四川省定向免费医学生政策的实践与探索  

Practice and exploration of the tuition-free medical students' in rural areas of Sichuan province

作　　者：杨芊[1] 於梦菲 唐吉 梁闰 王磊 王照品 董恒进[1] YANG Qian;YU Meng-fei;TANG Ji;LIANG Run;WANG Lei;WANG Zhao-pin;DONG Heng-jin(Center for Health Policy Studies, Zhejiang University School of Medicine, Hangzhou Zhejiang 310058, China;West China School of Public Health, Sichuan University, Chengdu Sichuan 610000, China;West China School of Public Health, Sichuan University, Chengdu Sichuan 610000, China;Hangzhou Pinjia Hospital Management Consulting and Training Center, Hangzhou Zhejiang 311215, China)

机构地区：[1]浙江大学医学部卫生政策学研究中心,浙江杭州310058 [2]四川大学华西公共卫生学院,四川成都610000 [3]四川省卫生健康委员会,四川成都610000 [4]杭州品佳医院管理咨询培训中心,浙江杭州311215

出　　处：《中国卫生政策研究》2018年第12期62-67,共6页Chinese Journal of Health Policy

基　　金：国家自然科学基金项目(71603233)

摘　　要：目的:从卫生政策研究和改进政策的角度出发,总结四川省农村订单定向免费医学生政策在推行中遇到的实际问题,为优化农村订单定向免费医学生政策在四川省的实施提供参考。方法:采用半结构式访谈对四川省、县市级卫生行政部门和基层医疗机构的定向培养政策主要负责人进行个人访谈,并采用焦点小组访谈了解定向生的思想动态。结果:定向生了解政策的渠道有限,对基层医生工作的理解不深,诚信档案未能切实发挥留住人才的作用;定向生考研意愿较高,但报考研究生与留任基层之间存在矛盾;对定向生的培养过程管理缺乏合理高效的模式。结论:应更注重培养定向生的荣誉感和责任意识,改进培养项目中的奖惩机制,优化管理考核模式,在促进各个政策参与部门之间工作衔接更加和谐有序的同时,更好地将定向生引入基层,从而优化基层卫生人力资源建设。Objective: This paper summarizes the practical problems encountered in the implementation of the tuition-free medical students policyin rural areas of Sichuan Province, and provides a reference for the implementation of this policy across the province. Methods: Semi-structured interviews were conducted with the principals of the orientation management policies of the health administrative departments and county level and primary health care institutionsin Sichuan,and the focus group interviews were used to understand the dynamics of directed students. Results: The survey results showed that there were limited channels for students to understand the policy;students barren understanding of the work of grass-roots doctors;credit and integrity files played a relatively low role in retaining medical talent students;the willingness of orientation students is higher, but there is a contradiction between applying for graduate students and retaining grassroots in rural areas;and the relevant departments lacked a rational and efficient management mode for students. Conclusions: In order to ameliorate the construction of rural health human resources, policy administrators should place their emphasis on cultivating the sense of honor and responsibility in the rural-oriented tuition-free medical students policy, improve the reward and punishment mechanism in policies, optimize the management and assessment process, and promote the orientation of the work among the various policy-participating departments in a more harmonious and orderly manner.

关 键 词：定向免费医学生 农村地区 四川省 

分 类 号：R197[医药卫生—卫生事业管理]