订单免费医学生填报影响因素的调查研究

目的:了解影响学生填报订单定向医学生免费培养的因素，探讨医学生基层服务意愿，为进一步合理优化免费医学生教育提供参考依据。方法:使用自制调查问卷，于2018年3月对山东省某医学院2017级临床医学专业免费医学本科生196名和同年入学的普通临床医学专业198名本科生进行调查。运用SAS 9.2对调查结果进行统计分析，主要运...

Investigation on the influencing factors of free education for rural order-oriented medical students

Objective To understand the influencing factors of free education for rural order-oriented medical students and to explore the willingness of students to serve at the grass-roots,so as to provide reference for further optimizing the free education of medical students.Methods A self-designed questionnaire survey was performed among 196 medical undergraduates majoring in free clinical medicine in one medical university of Shandong Province in March 2018 and 198 undergraduates majoring in general clinical medicine enrolled in the same year.The results of the survey were analyzed by SAS 9.2,and chi-square test,rank sum test and logistic regression were used to make statistic analysis.Results The factors such as score of the national university entrance exam(waldχ2=52.309,P<0.001),household registration location(waldχ2=9.304,P=0.002),whether the only child in the family(waldχ2=12.608,P<0.001),average monthly income of the family(waldχ2=5.557,P=0.018),decision makers(waldχ2=15.206,P=0.002)and willingness to serve at the grass-roots medical institutions(waldχ2=67.832,P<0.001)had influence on medical students'choice of free education for order directional medical students.There were 113(57.65%)of the free medical students intended to work at the grass-roots,while only 16(8.08%)of the general medical students who were willing to work at the grass-roots.Conclusion The implementation of free education for order-oriented medical students policy can satisfy the wishes of some people who have the willingness to serve at the grass-roots,but their family income and college entrance examination scores are not high.However,there are still some problems,which need the joint efforts of the government health departments and the training colleges and universities,and the corresponding follow-up support policies should be issued by the state at the same time.