我国农村订单定向医学生的违约风险及其治理

Default risk of order-oriented medical students in rural areas of China and its governance

定向医学生违约直接影响定向医学生免费培养的政策效能。文章基于不完全契约理论与理性经济人学说的双重分析发现,国家与定向医学生不同价值取向背后有限理性博弈、政策确定性承诺与不确定性过程拉扯中背离倾向加剧、定向医学生免费培养信息不对称性滋生机会主义行为、医学教育专用性投资与个体利益间失衡诱发套牢问题等多重因素会引发违约风险。规避定向医学生的违约风险,须承认定向医学生就业契约不完全性的客观存在,联动各方利益主体让渡利益空间,构建有效的治理策略。

The breach of contract of order-oriented medical students directly impacts the effectiveness of free training policy for oriented medical students.Based on the dual analysis of incomplete contracting theory and economic man theory,the study found that multiple factors,such as the game of limited rationality behind the different value orientations of the state and order-oriented medical students,the increasing tendency of deviation in the process of the tension between policy certainty commitment and uncertainty,the breeding of opportunistic behavior of information asymmetry of oriented medical students in free training,the imbalance between medical education investment and individual interests and other factors,lead to the risk of breach of contract.To avoid the risk of breach of contract for order-oriented medical students,we must recognize the objective existence of the incompleteness of the employment contract and associate all interested parties to concede the space of interests and construct effective governance strategies.