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