| 引用本文：李伟明, 黄兴黎, 袁丹, 张永光, 姜润生, 黄巧云, 孙美娜, 自蓉.农村订单定向医学生基层执业意愿及影响因素分析——以云南省为例[J].中国卫生政策研究,2019,12(5):76-81 |
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| 农村订单定向医学生基层执业意愿及影响因素分析——以云南省为例 |
| 投稿时间：2018-08-07 修订日期：2019-03-12 PDF全文浏览 HTML全文浏览 |
| 李伟明1, 黄兴黎2, 袁丹1, 张永光3, 姜润生1, 黄巧云1, 孙美娜1, 自蓉4 |
1. 昆明医科大学公共卫生学院 云南省全科医学培训中心 云南昆明 650500;
2. 云南省卫生健康委员会 云南昆明 650200;
3. 云南省健康发展研究中心 云南昆明 650031;
4. 云南省第一人民医院 云南昆明 650032 |
| 摘要:目的：以云南省为例，分析农村订单定向医学生的基层长期执业意愿及影响因素，为促进订单定向医学生基层长期执业提供依据。方法：采取分层整群抽样方法，对云南省3所高等院校的1 673名农村订单定向医学生进行问卷调查，内容包括个人基本情况、政策认知和态度、报考动因、执业意愿等，共收集有效问卷1 613份。采用多重响应、卡方检验、二元Logistic回归等方法进行数据分析。结果：83.51%的医学生了解免费培养政策，87.85%的医学生支持免费培养政策，仅有35.46%的医学生愿意在基层长期执业；就读年级、政策认知、政策态度、为家乡人民服务、想当全科医生、个人职业发展有限、个人婚姻问题、工作待遇低等变量对订单定向医学生基层长期执业意愿有显著影响。结论：订单定向医学生扎根基层的长期执业意愿不强。应基于人才培养定位，强化专业认同培养，重视职业素质培育，创建良好职业发展环境。 |
| 关键词:订单定向医学生 执业意愿 影响因素 农村 长期 |
| 基金项目:全国教育科学“十二五”规划2015年度教育部重点课题（DIA15007） |
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| Analysis ofthe willingness to practice and the influencing factors of rural demand-oriented medical students: A case study of Yunnan province |
| LI Wei-ming1, HUANG Xing-li2, YUAN Dan1, ZHANG Yong-guang3, JIANG Run-sheng1, HUANG Qiao-yun1, SUN Mei-na1, ZI Rong4 |
1. General Medical Training Center in Yunnan Province, School of Public Health, Kunming Medical University, Kunming Yunnan 650500, China;
2. Health Commission of Yunnan Province, Kunming Yunnan 650200, China;
3. Research Center for Health Development of Yunnan Province, Kunming Yunnan 650031, China;
4. First People's Hospital of Yunnan Province, Kunming Yunnan 650032, China |
| Abstract:Objective:This paper aims to analyze the primary practice long-term intentions and influencing factors of rural demand-oriented medical studentsin Yunnan Province,and provide evidence for targeted interventions to promote long-term practice of demand-oriented medical studentsat the grassroots level.Methods:In this paper, the stratified cluster sampling methodis used to conduct a questionnaire survey on 1673 rural demand-oriented medical students from three colleges and universities in Yunnan province from differentaspects,including basic personal situation, policy awarenessand attitude,motivation for application, willingness to practice,etc. A total of 1613 valid questionnairesare collected, and the data are analyzed using multiple responses,chi-square tests, and binary logistic regression methods. Results:83.51% of surveyed students understandthe free training policy, 87.85% support the free training policy,and only 35.46% are willing to practice long-term practice at the grassroots level. The variables such as grade level, policy awareness,policy attitude, serving countymates,willingness to become a general practitioner, limited personal career development,personal marital problems, and low job benefits have a significant impact on the long-term practice willingness of demand-oriented medical students. Conclusion:The long-term practice intention of demand-oriented medical students at the grassroots level is not strong. This paper proposes that, based on the orientation of talent training,policy-makers should strengthen professional identity training, attach importance to the cultivation of high-quality professionals,and create a favorable professional development environment. |
| Key words:Demand-oriented medical students Willingness to practice Influencing factors Rural Long-term |
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