健康中国视域下临床医学专业本科生对全科医学的认知及就业意愿调查

Study on the cognition and employment intention of clinical medicine undergraduates on General Medicine from the perspective of healthy China

目的:调查临床医学专业本科生对全科医学的认知及其就业意愿,为临床医学专业本科生毕业择业选择提供参考。方法:2023年9月,通过问卷调查的方式,采用分层随机整群抽样的方法,对某医科大学759名医学生进行《医学生对全科医学的专业认同感调查问卷》的研究,采用描述性统计、χ^(2)检验、多元logistic回归分析,P<0.05为差异有统计学意义。结果:学生对全科医学的就业意愿,在家庭平均年收入、是否为独生子女、全科医学教育的影响、对全科医学的关注程度、在本科阶段是否受到过鼓励、是否学习过全科医学的相关知识、是否在全科医学领域获得过相关奖项7个方面差异有统计学意义(P<0.05~P<0.01);多因素logistic回归分析结果显示,是否学习过全科医学的相关知识、是否在全科医学领域获得过相关奖项、是否独生子女是就业意愿的有效预测变量。结论:医学生对全科医学的认知度不高,就业意愿较低;是否学习过全科医学的相关知识、是否在全科医学领域获得过相关奖项、是否独生子女是影响医学生对全科医学就业意愿的主要因素。

Objective:To investigate the cognition and employment intention of clinical medicine undergraduates on General Medicine,and provide the reference for the career selection of clinical medicine undergraduates.Methods:By means of questionnaire survey and stratified random cluster sampling,759 medical students from a medical university were studied using the《Medical students′professional identity in General Medicine》in September 2023.The descriptive statistics,χ^(2) test and multiple logistic regression analysis were used,and the P<0.05 was considered statistically significant.Results:There were statistically significant in the employment intention of General Medicine,average annual family income,only child,influence of General Medicine education,level of attention to General Medicine,encouragement during undergraduate study stage,relevant knowledge of General Medicine and rolevant awards in the field of General Medicine among students(P<0.05 to P<0.01).The results of multivariate logistic regression analysis showed that whether they had learned relevant knowledge of General Medicine,whether they had won relevant awards in the field of General Medicine,and whether they were the only child were the effective predictors of employment intention.Conclusions:Medical students′cognition of General Medicine is not high,and their employment intention is low.Whether they have learned relevant knowledge of General Medicine,whether they have won relevant awards in the field of General Medicine,and whether they are the only child are the main factors that affect the medical students′intention to work in General Medicine.