-3886-7182'
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pages: 351-358
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papis_id: 0b7ff3e8dfd74fe9301d04516f116258
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ref: Benjaminpuertas2013factorsthat
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researcherid-numbers: 'González-Rodríguez, Diego/F-3425-2016
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'
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tags:
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- review
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times-cited: '59'
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title: 'Factors that influence a career choice in primary care among medical students
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from high-, middle-, and low-income countries: a systematic review'
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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:000332036500008
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usage-count-last-180-days: '0'
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usage-count-since-2013: '27'
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volume: '34'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2013'
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