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Table 9 Primary care - selection criteria

From: Challenges to the Israeli healthcare system: attracting medical students to primary care and to the periphery

 

1Incentive interests me

2Plan peripheral residency

3Incentives don’t interest me

1 vs 3

1 vs 2

2 vs 3

N

106

20

223

   

Criteria for choosing a specialty

 Time with family (1)

78.30%

60.00%

63.39%

p < 0.004

p < 0.04

NS

 Specialty that deals with social issues (3)

35.24%

35.00%

25.11%

p < 0.02

NS

NS

 Advancing rapidly (2)

51.43%

45.00%

68.75%

p < 0.0007

NS

p < 0.04

 Opportunity for research (2)

29.25%

5.00%

46.64%

p < 0.0001

p < 0.04

p < 0.0001

 Bedside specialty

95.28%

95.00%

92.79%

NS

NS

NS

 Wide range of medical problems

73.58%

63.16%

73.66%

NS

NS

NS

 Controllable lifestyle (1)

73.58%

50.00%

66.07%

NS

NS

NS

 Independent practice practice

53.77%

40.00%

51.28%

NS

p < 0.03

p < 0.03

 High salary

50.48%

20.00%

45.09%

NS

p < 0.006

p < 0.01

 Specialty with team work

48.11%

55.00%

50.89%

NS

NS

NS

 Procedures/surgery

45.28%

31.58%

50.67%

NS

NS

p < 0.04

 Influence of spouse

41.35%

45.00%

34.84%

NS

NS

NS

 Private practice

36.79%

10.00%

39.64%

NS

p < 0.008

p < 0.009

 Daytime work only (1)

23.30%

21.05%

19.20%

NS

NS

NS

 Academic faculty member

22.86%

10.53%

31.25%

NS

NS

NS

 Influence of family

9.43%

10.00%

11.21%

NS

NS

NS

 Work only in the community

4.72%

10.00%

3.14%

NS

NS

NS

 Narrow range of medical problemsa

4.72%

5.00%

2.68%

NS

NS

NS

 Specialty that my coleagues choosea

1.90%

5.00%

0.90%

NS

NS

NS

 Influence of classmatesa

0.95%

0.00%

1.34%

NS

NS

NS

Criteria for choosing a residency

 Controllable lifestyle

73.33%

45.00%

58.12%

p < 0.04

p < 0.03

NS

 Primary care

27.18%

31.58%

15.32%

p < 0.001

NS

p < 0.002

 Hospital in the periphery (3)

7.55%

55.00%

3.85%

p < 0.001

p < 0.0007

p < 0.001

 Intellectual challenge (1)a

80.19%

60.00%

87.05%

p < 0.004

NS

p < 0.007

 Leading department (1)a

68.87%

45.00%

84.82%

p < 0.0002

p < 0.004

p < 0.0009

 Specific location

50.94%

68.42%

69.82%

p < 0.0001

NS

NS

 Large hospitial

50.00%

26.32%

67.71%

p < 0.005

p < 0.04

p < 0.0006

 Opportunity for research

16.98%

5.00%

29.02%

p < 0.02

p < 0.01

p < 0.0005

 Family living location

68.87%

70.00%

69.06%

NS

NS

NS

 Making clinical decisions on your own

49.06%

50.00%

58.04%

NS

NS

NS

 Much “action”

45.28%

40.00%

43.75%

NS

NS

NS

 Much supervision by senior physicians

43.81%

20.00%

46.43%

NS

NS

p < 0.04

 Limited work hours

43.40%

30.00%

40.18%

NS

NS

NS

 Physical challenge

42.45%

30.00%

41.70%

NS

NS

NS

 Teaching students

38.10%

50.00%

48.21%

NS

NS

NS

 Influence of family

32.38%

30.00%

34.38%

NS

NS

NSb

 Pre-determined work hours (2)

25.71%

25.00%

20.72%

NS

NS

NS

 Short residency

15.09%

10.00%

16.52%

NS

NS

NS

 Much clinic time (2)

13.33%

20.00%

9.38%

NS

NS

NS

 Many on-call shifts

12.26%

10.00%

10.71%

NS

NS

NS

  1. Percent of “agree” and “agree much” responses on 5-point Likert Scale
  2. Numbers in parenthesis are the results of factor analysis
  3. aClusters per cluster analysis
  4. Bold results represent the higher value of a statistically significant pair