临床医学本科生选择社区卫生服务机构就业意愿的调查分析

目的旨在了解临床医学本科毕业生对毕业后到社区卫生服务机构就业的意愿，为社区卫生服务机构的人才培养提供参考意见。方法2006年5月，采用多级抽样方法抽取我国东中西3所医学院校共2714名在校临床医学专业的学生，对其基本情况和到社区就业的意向进行问卷调查，采用相对数对所得结果进行统计描述，并采用Х^2检验进行统计推断。结果60．6％的大学生表示毕业后愿意长期或暂时到社区去工作，不同生源和不同年级学生选择到社区就业的结果差异有统计学意义（P〈0．01）。愿意到社区工作的理由主要是工作压力小、工作容易等；不愿意的理由为全科医生收入太低，得不到社会的尊重等。结论医学生大学毕业后到社区去工作的意愿不高；医学生择业受思想观念、个人发展机会、经济收入等因素影响较大。在今后的医学生教学和管理工作中，应重视提高学生的社区工作意识，转变其就业观念。

Willingness of medical undergraduate students choose general practitioners in community health-care service as their career

Objective To understand willingness of current medical undergraduates to work at community health-care service(CHS)institutions after their graduation to provides information for professional training for them.Methods Totally,2714 medical undergraduate students were recruited from three medical schools in east,middle and west China by multi-level sampling methods for questionnaire survey on their basic information and willingness to be employed at CHS institutions.results of the survey were described by relative numeric and tested by chi-square test for smtistical inference.Results About 60.6%of medical undergraduate students were willing to work at CHS organizations permanently or temporarily.Their willingness to work there differed with their native living areas and grades they were studying significantly(P＜0.01).Reason for those they would work at CHS organizations after graduation included work less stress and easier,and that for those reluctant to work there included low-income and lack of social respect for general practitioners.Conclusions Nowadays,few medical undergraduate students would like to work at CHS organizations after their graduation,which was influenced mainly by traditional ideas and concepts of employment,personal career devdopment,economic income,and so on.It is suggested that ideas of community work be strengthened for medical undergraduate students and their employment concepts be changed in the future.