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我国农村订单定向医学生履约意愿及影响因素研究

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农村订单定向医学生免费培养项目(简称订单定向项目)是国家为加强农村基层卫生人才培养而实施的重要项目。我国基层医疗卫生人才总量不足、质量不高问题较为突出,实施好订单定向项目至关重要。农村订单定向医学生(简称定向医学生)履约意愿的提高是保证订单定向项目持续开展的关键。研究针对我国定向医学生履约意愿现状及影响因素研究进行综述。分析结果提示,国内针对定向医学生履约意愿开展了较多研究,不同地区定向医学生履约意愿存在明显差异,同一地区开展的不同研究结果差异也较大,国内学者主要从社会人口学因素和认知因素两个方面对定向医学生履约意愿的影响因素进行了探讨。后续应开展全国统一性调查,加强院校培养模式和政策因素与履约意愿的相关性探讨,并开展更多履约激励策略的研究,以达到提高定向医学生履约意愿的目的。
The Willingness of Order-oriented Medical Students to Fulfill the Contract and Its Influencing Factors in China
The rural-oriented tuition-waived medical education program(abbreviated as the order-oriented pro-gram)is a major national project to strengthen the training of rural primary healthcare professionals.The insufficient total number and low quality of primary healthcare professionals in China are quite severe,and the implementation of the order-orientated program is important.The improvement of the willingness of rural-oriented tuition-waived medi-cal students(abbreviated as oriented medical students)to fulfill the contract is critical to ensure the long-term sus-tainability of the order-oriented program.This study presented a review on the study of the current situation and in-fluencing factors of the willingness of oriented medical students to fulfill the contract in China.The results of the re-view suggested that a large number of studies have been conducted in China on the willingness of oriented medical students to fulfill the contract.There were significant differences in different regions,and the results of different studies conducted in the same region also varied greatly.In addition,Chinese scholars have mainly explored the influencing factors of the willingness to fulfill the contract among oriented medical students from two aspects:socio-demographic factors and cognitive factors.Subsequently,a nationwide uniform survey should be conducted,the corre-lation between the willingness to fulfill the contract and institutional training models and policy factors should be en-hanced,and more research on incentive strategies for the willingness to fulfill the contract should be conducted,to achieve the goal of improving the willingness of oriented medical students to fulfill the contract.

Order-oriented cultureOriented medical studentsWillingness to fulfill the contractPrimary health serviceInfluencing factors

孟媛、叶凤、王菁、殷晓旭

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华中科技大学同济医学院公共卫生学院,湖北 武汉,430030

订单定向培养 定向医学生 履约意愿 基层卫生服务 影响因素

国家自然科学基金项目湖北省卫生健康委重点支撑项目

72074092WJ2021Z003

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(1)
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