医学在校生基层医疗卫生机构就业意愿调查

Willingness of medical students to work in primary health care institutions

目的调查在校医学专业学生对基层医疗卫生机构的就业意愿。方法采用横断面调查597名本科医学生和2088名医学专科生毕业后就业于基层医疗卫生机构的意愿及相关原因,采用SPSS 23.0进行统计描述和有序分类logistics回归分析。结果问卷调查结果显示,本科在校生基层就业意愿较低(14.9%),专科生基层就业意愿较高(56.02%)。其中阻碍基层就业的前三位因素为个人发展机会少、工作条件差、待遇不好。培养基层人才最有效方法为农村定向医学生免费培养;吸引人才最佳措施为制定更优惠的综合政策。结论现阶段临床医学在校生就业于基层医疗卫生机构的意愿不强,应从改善基层福利待遇、提供发展机会、加强社会保障等方面提升临床医学生到基层医疗卫生机构就业的意愿。

Objective To investigate the willingness of medical students to work in primary health care institutions.Methods A cross-section survey was conducted to investigate the willingness and the reasons,involving 597 undergraduate medical students and 2088 junior college students.Results The employment willingness of undergraduate medical students was relatively low(14.9%),while the employment willingness of junior college students was high(56.02%).The top three factors of low employment willingness were:less opportunities for personal development,poor working environments and welfare.Moreover,the most effective method to cultivate medical students was developing a free training project for rural-oriented medical students,and the best method to attract medical students was formulating a more beneficial comprehensive policy.Conclusion The willingness of clinical medical students to be employed in primary health care institutions is low for the time being.It is suggested to improve their willingness by improving welfare benefits,providing personal development opportunities,and strengthening social security.