内科住院医师对老年医学的执业意愿及影响因素研究  

Analysis on influence factors of internal medicine residents'willingness to practice geriatrics

作　　者：来璇[1] 刘慧琳[1] 王冠[2] 沈宁[3] Lai Xuan;Liu Huilin;Wang Guan;Shen Ning(Department of Geriatrics,Peking University Third Hospital,Beijing 100191,China;Education Division of Peking University Third Hospital,Beijing 100191,China;Department of Respiratory and Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院老年内科,北京100191 [2]北京大学第三医院教育处,北京100191 [3]北京大学第三医院呼吸与危重症医学科,北京100191

出　　处：《中华医学教育杂志》2023年第2期140-144,共5页Chinese Journal of Medical Education

基　　金：2021年北京市住院医师规范化培训质量提高项目(住培2021001)。

摘　　要：目的:探讨内科住院医师对老年医学的执业意愿及其可能的影响因素。方法:选取北京大学3所附属医院的106名内科住院医师为研究对象。采用问卷调查法收集其对未来从事老年医学的意愿、对老年人态度(中文版加州大学洛杉矶分校的老年人态度量表,University of California at Los Angeles Geriatrics Attitudes Scale,UCLA-GAS)。采用多因素logistic回归分析可能影响执业意愿的因素。结果:106名内科住院医师中,55名(51.9%)内科住院医师选择未来从事老年医学。选择未来从事老年医学的住院医师UCLA-GAS评分为50.0(46.0,54.0)分,高于不选择从事老年医学的住院医师[46.0(43.0,50.0)]分,其差异具有统计学意义(Z=-3.72,P<0.001)。年龄越大(OR=1.536,95%CI=1.203~1.963,P=0.001)、UCLA-GAS评分越高(OR=1.143,95%CI=1.028~1.271,P=0.013)是住院医师选择从事老年医学的积极因素,对老年医学执业前景不乐观(OR=0.058,95%CI=0.011~0.317,P=0.001)则是消极因素。结论:内科住院医师对老年医学的执业意愿尚可。年龄、对老年人的态度以及对老年医学执业前景不乐观的认知,将影响其从事老年医学的意愿。Objective To explore the willingness of internal medicine residents to practice geriatrics and the possible influencing factors.Methods A cross-sectional questionnaire survey was conducted among the internal medicine residents in three affiliated hospitals of Peking University.The general information,willingness to engage in geriatrics in the future and attitude towards the elderly(UCAL-GAS scale)were collected.Multivariate logistic regression analysis was used to screen out the factors that may affect the willingness to practice.Results A total of 106 residents completed the questionnaire,of which 55(51.9%)chose to engage in geriatrics in the future.The UCLA-GAS score of residents who chose to engage in geriatrics in the future was 50.0(46.0,54.0),higher than those of residents who did not choose to engage in geriatrics[46.0(43.0,50.0)],with a statistically significant difference(Z=-3.72,P=0.001).Higher age(OR=1.536,95%CI=1.203-1.963,P=0.001),higher UCLA-GAS score(OR=1.143,95%CI=1.028-1.271,P=0.013)were the positive factors for residents to engage in geriatrics,while the negative factor was being pessimistic about the prospect of geriatrics(OR=0.058,95%CI=0.011-0.317,P=0.001).Conclusions Internal medicine residents in general have a high willingness to practice geriatrics.Age,attitude towards the elderly and pessimism about the prospect of geriatrics will affect the willingness of internal medicine residents to engage in geriatrics.

关 键 词：内科老年医学 住院医师 执业意愿 影响因素 

分 类 号：R-05[医药卫生]