Introduction: Healthcare Delivery Science Education (HDSE) covers important aspects of the business of medicine, including, operations management, managerial accounting, entrepreneurship, finance, marketing, negotiations, e-health and policy/advocacy. We need to investigate and understand practicing physicians’ viewpoints on HDSE in order to inform interventions capable of preventing the double loss phenomena and improving medical and continuing medical education opportunities in HDSE. This qualitative study aims to provide a rich, contextualized understanding of the HDSE experiences and interests of physicians practicing in a rural state through the intensive study of particular cases.
Materials and Methods: We interviewed 18 practicing physicians from a rural, Midwestern state over the telephone about their viewpoints on past experiences obtaining HDSE, interest in HDSE, barriers to pursuing HDSE, and interest in an example HDSE certificate program.
Results: Salient themes in our study were that physicians were interested in HDSE and believed HDSE could lead to improved patient care and practice efficiency. However, many of the respondents had not received longitudinal, diversified, didactic or practical HDSE. Time limited many physicians from pursuing HDSE opportunities. Many physicians in the study were interested in the example HDSE certificate program.
Discussion and Conclusions: Physicians in our qualitative study were interested in obtaining HDSE and had not received diversified, didactic HDSE in the past. Our research suggests innovative HDSE programs will likely be utilized and pursued if they are developed.

Keywords: healthcare delivery science, rural, management, continuing medical education, healthcare leadership


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中文翻译：

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农村执业医师对医疗服务科学教育的看法

简介：医疗保健服务科学教育 (HDSE) 涵盖医学业务的重要方面，包括运营管理、管理会计、创业、金融、营销、谈判、电子健康和政策/宣传。我们需要调查和了解执业医师对 HDSE 的看法，以便为能够防止双重损失现象并改善 HDSE 医学和继续医学教育机会的干预措施提供信息。这项定性研究旨在通过对特定案例的深入研究，提供对在农村国家执业的医生的 HDSE 经验和兴趣的丰富、背景化的理解。
材料和方法：我们通过电话采访了来自中西部农村的 18 位执业医师，了解他们对过去获得 HDSE 的经历、对 HDSE 的兴趣、追求 HDSE 的障碍以及对示例 HDSE 证书计划的兴趣的看法。
结果：我们研究中的突出主题是医生对 HDSE 感兴趣，并相信 HDSE 可以改善患者护理和实践效率。然而，许多受访者没有接受过纵向的、多样化的、教学的或实用的 HDSE。时间限制了许多医生追求 HDSE 的机会。研究中的许多医生都对示例 HDSE 证书计划感兴趣。
讨论和结论：我们定性研究中的医生对获得 HDSE 很感兴趣，并且过去没有接受过多样化的教学 HDSE。我们的研究表明，如果开发了创新的 HDSE 计划，它们很可能会被利用和推行。

关键词：医疗保健服务科学、农村、管理、继续医学教育、医疗保健领导力


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