山西省订单定向医学生履约期满基层就业意愿及其影响因素调查

侯莎莎; 安亚男; 李靖; 刘浩; 段朝霞

doi:10.16766/j.cnki.issn.1674-4152.003136

山西省订单定向医学生履约期满基层就业意愿及其影响因素调查

doi: 10.16766/j.cnki.issn.1674-4152.003136

1.
山西医科大学公共卫生学院，山西太原 030001
2.
山西医科大学管理学院，山西晋中 030604
3.
山西省卫生健康委科技教育处, 山西太原 030013

基金项目:

山西省软科学研究重点项目 2018042018

详细信息

通讯作者:
段朝霞，E-mail：duanzhaoxia@126.com

中图分类号: R192 R195
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- HTML全文浏览量: 62
- PDF下载量: 9
- 被引次数: 0
出版历程
- 收稿日期: 2022-04-21

Research on the grass-roots employment intention and its influencing factors of order-oriented medical students after the expiration of performance in Shanxi Province

1.
School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030001, China

摘要

摘要: 目的分析山西省农村订单定向在校医学生对于相关政策的了解程度、毕业后履约期满后继续服务基层意愿及其影响因素等，以期为我国订单定向医学生的培养和使用路径提供理论依据。方法 2021年7—9月，采取整群抽样，针对山西医科大学和长治医学院2所院校参加农村订单定向医学生培养的1 200名学生，利用问卷星进行线上问卷调查，得到有效问卷1 054份，所得数据使用SPSS 26.0统计学软件进行统计分析。结果 45.45%(479/1 054)的在校生对订单定向生相关政策程度处于不太了解及以下水平，59.77%(630/1 054)的在校生表示履约完成后会进一步服务基层，影响订单定向生履约完成后是否有意愿继续留在基层医疗卫生机构就业的因素有：学生所在的年级(P=0.004)，对临床医学(全科方向)的了解程度(P＜0.001)，是否知晓本专业的就业方向(P＜0.001)等。结论山西省订单定向在校医学生相关政策知晓率尚需进一步提升，毕业后主动履约意愿不强烈，履约完成后继续服务基层的意愿不强烈。相关行政管理部门应加强有关政策宣传和解读；培养高校应以需求为导向，开展具有全科特色的医学教育；各相关部门应加强沟通合作。
- 订单定向医学生 /
- 在校生 /
- 履约期满 /
- 基层医疗机构 /
- 就业意愿
Abstract: Objective To analyze the understanding of relevant policies of rural order-oriented medical students in Shanxi Province, the willingness to continue serving the grassroots after graduation and the expiration of the contract, and their influencing factors, in order to provide a theoretical basis for the training and deployment of order-oriented medical students in our country. Methods Cluster sampling method was used to conduct an online survey of 1 200 rural medical students in Shanxi Province with targeted orders, and 1 054 valid questionnaires were obtained. The data obtained were analyzed using SPSS 26.0 statistical analysis. Results Some of the students [45.45%(479/1 054)] are not familiar with the relevant policies of the order-oriented students, and 59.77% (630/1 054) of the students said that they will continue to serve the grassroots after the completion of the contract performance. The factors that influence the students to continue to serve the grassroots after the completion of the performance includes: the grade of the student (P=0.004), the degree of understanding of the major (P < 0.001), and whether they know the employment direction of the major (P < 0.001) etc. Conclusion In Shanxi Province, the awareness rate of the policy on order-oriented medical students needs to be further improved, the willingness to actively fulfil the contract after graduation is not strong, and the willingness to continue serving the grassroots after the contract is completed is not strong. Relevant administrative departments should strengthen the publicity and interpretation of relevant policies. Colleges and universities should be demand-oriented and provide medical education with general characteristics. All relevant departments should strengthen communication and cooperation.
- Order-oriented medical students /
- Current students /
- Expiration of performance /
- Grassroots health institutions /
- Employment intention
利益冲突 无

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图 1 选择就读订单定向医学生就读原因及履约希望得到的支持

注：A为选择就读订单定向生的原因；B为履约基层希望得到的支持。

Figure 1. The reasons why medical students choose to study and the support they hope to get for fulfilling the contract

下载: 全尺寸图片幻灯片

图 2 履约基层原因排序

Figure 2. Order of the reasons for grass-roots performance

下载: 全尺寸图片幻灯片

表 1 不同年级学生对农村订单定向生临床医学(全科方向)了解程度情况(人)

Table 1. Students of different grades understand the clinical medicine (general discipline) of rural order oriented students(people)

年级	非常了解	基本了解	不太了解	不了解	完全不了解
一年级	11	136	54	5	3
二年级	17	173	103	9	2
三年级	3	97	83	13	8
四年级	2	55	73	20	6
五年级	4	58	59	19	11
其他(准大一)	1	18	9	2	0
注：不同年级学生了解程度比较，H=78.476, P < 0.001。

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表 2 变量赋值情况

Table 2. Assignment of variables

变量	赋值方法
性别	男性=1，女性=2
年级	一年级=1，二年级=2，三年级=3，四年级=4，五年级=5，其他=6
户口性质	城镇=1，农村=2
履约单位性质	设置哑变量，以其他为对照，其他=(0, 0)，乡镇卫生院=(0, 1)，村卫生院=(1, 0)
专业了解程度	非常了解=1，基本了解=2，不太了解=3，不了解=4，完全不了解=5
课程与专业符合程度	非常符合=1，符合=2，基本符合=3，不符合=4
是否了解就业情况	否=0，是=1
全科相关工作意愿	否=0，是=1
对专业发展是否有信心	否=0，是=1
是否对本专业有兴趣	否=0，是=1
是否喜欢本专业	否=0，是=1

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表 3 履约期满后基层就业的logistic影响因素分析

Table 3. logistic analysis of influencing factors of grass-roots employment after the expiration of performance contract

变量	B	SE	Wald χ²	P值	OR值	95% CI
年级	-0.148	0.051	8.382	0.004	0.862	0.780~0.953
专业了解程度	0.445	0.107	17.363	＜0.001	1.560	1.266~1.923
课程与专业符合程度	0.226	0.103	4.826	0.028	1.254	1.025~1.535
全科相关工作意愿	1.567	0.383	16.719	＜0.001	4.792	2.261~10.157
专业发展是否有信心	0.825	0.254	10.584	0.001	2.283	1.388~3.754
是否喜欢本专业	0.954	0.367	6.749	0.009	2.595	1.264~5.330

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