School of Health Management, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Work. 2023;76(1):393-401. doi: 10.3233/WOR-220280.
The program of the "Free Training of Chinese Rural Order-Oriented Medical Students" is a plan to train general practitioners who can work at rural medical institutions. However, many students have been unwilling to fulfill their commitments and actually work in their assigned locations.
This study aimed to provide some explanation by exploring factors influencing the employment intentions of rural order-oriented medical students in Inner Mongolia Autonomous Region of China to provide a basis for formulating relevant supporting policies to help increase the fulfillment rate of medical students.
We conducted a cross-sectional study with a stratified cluster sampling method at four medical universities in Inner Mongolia using a survey questionnaire. Multivariate logistic regression was used to identify factors that were significantly associated with employment intentions.
Approximately 67% of students were willing to work in rural areas, whereas 33% were not. Order-oriented medical students who were dissatisfied with, or indifferent to, training, were unclear about policy, were of Han ethnicity, or came from an urban area, had lower intentions to accept employment in rural areas. The training satisfaction in particular had the greatest predictive effect.
The implementation of the program "Free Training of Chinese Rural Order-Oriented Medical Students" has been affected by the low actual employment intentions. This study may provide a useful basis on which medical educators and health policy makers can formulate relevant supporting policies and develop strategies to increase the number of order-oriented medical students who working in rural areas where they are most needed.
“农村订单定向医学生免费培养”项目是培养能在农村医疗机构工作的全科医生的计划。然而，许多学生不愿意履行承诺，实际到指定地点工作。
本研究旨在通过探讨影响内蒙古自治区农村订单定向医学生就业意向的因素，提供一些解释，为制定相关支持政策提供依据，以帮助提高医学生的履约率。
我们在内蒙古的四所医科大学采用分层整群抽样方法进行了横断面研究，使用问卷调查。采用多因素 logistic 回归分析确定与就业意向显著相关的因素。
约 67%的学生愿意到农村工作，而 33%的学生不愿意。对培训不满意或漠不关心、对政策不清楚、汉族、来自城市的定向医学生，到农村地区就业的意向较低。培训满意度的预测作用最大。
“农村订单定向医学生免费培养”项目的实施受到实际就业意向较低的影响。本研究可为医学教育工作者和卫生政策制定者制定相关支持政策和制定战略提供有用的依据，以增加最需要的农村地区定向医学生的数量。
