Kellyann Baxendell, Sosina Walelign, Mehret Tesfaye, Moges Wordofa, Dessie Abera, Abiyot Mesfin, Mistire Wolde, Kassu Desta, Aster Tsegaye, Bineyam Taye
Association between infection with Helicobacter pylori and platelet indices among school-aged children in central Ethiopia: a cross-sectional study
BMJ open
rural doctor shortage problem many countries factors associated doctor retention reported colleagues workload accommodations transportation proximity family friends incentives career path rural background recruitment increasing quantity doctor production supply rural remote areas regulation claimed alleviate doctor scarcity rural communities many programs developed imbalance physician distribution persists communitybased learning cbl recommended promote doctor retention longer contact time cbl practical uncertain results greater retention objective study determine association contact time cbl retention doctor rural background recruitment cohort study performed study population 10018 doctors graduated 20012010 followed least 2014 10018 physicians 2098 doctors 21 recruited rural backgrounds collaborative project increase production rural doctor cpird contact time cbl calculated proportion total curricular credit hours primary outcome retention rate government healthcare system 4 years statistical analysis performed using multiple logistic regression total 5774 doctors 576 retained government healthcare system higher percentages cpird doctors retained normal track 721 538 p 0001 especially rural hospitals 603 384 p 0001 based univariate analysis cbl slightly higher retention resignation group statistical significance 297 290 p 0045 multiple logistic regression results showed cbl graduate entry geographic location workplace significantly associated retention cbl enhance doctor retention incorporate meaningful experience rural exposure together classroom teaching focus concepts integrating service community graduate entry geographic location workplace also impact decisionmaking regarding retention