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促进医学生到农村地区行医意愿和了解农村地区的因素——德国中部医学生的横断面调查。

Factors promoting willingness to practice medicine in rural regions and awareness of rural regions in the university's catchment area - cross-sectional survey among medical students in central Germany.

机构信息

University of Halle-Wittenberg, Faculty of Medicine, Institute for General Medicine, Halle (Saale), Germany.

University of Leipzig, Faculty of Medicine, Department of General Practice, Leipzig, Germany.

出版信息

GMS J Med Educ. 2023 Jun 15;40(4):Doc52. doi: 10.3205/zma001634. eCollection 2023.

Abstract

AIM

Many universities offer rural medical internships for medical students. The present survey was designed to show how rural medical work is perceived by students, whether these perceptions are associated with origin and previous experience, and how well medical students know rural regions in the vicinity of their university. In addition, students were asked how to support and inspire medical students to later work in a rural region.

METHODS

This cross-sectional study was based on an anonymous online survey of medical students at the Universities of Halle-Wittenberg and Leipzig. The evaluations included descriptive statistics, statistical group comparisons, and qualitative content analysis of free text answers.

RESULTS

A total of 882 students took part in the survey. Students who had grown up in a rural region or had lived there for a longer time (71.7% of the respondents) rated the work-life balance better (p<0.01) and the patient variety in the countryside slightly higher (p<0.05) than their fellow students from the big city. Students who had worked in a rural practice or hospital before (62.2%) rated patient diversity (p<0.001) and work variety (p<0.001), as well as workload (p<0.01), slightly higher in rural areas than students with no prior experience. On average, the specified rural model regions were still unknown to more than 60% of the students. The suggestions for attracting medical students to later work as rural physicians included financial incentives and, above all, better information about life as a rural physician and the rural regions.

CONCLUSION

Thus, the medical faculties of the universities as well as the counties threatened by medical undersupply should further expand the transfer of knowledge and experience regarding rural physician life for the students.

摘要

目的

许多大学为医学生提供农村实习机会。本调查旨在展示学生对农村医疗工作的看法,这些看法是否与出身和以往经验有关,以及医学生对大学附近农村地区的了解程度。此外,还询问了学生如何支持和激励医学生以后在农村地区工作。

方法

这是一项横断面研究,基于哈勒-维滕贝格大学和莱比锡大学医学生的匿名在线调查。评估包括描述性统计、统计组比较以及对自由文本答案的定性内容分析。

结果

共有 882 名学生参加了调查。在农村地区长大或在那里居住时间较长的学生(占受访者的 71.7%)对工作与生活的平衡评价更好(p<0.01),对农村地区患者的多样性评价略高(p<0.05),而来自大城市的同学则不然。以前在农村诊所或医院工作过的学生(62.2%)对患者多样性(p<0.001)、工作多样性(p<0.001)以及工作量(p<0.01)的评价略高于没有农村工作经验的学生。平均而言,超过 60%的学生仍然不了解指定的农村模式地区。吸引医学生以后到农村地区行医的建议包括经济激励,最重要的是,要更好地了解农村医生的生活和农村地区。

结论

因此,大学的医学系以及面临医疗供应不足的县都应该进一步扩大医学生对农村医生生活的知识和经验的传授。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e5/10407585/3e486272122f/JME-40-52-t-001.jpg

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