云南省订单定向培养医学专科生基层就业意愿及其影响因素
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摘要
目的:了解订单定向培养医学专科生基层就业意愿及影响因素,为基层医疗机构吸引和留住医学人才提供参考。方法:采用分层整群抽样方法,对云南省3所高等专科院校订单定向培养医学专科生进行自编问卷调查。结果:56.65%的调查对象愿意到基层就业,男性、≥22岁、独生子女、户籍所在地与就职地在同一州市、假期曾参加过签约单位相关工作者基层就业意愿较高。对培养模式的评价好、了解培养政策者更愿意基层就业(P<0.05)。报考原因为"为家乡人民服务、对全科医学感兴趣"和认可培养模式影响其基层就业意愿。结论:订单定向培养医学专科生基层就业意愿总体不高,政策知晓率偏低,应进一步加强订单定向培养医学专科生思想教育,积极引导,加大政策解读和宣传力度,完善保障和激励机制,使基层能够吸引和留住医学人才。
Objective: To understand employment intentions to the grassroots and influencing factors of demand-oriented medical college students in Yunnan Province, so as to provide reference for grassroots medical institutions to attract and retain medical talents. Methods:A stratified cluster sampling method was used to select demand-oriented medical students from 3 higher colleges in Yunnan Province and a self-designed questionnaire survey was conducted. Results:56.65% of the respondents were willing to go to the grassroots for employment. The male, the over 22-year-old, the only child, the place of residence and the place of employment in the same city, and the respondents participating in the related work of the contracted parties during the holidays had higher willingness to work at the grassroots. Those who had good evaluation of the training mode and knew the training policy were more willing to work at the grassroots(P<0.05). The reasons for the application were "serving the people in the hometown, interested in general medicine" and acknowledging that the training mode affected their employment willingness at grassroots. Conclusion:The grassroots employment willingness of demand-oriented medical college students was not high, and the awareness rate of training policy was also low. We should further strengthen the ideological quality education of demand-oriented medical students, guide grassroots employment actively, increase policy interpretation and publicity, improve protection and incentive mechanisms, and attract and retain more medical talents at the grassroots level.
Objective: To understand employment intentions to the grassroots and influencing factors of demand-oriented medical college students in Yunnan Province, so as to provide reference for grassroots medical institutions to attract and retain medical talents. Methods:A stratified cluster sampling method was used to select demand-oriented medical students from 3 higher colleges in Yunnan Province and a self-designed questionnaire survey was conducted. Results:56.65% of the respondents were willing to go to the grassroots for employment. The male, the over 22-year-old, the only child, the place of residence and the place of employment in the same city, and the respondents participating in the related work of the contracted parties during the holidays had higher willingness to work at the grassroots. Those who had good evaluation of the training mode and knew the training policy were more willing to work at the grassroots(P<0.05). The reasons for the application were "serving the people in the hometown, interested in general medicine" and acknowledging that the training mode affected their employment willingness at grassroots. Conclusion:The grassroots employment willingness of demand-oriented medical college students was not high, and the awareness rate of training policy was also low. We should further strengthen the ideological quality education of demand-oriented medical students, guide grassroots employment actively, increase policy interpretation and publicity, improve protection and incentive mechanisms, and attract and retain more medical talents at the grassroots level.
引文
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[11]施利群,贾红英,吴燕萍,等.浙江省农村订单定向培养医学生履约意向分析[J].中国卫生事业管理,2017,34(3):227-230.
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[13]胡凤娟,康艺龄,曾祚萍,等.“十三五”新医改对地方医学院校医学生就业观的影响及对策分析[J].现代医药卫生,2018,34(19):3095-3099.
[14]蔡瑜,弥曼,李亚军,等.农村订单定向免费本科医学教育人才培养模式的实践与探讨[J].中华全科医学,2018,16(10):1734-1736.
[15]郑燕,李雨璘,张梅,等.以岗位胜任力为导向的农村定向免费医学生教学质量评价研究与探讨——以妇产科学为例[J].中国卫生事业管理,2018,35(4):293-295.
[16]王碧艳,吴琪俊.我国农村订单定向医学生免费培养计划的政策分析[J].中国卫生政策研究,2017,10(5):34-38.
[2]郑亚楠,胡雯,龚茜.免费医学生职业认同影响因素及对策思考[J].基层医学论坛,2018,22(1):118-119.
[3]周晓峰,陈莉,汪俊华,等.贵州省农村订单定向全科医学生基层就业意向的研究[J].中国卫生事业管理,2018,35(1):56-59.
[4]胡丹,陈楚康,张超,等.我国农村订单定向免费医学生培养成效及存在问题[J].中国卫生政策研究,2018,11(9):28-33.
[5]王碧艳,吴琪俊.我国农村订单定向医学生免费培养计划的政策分析[J].中国卫生政策研究,2017,10(5):34-38.
[6]杨佳,吕兆丰,王晓燕,等.新医改政策实施前后我国乡镇卫生院卫生人才队伍建设比较研究[J].中国全科医学,2014,17(16):1875-1879.
[7]吴妮娜,吕兆丰,王晓燕,等.乡镇卫生机构人员稳定性分析[J].中国全科医学,2015,18(13):1498-1503.
[8]李强.影响农村订单定向医学生服务基层因素研究及对策分析[J].中国卫生事业管理,2013,30(12):937-939.
[9]谢君君,谢协驹,王胜.海南省某医学院农村基层卓越医生“3+2”培养模式的构建与实践[J].医学与社会,2018,31(6):79-82.
[10]王军,刘俊峰,张天韧,等.创业型基层全科医生人才培养研究探索[J].全科医学临床与教育,2019,17(1):1-3.
[11]施利群,贾红英,吴燕萍,等.浙江省农村订单定向培养医学生履约意向分析[J].中国卫生事业管理,2017,34(3):227-230.
[12]王黔艳,闵锐,苏敏,等.英美国家全科医生运行模式及对我国的启示[J].公共卫生与预防医学,2018,29(4):83-86.
[13]胡凤娟,康艺龄,曾祚萍,等.“十三五”新医改对地方医学院校医学生就业观的影响及对策分析[J].现代医药卫生,2018,34(19):3095-3099.
[14]蔡瑜,弥曼,李亚军,等.农村订单定向免费本科医学教育人才培养模式的实践与探讨[J].中华全科医学,2018,16(10):1734-1736.
[15]郑燕,李雨璘,张梅,等.以岗位胜任力为导向的农村定向免费医学生教学质量评价研究与探讨——以妇产科学为例[J].中国卫生事业管理,2018,35(4):293-295.
[16]王碧艳,吴琪俊.我国农村订单定向医学生免费培养计划的政策分析[J].中国卫生政策研究,2017,10(5):34-38.