贵州省高校医学生基层工作意愿影响因素分析

The study on the medical undergraduates＆#39;employment intentions and influences working in the primary ;health care institutions in Guizhou province

目的：调查医学生基层就业意向，分析其影响因素，为解决当前医学生就业难与基层人才短缺的结构性矛盾提供政策参考与建议。方法描述性分析就业意向并运用非条件logistic回归对医学生就业意愿的影响因素进行分析。结果74．90％调查对象对基层就业政策认知度不高，21．16％愿意毕业后到基层工作。非条件logistic回归分析发现当地的人文及生活环境（OR＝2．668）、单位的规模大小（OR＝0．63），工作挑战性（OR＝1．509）为就业意愿主要因素。结论改革基层以基本公共卫生服务为主绩效考核政策，重视基层临床医疗服务；提高医生执业政策和人文环境，重视医生的职业规划与发展。

Objective To analyze the medical undergraduates＆#39;employment intentions and determinants for policy recommendations on how to solve the contraction between the employment and human resources shortage working in the rural place.Methods Descriptive method was used for the employment recognition and unconditional logistic regression was employed for its factors analysis.Results 74.90% interviewees were not high for policy recognition,and only 21.16% undergraduates were willing to work in rural area.Logistic regression analysis found local culture and life environment （OR=2.668）,institute performance（OR=0.630）and work challenge（OR=1.509）were key factors to affect their employment.Conclusion To give reform of primary institute performance mainly on pubic health service,take great importance on the medical service,improve work and life environment of rural workers and highly care health workers＆#39;career planning and development.