Mason Lucy, Turner-Adams Hana, Nixon Garry, Eggleton Kyle
Department of General Practice and Primary Health Care, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Te Puna Wānanga, Faculty of Education and Social Work, The University of Auckland, Auckland, New Zealand.
J R Soc N Z. 2023 Oct 11;55(1):134-146. doi: 10.1080/03036758.2023.2258072. eCollection 2025.
The education literature suggests that there are rural-urban differences in educational achievement. Lower educational achievement in rural schools may impact entry into highly competitive medical programmes and disadvantage rural students. Within this study, the National Certificate of Educational Achievement (NCEA) and University Entrance (UE) attainment rates are compared across Aotearoa New Zealand secondary schools for 2012-2021. High schools were classified as urban or rural according to the two rural admission schemes used in the medical programmes at the University of Otago and the University of Auckland. Descriptive statistics were calculated and regression models created to adjust for a range of variables. The data demonstrates that rural high schools have lower NCEA and UE attainment. Lower Māori student NCEA and UE attainment, greater socioeconomic disadvantage and differing characteristics account for the majority of differences between rural and urban schools. The lower UE attainment rate for rural schools will likely mean that rural students will have greater difficulty in entering medical programmes and that this inequity is worse for rural Māori students. Medical programme admission pathways need to undergo a fundamental shift-from workforce pathways to workforce and equity pathways in order to address rural workforce issues.
教育文献表明，教育成就存在城乡差异。农村学校较低的教育成就可能会影响进入竞争激烈的医学专业课程，使农村学生处于不利地位。在本研究中，对2012年至2021年新西兰全国中学的教育成就国家证书（NCEA）和大学入学（UE）达标率进行了比较。根据奥塔哥大学和奥克兰大学医学专业使用的两种农村招生计划，高中被划分为城市或农村学校。计算了描述性统计数据，并创建了回归模型以调整一系列变量。数据表明，农村高中的NCEA和UE达标率较低。毛利学生较低的NCEA和UE达标率、更大的社会经济劣势以及不同的特征是农村和城市学校之间差异的主要原因。农村学校较低的UE达标率可能意味着农村学生进入医学专业课程将面临更大困难，而且这种不公平对农村毛利学生来说更严重。医学专业课程的录取途径需要经历根本性转变——从劳动力途径转向劳动力和公平途径，以解决农村劳动力问题。
