| 引用本文：张众, 张超, 黄明玉, 刘民, 左延莉, 燕碧波, 刘晓云.农村订单定向医学生就业与规培:两年跟踪分析[J].中国卫生政策研究,2018,11(9):34-39 |
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| 农村订单定向医学生就业与规培:两年跟踪分析 |
| 投稿时间：2017-11-24 修订日期：2018-04-12 PDF全文浏览 HTML全文浏览 |
| 张众1,2, 张超1,2, 黄明玉3, 刘民4, 左延莉5, 燕碧波6, 刘晓云2 |
1. 北京大学公共卫生学院 北京 100191;
2. 北京大学中国卫生发展研究中心 北京 100191;
3. 青海大学医学院 青海西宁 810016;
4. 赣南医学院农村(社区)医学教育研究中心 江西赣州 341000;
5. 广西医科大学 广西南宁 530021;
6. 九江学院 江西九江 332000 |
| 摘要:目的：跟踪分析两届订单定向医学生毕业后两年的就业与规培情况，探讨首届定向生规培结束后能否"回乡"履约，并提出政策建议。方法：选取中西部四所医学院校，分别对2015届305名和2016届435名订单定向生在毕业当年建立队列，随后连续两年开展随访调查和深入访谈。结果：当前订单定向毕业生履约率高于99%，工作落实率高于98%，2015届和2016届定向生编制落实的比例分别为86.7%和93.8%，参加规培的比例分别为97.4%和68.3%，规培期间月总收入分别为3 879元和3 783元。结论：与首届定向生相比，2016届毕业生的工作及编制待遇落实更为顺畅，但是出现与家乡所在地签约率下降、定向工作地点限制过严、部分定向生参加规培未得到有效落实等问题。相关部门应尽早明确规培与"回乡"的转接办法，充分调动地方政府的积极性，促进定向生履约。 |
| 关键词:订单定向 履约 就业 住院医师规范化培训 |
| 基金项目:美国中华医学基金会项目（CMB 14-201） |
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| Two-year follow-up analysis of targeted admission medical graduates in rural areas |
| ZHANG Zhong1,2, ZHANG Chao1,2, HUANG Ming-yu3, LIU Min4, ZUO Yan-li5, YAN Bi-bo6, LIU Xiao-yun2 |
1. School of Public Health, Peking University, Beijing 100191, China;
2. China Center for Health Development Studies, Peking University, Beijing 100191, China;
3. Medical College of Qinghai University, Xining Qinghai 810016, China;
4. Rural(Community) Medical Education Research Center of Gannan Medical University, Ganzhou Jiangxi 341000, China;
5. Guangxi Medical University, Nanning Guangxi 530021, China;
6. Jiujiang University, Jiujiang Jiangxi 332000, China |
| Abstract:Objective:This study aims to describe the employment and residency training status of the first-two groups of targeted admission medical students in the two years following graduation, to analyse whether the first group who will finish their residency training next year can go back to the contracted work in rural area and provide relevant policy recommendations. Methods:Two cohorts of medical graduates from this targeted admission program were recruited in 2015 and 2016 respectively. Two follow-up surveys were done in 2016 and 2017. Results:The contract fulfillment rates of the two groups of targeted admission medical graduates were both above 99%. More than 98% of them had contracted with designated employers. The percentages of people who had permanent post of the first and second groups were 86.7% and 93.8%, respectively. Their proportions of participating in residency training were 97.4% and 68.3% and their average monthly incomes during residency were 3879 and 3783 yuan, respectively. Conclusions:Compared with the first group of targeted admission graduates, the implementation of employment was better for the second group, but new problems emerged, such as the apparent decline in the rate of signing in the hometown, the strict restrictions on the contacted work places and the failure of some students to participate in the residency training. It is important for the relevant department to develop a clear approach and fully mobilize the local governments to urge the targeted admission graduates to fulfill their contracts and serve the primary health care in rural area. |
| Key words:Targeted admission program Contract fulfillment Employment Standardized residency training program |
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