首届订单定向医学毕业生就业现状研究  

Study on the current employment situation of targeted admission medical graduates in rural areas

作　　者：张超[1,2] 陈楚康[1,2] 张众[1,2] 王炜昱 胡丹[2] 黄明玉[3] 燕碧波[4] 于佳[5] 田娟[6] 刘晓云[2] ZHANG Chao CHEN Chu-kang ZHANG Zhong WANG Wei-yu HU Dan HUANG Ming-yu YAN Bi-bo YU Jias TIAN Juan LIU Xiao-yun(School of Public Health, Peking University, Beijing 100191, China China Center for Health Development Studies, Peking University, Beijing 100191, China Medical College of Qinghai University, Xining Qinghai 810016, China Jiujiang University, Jiujiang Jiangxi 332000, China Guangxi Medical University, Nanning Guangxi 530021, China Rural （Community） Medical Education Research Center of Gannan Medical University, Ganzhou Jiangxi 341000, China)

机构地区：[1]北京大学公共卫生学院,北京100191 [2]北京大学中国卫生发展研究中心,北京100191 [3]青海大学医学院,青海西宁810016 [4]九江学院,江西九江332000 [5]广西医科大学,广西南宁530021 [6]赣南医学院农村(社区)医学教育研究中心,江西赣州341000

出　　处：《中国卫生政策研究》2017年第5期27-33,共7页Chinese Journal of Health Policy

基　　金：美国中华医学基金会项目(CMB 14-201)

摘　　要：目的:描述分析首届订单定向医学毕业生的就业现状,评价订单定向医学生培养项目实施效果,发现存在的问题并提供相关的政策建议。方法:对中西部4所医学院校的2015届305名订单定向医学毕业生和315名临床五年制医学毕业生进行随访调查。分析其履行合约、参加工作及住院医师规范化培训情况。结果:订单定向毕业生合约履行率99.3%。订单定向毕业生和临床五年制毕业生到乡镇卫生院工作的比例分别为90.7%、2.8%,月平均收入分别为2 011元、2 774元,参加住院医师规范化培训的比例分别是77.8%、43.3%。结论:4所医学院校首届订单定向医学毕业生履行合约及参加住院医师规范化培训情况良好,但工作编制和待遇落实较为滞后,订单定向和住院医师规范化培训之间的关系尚未明确。建议在订单定向医学生毕业前,医学院校尽早与地方卫生行政部门和人力资源与社会保障部门协调联系,及早落实医学生的就业工作。同时,在充分协商的基础上,尽快明确订单定向医学生参加住院医师规范化培训的程序和要求。Objective ： In order cal graduates, evaluate the effects of to describe the employment status of the first group of targeted admission meditargeted admission medical education program, find out the existing problems and provide relevant policy recommendations. Methods： This study conducted follow-up survey among 305 medical graduates and 315 clinical medical graduates in four medical colleges of the central and western regions. Data analyses of the contract fulfillment, their employment status, and their participation in the standardized residency training are carried out. Results： The contract fulfillment rate of rural-oriented medical graduates is 99.3%, while the per-centages of ruraloriented medical graduates and clinical medical graduates are 90.7% and 2.8%, respectively.Their average monthly incomes are respectively 2,011 and 2,774 yuan, and their proportions of participating in standardized residency training are 77.8% and 43.3% respectively. From the findings it can be seen that the employment situation of the first group of targeted admission medical graduates in four medical colleges and universities is quite good, but the policy implementation process in terms of permanent post and income is less Satisfactory,＇ However, the way how medical graduates should participate in the standardized residency training is not yet clearly regula ted. This paper recommends that medical colleges and universities should well coordinate with local health adminis- trative departments and human resources and social security departments to systematically deploy medical graduates. At the same time, full consultations should be conducted to make appropriate arrangement for medical graduates to participate in standardized residency training.

关 键 词：订单定向 合约履行 月收入 住院医师规范化培训 

分 类 号：R197[医药卫生—卫生事业管理]