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首页> 外文期刊>BMC Medical Education >Attitude towards working in rural areas: a cross-sectional survey of rural-oriented tuition-waived medical students in Shaanxi, China
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Attitude towards working in rural areas: a cross-sectional survey of rural-oriented tuition-waived medical students in Shaanxi, China

机译：对农村地区工作的态度：对中国陕西省农村减免学费学生的横断面调查

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摘要

Attracting and recruiting health workers to work in rural areas is still a great challenge in China. The rural-oriented tuition-waived medical education (RTME) programme has been initiated and implemented in China since 2010. This study aimed to examine the attitudes of rural-oriented tuition-waived medical students (RTMSs) in Shaanxi towards working in rural areas and the related influencing factors. A cross-sectional survey was conducted in 2015 among 232 RTMSs in two medical universities from the first group of students enrolled in the RTME programme in Shaanxi. Descriptive and analytical statistics were used for the data analyses. Of the 230 valid responses, 92.6% expressed their intentions of breaking the contract for working in rural township hospitals for 6?years after their graduation under the RTME programme. After the contract expired, only 1.3% intended to remain in the rural areas, 66.5% had no intention of remaining, and 32.2% were unsure. The factors related to a positive attitude among the RTMSs towards working in rural areas (no intention of breaking the contract) included being female, having a mother educated at the level of primary school or below, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the policy. The factors related to a positive attitude of the RTMSs towards remaining in rural areas included being female, having a rural origin, having no regular family monthly income, having a father whose occupation was farmer, having a mother educated at the level of postsecondary or above, having the RTMSs be the final arbiter of the policy choice, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the educational scheme. Related policy makers and health workforce managers may benefit from the findings of this study. Appropriate strategies should be implemented to stimulate the RTMSs’ intrinsic motivation and improve their willingness to work in rural areas and to better achieve the objectives of RTME policy. Meanwhile, measures to increase the retention of RTMSs should also be advanced.
机译：在中国，吸引和招聘卫生工作者到农村工作仍然是一个巨大的挑战。自2010年以来，在中国启动并实施了农村定向减免医学教育（RTME）计划。该研究旨在研究陕西农村定向减免医学生（RTMS）对在农村地区工作的态度，以及相关的影响因素。 2015年，在陕西两所医科大学的232名RTMS中，对第一批参加RTME课程的学生进行了横断面调查。描述性和分析性统计数据用于数据分析。在230份有效答复中，有92.6％表示有意在RTME计划毕业后中断在乡镇医院工作6年的合同。合同到期后，只有1.3％的人打算留在农村地区，66.5％的人没有保留的意愿，32.2％的人不确定。 RTMS之间对在农村地区工作的积极态度相关的因素（无意违约）包括女性，母亲的学历在小学或以下水平，对政策有很好的了解，对农村医疗工作的价值有很好的认识，并对政策感到满意。与RTMS对留在农村地区的积极态度有关的因素包括女性，有农村血统，没有固定的家庭每月收入，父亲的职业是农民，母亲的专上教育程度或更高，让RTMS成为政策选择的最终仲裁者，对政策有很好的了解，对农村医疗工作的价值有很好的认识，并对教育计划感到满意。相关的政策制定者和卫生人力资源管理者可能会从这项研究中受益。应该实施适当的策略来激发RTMS的内在动力，提高其在农村地区工作的意愿，并更好地实现RTME政策的目标。同时，还应采取措施提高RTMS的保留率。

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