安徽省农村订单定向免费医学生培养现状分析

张飞; 刘志强; 许威; 钱淑文; 李娅利; 黄超; 夏海龙

doi:10.16766/j.cnki.issn.1674-4152.002702

安徽省农村订单定向免费医学生培养现状分析

doi: 10.16766/j.cnki.issn.1674-4152.002702

1.
安徽医科大学巢湖临床医学院，安徽合肥 230000
2.
安徽医科大学附属巢湖医院介入科，安徽合肥 230000
3.
安徽医科大学附属巢湖医院血液内科

基金项目:

安徽省大学生创新创业训练项目 20810366025

详细信息

通讯作者:
夏海龙, E-mail: xhl1999cn@163.com

中图分类号: R-05
计量
- 文章访问数: 206
- HTML全文浏览量: 232
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2021-12-15
- 网络出版日期: 2022-11-30

Analysis of current situation of rural order orientation free medical students in Anhui Province

1.
Chaohu Clinical Medical College of Anhui Medical University, Hefei, Anhui 230000, China

摘要

摘要: 目的掌握安徽省免费医学生的培养现状，为安徽省免费医学生的发展提出针对性、可行性的对策和建议。方法选择安徽省六所免费医学生培养高校2015—2019级在读学生967人，采用腾讯问卷平台收集网络问卷的方法，对免费医学生的基本情况、就读现状、履约意愿、未来打算等情况进行收集与统计学分析。结果问卷调查结果显示，有意履行协议到基层工作的有874人(90.4%)。服务期满后报考全科医学研究生或参加专升本考试的免费医学生人数最多(46.5%，450/967)，8.1%的免费医学生选择服务期满后继续留在基层工作(78/967)。Logistic回归分析显示，专业、对所学专业感兴趣程度、每月生活花费、对学校的专业认同教育满意度是免费医学生履约意愿的影响因素(均P＜0.05)。结论安徽省免费医学生履约意愿较低，且服务期满后大部分同学选择考研或跳槽到其他医院。许多同学是在对政策不了解的情况下盲目报考的，建议通过把握入口、重视培养、提高待遇、基层建设等4个方面完善保障、激励、管理政策，促进免费医学生履约意愿和培养质量的提升。
- 农村订单定向免费医学生 /
- 现状分析 /
- 改进
Abstract: Objective To grasp the status of the training of free medical students in Anhui Province, proposes targeted and feasible countermeasures and suggestions for the development of free medical students in Anhui Province. Methods Tencent questionnaire was used in investigating 967 free medical students enrolled in six medical universities from 2015 to 2019 in Anhui Province. Basic information, current study status, willingness to perform and employment plans of free medical students were analysed. Results Among the respondents, 874 free medical students intend to perform the agreement (90.4%). Approximately 46.5% (450/967) of the students choose to apply for general medical post-graduate or take the entrance examination for college to a university after the service period expires, and 8.1% of students choose to stay at the grassroots level (78/967). Binary logistic regression analysis showed that the willingness of free medical students to fulfill their contract was related to their majors, interest in the profession, monthly living expenses and the degree of satisfaction with the school ' s professional identity education (all P < 0.05). Conclusion Anhui Province ' s free medical students have a low willingness to perform contracts, and most students expect to take the post-graduate examination or work in other hospitals after the service period expires. Some students apply for this major without understanding about the policy. This finding suggests that government can improve guarantees, incentives and management policies by focusing on increasing training quality, improving treatment and grassroot construction to increase free medical students' willingness to perform.
- Rural order orientation free medical students /
- Situation analysis /
- Improvement

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表 1 安徽省免费医学生履约意愿的单因素分析[例(%)]

Table 1. Univariate analysis of free medical students' willingness to fulfill contract in Anhui province[cases(%)]

项目	类别	履约意愿		χ²值	P值
项目	类别	是(n=874)	否(n=93)	χ²值	P值
性别	男性	413(88.6)	53(11.4)	3.191	0.047
	女性	461(92.0)	40(8.0)
年级	低	481(93.6)	33(6.4)	12.902	< 0.001
	中高	393(86.8)	60(13.2)
家庭所在地	农村	690(90.6)	72(9.4)	0.117	0.732
	城市	184(89.8)	21(10.2)
专业	临床医学	575(87.7)	81(12.3)	17.491	< 0.001
	中医学	299(96.1)	12(3.9)
学历	本科	667(88.3)	88(11.7)	16.459	< 0.001
	专科	207(97.6)	5(2.4)
独生子女状况	是	184(89.3)	22(10.7)	0.340	0.560
	否	690(90.7)	71(9.3)
返回生源地状况	是	460(91.3)	44(8.7)	0.953	0.329
	否	414(89.4)	49(10.6)
担任学生干部	是	584(90.0)	65(10.0)	0.360	0.549
	否	290(91.2)	28(8.8)
党员	是	58(87.9)	8(12.1)	0.511	0.475
	否	816(90.6)	85(9.4)
班级学风满意度	非常好	171(94.5)	10(5.5)		< 0.001^b
	比较好	442(92.7)	35(7.3)
	一般	231(86.2)	37(13.8)
	比较差	28(75.7)	9(24.3)
	非常差	2(50.0)	2(50.0)
年家庭人均可支配收入^a	低收入组	531(90.8)	54(9.2)		0.312^b
	中间偏下收入组	215(91.5)	20(8.5)
	中间收入组	87(89.7)	10(10.3)
	中间偏上收入组	30(81.1)	7(18.9)
	高收入组	11(84.6)	2(15.4)
每月生活花费(元)	1 000及以下	297(91.1)	29(8.9)		< 0.001^b
	1 001~1 500	483(92.0)	42(8.0)
	1 501~2 000	81(86.2)	13(13.8)
	2 001及以上	13(59.1)	9(40.9)
专业兴趣	非常感兴趣	102(94.4)	6(5.6)		< 0.001^b
	比较感兴趣	444(96.9)	14(3.1)
	一般	304(87.1)	45(12.9)
	比较不感兴趣	15(48.4)	16(51.6)
	非常不感兴趣	9(42.9)	12(57.1)
专业认同教育满意度	非常满意	113(97.4)	3(2.6)		< 0.001^b
	比较满意	317(96.1)	13(3.9)
	一般	356(87.7)	50(12.3)
	比较不满意	71(79.8)	18(20.2)
	非常不满意	17(75.4)	9(34.6)
注：^a根据2018年国家统计局统计的按全国居民五等份收入分组，低收入组、中间偏下收入组、中间收入组、中间偏上收入组、高收入组年家庭人均可支配收入分别约为6 440元、14 361元、23 189元、36 471元、70 640元。^b为采用Fisher精确检验。

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表 2 变量赋值方法

Table 2. Variable assignment method

变量	赋值方法
每月生活花费	1=1 000元及以下；2=1 001~1 500元；3=1 501~2 000元；4=2 001元及以上
年级	1=2019级；2=2018级；3=2017级；4=2016级；5=2015级
学历层次	1=专科；2=本科
就读专业	1=中医学；2=临床医学
专业兴趣	1=非常不感兴趣；2=比较不感兴趣；3=一般；4=比较感兴趣；5=非常感兴趣
班级学风满意度	1=非常差；2=比较差；3=一般；4=比较好；5=非常好
专业认同教育满意度	1=非常不满意；2=比较不满意；3=一般；4=比较满意；5=非常满意
免费医学生履约意愿	1=违约；2=履约

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表 3 安徽省免费医学生履约意愿影响因素的logistic回归分析(n=967)

Table 3. Logistic regression analysis of influencing factors of free medical students' willingness to fulfill contract in Anhui province(n=967)

变量	B	SE	Wald χ²	P值	OR值	95% CI
专业兴趣	0.918	0.156	34.699	< 0.001	2.505	1.845~3.400
专业认同教育满意度	0.492	0.150	10.750	0.001	1.636	1.219~1.636
每月生活花费	-0.386	0.159	5.882	0.015	0.680	0.498~0.929
临床医学	-0.927	0.332	7.806	0.005	0.396	0.207~0.758

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表 4 安徽省不同年级免费医学生对学校的专业认同教育满意度比较[例(%)]

Table 4. Comparison of different grades of free medical students' satisfaction with professional cognitive education in Anhui Province[cases(%)]

年级	例数	非常满意	比较满意	一般	比较不满意	非常不满意
2015级	122	11(9.0)	26(21.3)	54(44.3)	20(16.4)	11(9.0)
2016级	91	0	23(25.3)	47(51.6)	18(19.8)	3(3.3)
2017级	240	22(9.2)	68(28.3)	125(52.1)	18(7.5)	7(2.9)
2018级	262	39(14.9)	106(28.3)	89(34.0)	25(9.5)	3(1.1)
2019级	252	44(17.5)	107(42.5)	91(36.1)	8(3.2)	2(0.8)
注：H=18.731, P=0.001。

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