临床本科医学生下沉基层就业的激励偏好:一项离散选择实验  

Motivation Preferences on Sinking into Primary Units for Clinical Undergraduate Medical Students:A Discrete Choice Experiment

作　　者：张家睿 王莉[2] 时宇 张敏 尹红艳 朱丽燕 张淑娥[3] 肖鹏 宋海南 孙涛 ZHANG Jia-rui;WANG Li;SHI Yu;ZHANG Min;YIN Hong-yan;ZHU Li-yan;ZHANG Shu-e;XIAO Peng;SONG Hain-an;SUN Tao(Shenzhen Second People’s Hospital,Shenzhen,Guangdong,518035,China;不详)

机构地区：[1]深圳市第二人民医院/深圳大学第一附属医院,广东深圳518035 [2]佳木斯大学附属第一医院,黑龙江佳木斯154002 [3]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150086 [4]牡丹江医学院第一临床医学院,黑龙江牡丹江102206 [5]杭州师范大学医学部卫生管理与政策系,浙江杭州311121

出　　处：《中国初级卫生保健》2021年第7期18-21,共4页Chinese Primary Health Care

基　　金：黑龙江省普通高等学校青年创新人才基金(NUPYSCT-2018061);中国博士后科学基金第63批面上资助项目(2018M631969);黑龙江省卫生计生委科研课题(2017-164);国家自然科学基金项目(71774045;71974050);杭州师范大学科研启动经费项目(2019QDL038)。

摘　　要：目的:了解临床本科医学生下沉基层就业的选择偏好,以更好地促进和激发优质卫生人力资源下沉。方法:采取整群分层随机抽样法,选取黑龙江省两所医学类高校共350名临床专业大四本科学生参与此次离散选择实验问卷调查,运用条件logistic回归法进行数据处理与分析。结果:3个档位的月收入(OR值分别为2.748,4.834和7.319)、工作强度低(OR=1.610)、较好的工作环境(OR=1.324)、职称晋升年限短(OR=1.289)、医疗机构在城市(OR=1.241)和有事业编制(OR=1.219)均对临床本科医学生到非三级城乡基层医疗机构执业产生影响(P<0.05)。结论:月收入在所有因素中激励作用最大;非经济因素中,最重要的特征要素为工作强度;临床医学生愿意多支付1484.05元以换取相对轻松的工作。OBJECTIVE To understand the choice preference on job selection among clinical undergraduate medical students for promoting high qualified health human resources to work in the grass-roots.METHODS A discrete choice experiment questionnaire survey was performed in 350 senior clinical undergraduates from two medical universities in Heilongjiang Province by stratified clus⁃ter random sampling method.Data Processing and Analysis were used by the conditional logistic regression method.RESULTS The significant influence of the willing of attracting and retaining clinical undergraduate medical students to practice in non-tertiary med⁃ical institutions was monthly income with three levels(OR=2.748,4.834,7.319),lower work stress(OR=1.610),better working en⁃vironment(OR=1.324),short professional title promotion years(OR=1.289),medical institution(OR=1.241)and career establish⁃ment(OR=1.219).CONCLUSION The level of monthly income was the most important influencing factor.The most important factor was work intensity among the non-economic factors.Clinical undergraduate medical students were willing to pay 1484.05 yuan in exchange for a relatively easy job.Non-economic factors such as work intensity,working environment and professional title promo⁃tion years also played a key role.

关 键 词：医学生 下沉基层 激励 离散选择实验 

分 类 号：R197[医药卫生—卫生事业管理]