四川省首届定向医学生政策实施效果及影响因素分析  

Analysis on the Policy Implementation Effect of the First Rural-oriented Tuition-waived Medical Students in Sichuan Province and Its Influence Factors

作　　者：杨丽[1] 张鹤[2] 李美娟[3] 木尔扯尔[4] 

机构地区：[1]川北医学院医学影像学院,四川南充637000 [2]川北医学院招生与就业处,四川南充637000 [3]川北医学院临床医学系,四川南充637000 [4]川北医学院法医学系,四川南充637000

出　　处：《医学与哲学（A）》2017年第4期70-72,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2014年四川医事卫生法治研究中心青年项目(YF14-Q23)

摘　　要：了解首届定向医学生政策实施效果及影响因素,培养更多基层医疗卫生人才,通过自编问卷对四川省166名2015届定向医学毕业生进行调查。毕业时现实履约率为83.1%,而愿意履约率为68.1%,愿意到基层医疗卫生单位工作的占50.6%,服务期满后仍愿留在基层医疗卫生单位的仅占13.3%,通过二元Logistic回归分析得出,学生家庭经济情况越困难、政策了解程度越好、回生源地工作意愿越强,对政策现实意义认同度越高越愿意履约。因此,政府应从提高基层医疗卫生工作者收入和待遇,完善保障、激励、管理政策,加强政策宣传力度等方面增强定向医学毕业生的基层服务意愿。An investigation was conducted among the first rural-oriented tuition-waived medical students of Siehuan province in year 2015, aiming at studying the implementation effect and factors of rural-oriented tuition-waived medical students policy. There 166 effective samples were surveyed. The results showed that 83.1% of graduates were performed the employment agreement signed with government, although the actual rate of willingness was just 68. 1%; 50. 6M of graduates were willing to work at the community hospital, but fust only 13.3% were willing to keep working at the community hospital after the employment agreement expired. Logistic regression analysis results also showed these students, who came from a poor family, or who knew more about job-oriented policy, or who would go back to their hometowns and work there, had a better willingness to perform the employment agreement. The study suggested that the government need to improve management policy and take more supporting measures, especially on increasing the income of community hospital doctor, which will enhance their willingness to work at community hospital.

关 键 词：定向医学生 政策效果 履约意愿 

分 类 号：R-05[医药卫生]