山西省订单定向医学生履约意愿与履约到岗现状分析  

Analysis of the current situation of performance willingness and performance arrival of order-directed medical students in Shanxi Province

作　　者：刘浩 王雪洋 晏莹莹 段朝霞 LIU Hao;WANG Xueyang;YAN Yingying;DUAN Zhaoxia(School of Management,Shanxi Medical University,Taiyuan,Shanxi 030000,China;不详)

机构地区：[1]山西医科大学管理学院,山西太原030000 [2]山西省卫生健康委员会医政医管局,山西太原030013

出　　处：《中华全科医学》2024年第12期2134-2138,共5页Chinese Journal of General Practice

基　　金：山西省软科学研究重点项目(2018042018)。

摘　　要：目的调查订单定向医学生履约意愿与实际履约到岗现状,分析可能影响其履约意愿的因素,以提高订单定向医学生的履约意愿与履约到岗率,最终提升基层全科医生的培养质量和使用成效。方法采取整群抽样方法,于2021年7—9月对山西省1024名在校订单定向医学生与45家卫生健康管理部门采用问卷星进行线上问卷调查,所得数据使用SPSS 26.0统计学软件进行统计分析。结果1024名在校订单定向医学生中,930人(90.8%)愿意前往签约地履约,94人(9.2%)不愿意前往签约地履约。不同性别、生源地、户籍与履约地是否同一地市、履约地级别在校订单定向医学生的履约意愿差异均无统计学意义(P>0.05),不同年级、对政策了解程度、对全科医学的信心以及对未来工作了解程度学生的履约意愿差异均有统计学意义(P<0.05)。45家卫生健康管理部门中,35家(77.8%)履约率>75%,8家(17.8%)履约率在50%~75%,2家(4.4%)履约率在25%~49%,无履约率<25%的部门。结论在校订单定向医学生整体履约意愿与实际履约率仍有待提高,积极进行政策宣教、加强学校全科教育有利于提高订单定向医学生履约意愿;可适当延长订单定向医学生基层服务年限、选派原籍生源以改善履约现状。Objective This study aims to investigate the willingness to perform and the actual performance of the order-oriented medical students,analyze the influencing factors that may affect their willingness to perform,so as to improve the willingness to perform and the performance rate of the order-oriented medical students,and ultimately improve the quality of training and the effectiveness of the use of primary general practitioners.Methods Adopting the whole cluster sampling method,an online questionnaire survey was conducted from July to September 2021 on 1024 current order-oriented medical students in Shanxi Province with 45 health and health management departments using Questionnaire Star,and the obtained data were statistically analyzed using SPSS 26.0 statistical software.Results Among the 1024 school order-oriented medical students,930(90.8%)were willing to travel to the contracted place for fulfillment,and 94(9.2%)were not willing to travel to the contracted place for fulfillment.There was no statistical significance in the willingness of school-based order-oriented medical students to fulfill the contract in terms of gender,place of origin,whether the household registration and the place of fulfillment were in the same city or state,and the level of the place of fulfillment(P>0.05).The differences were statistically significant(P<0.05)in terms of grade level,knowledge of policies,confidence in general medicine,and knowledge of future work.Of the 45 health and health management departments,35(77.8%)had a compliance rate greater than 75%,8(17.8%)had a compliance rate between 50%-75%,2(4.4%)had a compliance rate between 25%-49%,and none had a compliance rate below 25%.Conclusion The overall willingness of order-oriented medical students to fulfill the contract and the actual fulfillment rate still needs to be improved.Active policy propaganda and strengthening school general education are conducive to increasing the willingness of order-oriented medical students to comply;appropriately extending the years of gra

关 键 词：订单定向 医学生 留任意愿 全科医学 医学教育 影响因素 

分 类 号：R499[医药卫生—康复医学] R192.3[医药卫生—临床医学]