Objective This study aims to investigate the willingness to perform and the actual performance of the order-o-riented 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 sam-pling method,an online questionnaire survey was conducted from July to September 2021 on 1 024 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 1 024 school order-o-riented 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 house-hold 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,confi-dence 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 will-ingness 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 grass-roots service for order-oriented medical students and selecting and sending students from their home countries will improve the current situation of compliance.
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