安徽省农村订单定向免费医学生培养现状分析  

Analysis of current situation of rural order orientation free medical students in Anhui Province

作　　者：张飞 刘志强 许威 钱淑文 李娅利 黄超 夏海龙[3] ZHANG Fei;LIU Zhi-qiang;XU Wei;QIAN Shu-wen;LI Ya-li;HUANG Chao;XIA Hai-long(Chaohu Clinical Medical College of Anhui Medical University,Hefei,Anhui 230000,China;不详)

机构地区：[1]安徽医科大学巢湖临床医学院,安徽合肥230000 [2]安徽医科大学附属巢湖医院介入科,安徽合肥230000 [3]安徽医科大学附属巢湖医院血液内科

出　　处：《中华全科医学》2022年第10期1781-1785,共5页Chinese Journal of General Practice

基　　金：安徽省大学生创新创业训练项目(20810366025)。

摘　　要：目的掌握安徽省免费医学生的培养现状,为安徽省免费医学生的发展提出针对性、可行性的对策和建议。方法选择安徽省六所免费医学生培养高校2015—2019级在读学生967人,采用腾讯问卷平台收集网络问卷的方法,对免费医学生的基本情况、就读现状、履约意愿、未来打算等情况进行收集与统计学分析。结果问卷调查结果显示,有意履行协议到基层工作的有874人(90.4%)。服务期满后报考全科医学研究生或参加专升本考试的免费医学生人数最多(46.5%,450/967),8.1%的免费医学生选择服务期满后继续留在基层工作(78/967)。Logistic回归分析显示,专业、对所学专业感兴趣程度、每月生活花费、对学校的专业认同教育满意度是免费医学生履约意愿的影响因素(均P<0.05)。结论安徽省免费医学生履约意愿较低,且服务期满后大部分同学选择考研或跳槽到其他医院。许多同学是在对政策不了解的情况下盲目报考的,建议通过把握入口、重视培养、提高待遇、基层建设等4个方面完善保障、激励、管理政策,促进免费医学生履约意愿和培养质量的提升。Objective To grasp the status of the training of free medical students in Anhui Province,proposes targeted and feasible countermeasures and suggestions for the development of free medical students in Anhui Province.Methods Tencent questionnaire was used in investigating 967 free medical students enrolled in six medical universities from 2015 to 2019 in Anhui Province.Basic information,current study status,willingness to perform and employment plans of free medical students were analysed.Results Among the respondents,874 free medical students intend to perform the agreement(90.4%).Approximately 46.5%(450/967)of the students choose to apply for general medical post-graduate or take the entrance examination for college to a university after the service period expires,and 8.1%of students choose to stay at the grassroots level(78/967).Binary logistic regression analysis showed that the willingness of free medical students to fulfill their contract was related to their majors,interest in the profession,monthly living expenses and the degree of satisfaction with the school's professional identity education(all P<0.05).Conclusion Anhui Province's free medical students have a low willingness to perform contracts,and most students expect to take the post-graduate examination or work in other hospitals after the service period expires.Some students apply for this major without understanding about the policy.This finding suggests that government can improve guarantees,incentives and management policies by focusing on increasing training quality,improving treatment and grassroot construction to increase free medical students'willingness to perform.

关 键 词：农村订单定向免费医学生 现状分析 改进 

分 类 号：R-05[医药卫生]