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社会经济地位对医学职业决定因素的影响

Impact Of Socio-Economic Status On Determinants Of Medical Career.

作者信息

Hafeez Aamir, Hussain Shah Syed Manzoor

机构信息

Department of Education, Hazara University, Mansehra, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2016 Jul-Sep;28(3):562-567.

Abstract

BACKGROUND

Research on determinants of Medical profession has established some constant factors with universal impact and appeal. However, the dramatic changes in the dynamics of medical profession and medical education over the past years have necessitated a revisiting of the established conclusions. The knowledge of impact of economic status on these determinants would pave way to greater interest and research on the subject, especially in Hazara Division where it is practically nonexistent.

METHODS

This exploratory research followed deductive-inductive approach and was conducted upon 550 respondents from four public and private colleges in Hazara Division. Extensive study of related literature yielded 20 broad determinants of medical career. Pre-research pilot testing verified the reliability of a self-designed instrument. The data collection method adopted was a single shot survey. Personal data of respondents was collected during administration of the instrument. The sample was extracted through systematic random sampling technique giving due weight to proportional representation of each college as well as to the gender distribution.

RESULTS

The results revealed a significant difference in the impact of reassuring social perceptions and social status and prestige of medical profession between upper middle class and lower middle class. The results also showed that the students of upper middle class faced significantly greater domestic and familial pressure to enter the medical profession than those from lower middle class.

CONCLUSIONS

The findings showed that the upper middle class is under greater influence of societal forces and wider impressions about the medical profession. The students hailing from upper middle class enter the Medical career motivated by urge for social status and prestige and are most compelled by domestic and familial pressures to enter medicine.

摘要

背景

关于医学职业决定因素的研究已经确定了一些具有普遍影响和吸引力的恒定因素。然而,过去几年医学职业和医学教育动态的巨大变化使得有必要重新审视已有的结论。了解经济状况对这些决定因素的影响将为对该主题产生更大的兴趣和开展研究铺平道路,尤其是在几乎不存在此类研究的哈扎拉地区。

方法

这项探索性研究采用演绎 - 归纳法,对哈扎拉地区四所公立和私立学院的550名受访者进行了调查。对相关文献的广泛研究得出了20个医学职业的广泛决定因素。研究前的试点测试验证了自行设计工具的可靠性。采用的数据收集方法是一次性调查。在发放工具时收集了受访者的个人数据。样本通过系统随机抽样技术抽取,充分考虑了各学院的比例代表性以及性别分布。

结果

结果显示,中上阶层和中下阶层在对医学职业令人安心的社会认知以及社会地位和声望的影响方面存在显著差异。结果还表明,与来自中下阶层的学生相比,中上阶层的学生在进入医学职业时面临着显著更大的家庭和家族压力。

结论

研究结果表明,中上阶层受社会力量和对医学职业更广泛印象的影响更大。来自中上阶层的学生受社会地位和声望的驱使进入医学职业,并且在家庭和家族压力下最被迫选择医学。

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