医学生基层就业意向及影响因素分析.pdf

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1、ChineseJournalofHealthPolicy，August2014，Vo1．7No．8·基层卫生·医学生基层就业意向及影响因素分析黄仙红林禄静王小合连福治张萌汪胜杭州师范大学医学院浙江杭州310036【摘要】目的：了解医学生基层就业意向，分析其影响因素，为解决当前医学生就业难与基层人才短缺的结构性矛盾提供参考与建议。方法：采用自行设计的问卷调查表，对杭州师范大学、浙江医学高等专科学校的482名医学生进行调查，通过卡方检验与二分类Logistic多元回归分析医学生基层就业意向的主要影响因素。结果：44．4％的医学生不愿意去基层就业，仅有8．5％表示非常愿意去基层就业。多因素分析结果显

2、示：女医学生的基层就业意向是男生2．5倍(P<0．001)；农村户口医学生的基层就业意向是城市户口医学生的2．1倍(P=0．007)；医学生的基层就业意向与政府政策和学校的基层就业指导的效果呈正相关。结论：制定积极的政策、做好宣传与引导工作、探索合理的用人机制、加强学校就业指导和深化教育教学改革是引导医学毕业生面向基层就业的重要措施。【关键词】医学生；基层就业；意向；影响因素中图分类号：R197文献标识码：Adoi：10．3969／j．issn．1674-2982．2014．08．010Themedicalundergraduates’employmentintentionsanddeterm

3、inantsonprimaryhealthcareinstitutionsHUANGXian—hong，LINLu4ing，WANGXiao—，LIANFu—zhi，ZHANGMeng，WANGShengMedicalCollege，HangzhouNormalUniversity，HangzhouZhejiang310036，China【Abstract】Objective：Thepaperanalyzesthemedicalundergraduates’employmentintentionsanddeterminantstoprovidereferenceforsolvingthestr

4、ucturalcontradictionsbetweenthecurrentdificultiesofmedicalundergraduates’employmentandashortageofmedicaltalentingrassrootsareas．Methods：482medicalundergraduatesweresurveyedbyaself-designedquestionnairefromHangzhouNormalUniversityandZhejiangMedicalCollege．Thedeterminantsofmedicalundergraduates’employ

5、mentintentionswereanalyzedbyachi—squaretestandbinarylogisticregressionmethod．Results：44．4％ofmedicalundergraduateswereunwillingtoworkingrassrootsareas，whileonly8．5％medicalundergraduatessaidthattheywereverywillingtoworkinprimaryhealthcareinstitutions．Amultivariateanalysisindicatedthattheemploymentinte

6、ntionsoffemalemedicalundergraduatesare2．5timeshigherthanmaleundergraduates(P<0．001)．Thegrassrootsemploymentintentionsofmedicalundergraduatesinruralareasare2．1timeshigherthanthoseofurbanundergraduates(P=0．007)．Theeffectsofgovernmentpoliciesandschoolgrassro—otsemploymentguidancepracticeswerepositively

7、correlatedtomedicalundergraduategrassrootsemploymentinten—tions．Conclusion：TheDevelopmentofpositivepolicies，soundadvocacyandguidance，explorationofreasonableemploymentmechanisms，strengtheningofschoolem