Likelihood of Chiikiwaku Medical Student Loan Repayment and Its Associated Factors

VernacularTitle:地域枠医学生の奨学金返還の可能性と関連要因の検討
Author: Yoshihiro KATAOKA ¹ ; Ayumi TAKAYASHIKI ¹ ; Tetsuhiro MAENO ¹
Author Information

1. Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba
Keywords: chiikiwaku; student loan repayment; associated factors
From:Medical Education 2017;48(6):365-374
CountryJapan
Language:Japanese
Abstract: This study used a self-administered questionnaire to assess the likelihood of chiikiwaku medical student loan repayment and its associated factors. If chiikiwaku repayment is high, then it can have a negative effect on the chiikiwaku program, which was established to distribute doctors to outlying areas. A total of 112 students (37.8%) reported that the likelihood of repayment was "high" or "somewhat high." The factors statistically associated with repayment likelihood were female gender (odds ratio (OR) 3.2, 95% confidence interval (CI) 1.5-6.8), applying forchiikiwaku mainly due to the higher medical school acceptance rate (OR 2.9, 95%CI 1.2-6.8), private medical school (OR 10.3, 95%CI 2.6-40.3), and stress related to obligation or repayment (OR 2.4, 95%CI 1.3-4.3). The results suggest that to decrease the rate of loan repayment it is important to improve the process of selecting chiikiwaku students and to modify the chiikiwaku system to support students experiencing stress.