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匈牙利医学生对农村家庭医学作为职业选择的看法。

Rural family medicine as a career option among Hungarian medical students.

机构信息

Albert Szent-Györgyi Medical School, Department of Family Medicine, University of Szeged, Szeged, Hungary.

European Rural and Isolated Practitioners Association, Paris, France.

出版信息

Eur J Gen Pract. 2023 Dec;29(1):2174258. doi: 10.1080/13814788.2023.2174258.

Abstract

BACKGROUND

The shortage of family physicians is a considerable challenge in Hungary. The number of vacant practices is increasing and the rural and deprived areas are more affected.

OBJECTIVES

This study aimed to investigate medical students' attitudes towards rural family medicine.

METHODS

The current study used a cross-sectional design with a self-administered questionnaire. Each of the four Hungarian medical universities was represented by their medical students from December 2019 to April 2020.

RESULTS

The response rate was 67.3% ( = 465/691). Only 5% of the participants plan to be a family doctor, 5% of the students plan to work in rural areas. On a 5-point Likert scale (1 = 'surely not', 5 = 'surely yes'), half of the participants answered 1 or 2 to choose rural medical work, while 17.5% answered 4 or 5. There was a significant relationship between rural working plans and rural origin (OR = 1.97;  = 0.024), and the plan to work in family practice (OR = 4.90;  < 0.001).

CONCLUSION

Family medicine is not a popular career option among Hungarian medical students and rural medical work is even less attractive. Medical students with a rural origin and an interest in family medicine are more likely to plan to work in rural areas. More objective information and experience need to be given to medical students about rural family medicine to increase the attractiveness of the speciality.

摘要

背景

家庭医生短缺是匈牙利面临的一个重大挑战。空缺诊所的数量正在增加,农村和贫困地区受到的影响更大。

目的

本研究旨在调查医学生对农村家庭医学的态度。

方法

本研究采用横断面设计,使用自填式问卷。从 2019 年 12 月至 2020 年 4 月,来自匈牙利四所医学院的医学生参与了此次研究。

结果

应答率为 67.3%(465/691)。只有 5%的参与者计划成为家庭医生,5%的学生计划在农村地区工作。在 5 分制(1=“肯定不会”,5=“肯定会”)中,一半的参与者选择农村医疗工作的回答为 1 或 2,而 17.5%的参与者回答为 4 或 5。农村工作计划与农村出身之间存在显著关系(OR=1.97;=0.024),与从事家庭医学工作的计划之间也存在显著关系(OR=4.90;<0.001)。

结论

家庭医学不是匈牙利医学生的热门职业选择,农村医疗工作更没有吸引力。农村出身且对家庭医学感兴趣的医学生更有可能计划在农村地区工作。需要向医学生提供更多关于农村家庭医学的客观信息和经验,以提高该专业的吸引力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b92/9937003/b003e37e0132/IGEN_A_2174258_F0001_C.jpg

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