| 引用本文：张鑫, 赵越, 黄立创, 谢月英, 苏奕成, 欧晏晨, 李兴强, 左延莉.广西三地首届服务期满农村订单定向医学生工作及影响因素研究[J].中国卫生政策研究,2022,15(7):74-80 |
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| 广西三地首届服务期满农村订单定向医学生工作及影响因素研究 |
| 投稿时间：2022-06-09 修订日期：2022-07-03 PDF全文浏览 HTML全文浏览 |
| 张鑫1, 赵越2, 黄立创2, 谢月英3, 苏奕成3, 欧晏晨3, 李兴强4, 左延莉4 |
1. 广西医科大学教务处 广西南宁 530021;
2. 广西医科大学第一附属医院 广西南宁 530021;
3. 广西医科大学信息与管理学院 广西南宁 530021;
4. 广西医科大学全科医学院 广西南宁 530021 |
| 摘要:目的：分析广西首届服务期满农村订单定向医学生工作情况、工作满意度、续约情况及影响因素，并提出政策建议。方法：选取广西河池、南宁、北海三市，对47名订单定向医学生及乡镇卫生院院长、卫生行政部门管理人员进行问卷调查和深度访谈。结果：广西三地首届服务期满农村订单定向医学生续约率为42.6%；年收入差距8万元，周工作时长54小时，年培训机会1～4次；非续约者服务期满再就业后对工作条件、职业发展评价高于服务期满前和续约者；工作满意度也高于续约者；影响续约因素中，收入水平位居第1。结论：广西首届服务期满农村订单定向医学生乡镇卫生院续约率不高；收入差距大、工作时间长、培训机会少、工作条件差、职业发展受限，并且续约者工作满意度低、离职倾向高，短期内流失率可能进一步增加；收入水平是影响订单定向医学生续约的首要因素，居民认可尊重产生的工作成就感归属感有助于提高续约率。 |
| 关键词:订单定向|服务期满|续约|影响因素 |
| 基金项目:国家自然科学基金项目（71864006）；广西自然科学基金项目（2021GXNSFAA196075）；广西高校中青年教师科研基础能力提升项目（2021KY0077）；广西医科大学特色新型智库调研课题项目（GXMUZX16）；广西医科大学哲学社会科学研究重点课题（2021A02）；广西高等教育本科教学改革工程项目（2022JGA55） |
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| Study on the working status and influencing factors of the first group of targeted admission medical graduates in rural areas of three cities in Guangxi |
| ZHANG Xin1, ZHAO Yue2, HUANG Li-chuang2, XIE Yue-ying3, SU Yi-cheng3, OU Yan-chen3, LI Xing-qiang4, ZUO Yan-li4 |
1. Academic Affairs Office of Guangxi Medical University, Nanning Guangxi 530021, China;
2. The First Affiliated Hospital of Guangxi Medical University, Nanning Guangxi 530021, China;
3. School of Information and Management, Guangxi Medical University, Nanning Guangxi 530021, China;
4. General Medical College of Guangxi Medical University, Nanning Guangxi 530021, China |
| Abstract:objective: In order to analyze the working status, job satisfaction, contract renewal and influencing factors of the first group of targeted admission medical graduates in rural areas of Guangxi, and put forward policy suggestions. Methods: A questionnaire survey and in-depth interview were conducted among 47 targeted admission medical graduates,presidents of township health centers and managers of health administrative departments in Hechi, Nanning and Beihai, Guangxi. Results: The renewal rate of the first group of targeted admission medical graduates is 42.6% in rural areas of Guangxi. The gap of annual income is 80 000 RMB. The hour each week working is 54 hours. And the annual training opportunity is 1~4 times. The evaluation of working status and career development of non-renewed employees after the expiration of service is higher than that before the expiration of service, and higher than that of renewed employees. Job satisfaction is also higher than that of renewed employees. Among the influencing factors, the income level ranks first. Conclusions: The renewal rate of the first group of targeted admission medical graduates in rural areas of Guangxi after the expiration of the service period is not high, with large income gap, long working hours, few training opportunities, poor working status, limited career development. Renewals have low job satisfaction and high turnover intention, and the turnover rate may rise further in the short term.The income level is the primary factor affecting the renewal of targeted admission medical graduates. Residents recognize and respect the sense of job achievement and belonging, which helps to improve the renewal rate. |
| Key words:Targeted admission program|Expiration of the service period|Renewal|Influencing factor |
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