医学本科毕业生基层就业意愿调查及学习和心理相关影响因素分析  

Survey on the employment intention in primary healthcare unit of medical undergraduates and analysis of corresponding learning and psychological influencing factors

作　　者：郑健[1] 刘啸白[1] 喻博[1] 刘云会[1] Zheng Jian;Liu Xiaobai;Yu Bo;Liu Yunhui(The first neurosurgery department,Shengjing Hospital,China Medical University,Shenyang 110122,China)

机构地区：[1]中国医科大学附属盛京医院第一神经外科,沈阳110122

出　　处：《中华医学教育探索杂志》2021年第9期1043-1046,共4页Chinese Journal of Medical Education Research

基　　金：辽宁省自然科学基金指导计划(20180550272);中国医科大学附属盛京医院院内项目(MF42)。

摘　　要：目的了解医学本科毕业生的学习及心理状态与基层就业意愿的相关关系。方法 2017年通过横断面调查法对某医科大学毕业年级临床医学生821人进行基层就业意愿、学习及心理状态以及就业计划调查。学习及心理状态调查使用自设问卷。使用SPSS 21.0对数据进行分析,采用独立样本t检验、方差分析和多重线性回归分析检验医学生基层就业意愿的相关影响因素。结果本研究发放问卷810份,753份问卷纳入分析。医学生基层就业意愿为(4.61±2.24)分(最高分为10分)。实验班学生的基层就业意愿更低(高考入学成绩更高的学生分组)(P<0.05),学习压力更大的学生以及医患矛盾压力更大的学生更加不愿意前往基层就业(P<0.05)。就业计划方面,重视专业对口的毕业生更愿意前往基层医疗单位,而重视薪酬的毕业生较少愿意前往基层医疗单位(P<0.05)。结论提高前往基层医疗单位的激励政策、积极对医学生进行心理压力疏导和增加医患沟通培养,对提高医学生基层就业意愿有积极的影响。Objective To investigate the relationship between medical students'employment intention in primary healthcare unit and their learning and psychological state through a questionnaire survey among clinical undergraduates.Methods A cross-sectional survey was conducted among 821 graduates of a Medical University in 2017 to investigate their employment intention,learning and psychological status and employment plan.The learning and psychological status was evaluated by a self-designed questionnaire.Independent-sample t test,variance analysis and multiple linear regression analysis were used to examine the relevant factors affecting medical students'employment intention in primary healthcare by SPSS 21.0 version.Results A total of 810 questionnaires were distributed and 753 questionnaires were included in the analysis.The employment intention of working in primary healthcare units of medical students was(4.61±2.24).Students in the advanced class had lower willingness to work in primary healthcare unit(the group of students with higher entrance examination scores)(P<0.05),and students with higher learning pressure and greater pressure of doctor-patient relationship were more reluctant to work in primary healthcare units(P<0.05).In terms of the employment plan,students who focus on their professional counterparts are more willing to work in primary healthcare unit,while those who pay more attention to salary are less willing to work in primary healthcare unit(P<0.05).Conclusion Improving the incentive policies for working in primary healthcare unit,actively relieving psychological pressure of medical students,and increasing the training of doctor-patient communication can have a positive effect on improving the willingness of medical students to have an employment intention in primary healthcare unit.

关 键 词：医学生 就业意愿 基层就业 学习压力 心理因素 

分 类 号：R1[医药卫生—公共卫生与预防医学]