摘要
目的了解订单定向医学生服务基层的意愿及影响因素,为有效实施定向生培养项目提供参考依据。方法通过分层整群抽样,对成都医学院2012至2014年级的订单定向医学生进行问卷调查,运用2检验、二分类多水平Logistic回归模型分析影响因素。结果不考虑协议约束,毕业后自愿回农村工作的定向生比例为54.5%,66.7%的定向生基层服务满6年的可能性评分在6分及以下;65.6%的定向生认为其毕业后基层服务年限少于5年;影响其服务基层意愿的主要因素为年级和履约意愿程度。结论定向生回基层服务的意念不坚定,自愿服务基层的意识不强,就业期望高。随着年级升高,履约意愿程度越强,基层服务意愿率越高。应加强定向生的思想素质教育,培养社会责任感和使命感,完善定向生工作后的配套激励政策,使其安心服务基层,促进基层医疗卫生服务水平提高。
Objective To investigate the grassroots service willingness of order-oriented medical students and the relevant influence factors and provide references to implement the cultivation project of order-oriented medical students.Methods The stratified cluster sampling was adopted to make a questionnaire in the order-oriented medical students of Grade 2012,2013 and 2014 in Chengdu Medical College.Chi-square test and logistic regression were used to analyze the relevant influence factors.Results Without regard to the restriction of the treaty,54.5%of the sampled students were willing to work in the countryside;66.7% of them got the scores of 6 points and below in the probability score of working for 6 years in the grassroots unit;65.6% of them were willing to work in the grassroots unit for less than 5 years.The main influence factors included the grade and the willingness of obeying the treaty.Conclusion The grassroots service willingness and awareness of order-oriented medical students are not firm and strong,but their employment expectation is high.The students of higher grades are more willing to obey the treaty and work in the grassroots unit.The ideological quality-oriented education should be enhanced for the order-oriented medical students to cultivate their sense of social responsibility and mission.The incentive policies should be improved when the students work in the grassroots unit so that they can focus on their grassroots service in peace and contribute to the quality improvement of the grassroots health service.
出处
《成都医学院学报》
CAS
2017年第1期104-107,112,共5页
Journal of Chengdu Medical College
基金
四川省高等教育人才培养质量和教学改革项目
四川省教育厅项目(No:14SB0141)
关键词
订单定向医学生
基层服务
影响因素
Order-oriented medical students
Grassroots service
Influence factor