订单定向医学生的职业发展：基于四所医学院校的七年跟踪分析.pdfVIP

·卫生人力·

订单定向医学生的职业发展：基于四所医学院校的七

年跟踪分析

汤皓晴1.2*张柏松2李明月1，2刘晓云？

郑汇娴2

1.北京大学公共卫生学院北京100191

2.北京大学中国卫生发展研究中心

公北京100191

【摘要】目的：应用订单定向医学生队列的7年面板数据，探究其职业发展情况，为我国中西部农村地区

留住基层卫生人才提供参考。方法：自2015年起，选取我国中西部四所医学院校的订单定向与普通临床毕业

生建立队列并跟踪其职业发展情况。结果：在规培进程和执业医师考试通过率方面，订单定向毕业生与普通

27.7%待业。结论：订单定向毕业生培养质量好，职业晋升快，但较低的收入显著影响其留在基层的意愿。服

务期满后，有1/3左右的订单定向毕业生选择留在基层。

【关键词】全科医生；订单定向；职业发展；晋升；收入；留住

中图分类号：R197文献标识码：Adoi:10.3969/j.issn.1674-2982.2024.01.006

Careerdevelopmentoftargetedadmissionmedicalstudents:Aseven-yearfollow-upanalysis

basedonfourmedicalcolleges

TANGHao-qing,ZHENGHui-xian2,ZHANGBai-song”,LIMing-yue-2,LIUXiao-yun?

1.SchoolofPublicHealth,PekingUniversity,Beijing100191,China

2.ChinaCenterforHealthDevelopmentStudies,PekingUniversity,Bejing100191,China

[Abstract]Objective:Utilizingaseven-yearpaneldatasetofatargetedadmissionmedicalstudentcohort,this

studyaimstoexaminetheircareerdevelopmentandprovideinsightsforretaininghealthcaretalentintownshiphealth

centersandvillageclinicsinthecentralandwesternruralareasofChina.Method:Startingfrom2015,cohortsof

targetedandgeneralclinicalgraduatesfromfourmedicalcollegesincentralandwesternChinawereselectedand

trackedfortheircareerprogression.Results:Thetargetedgraduatesstandardizedresidencytrainingandmedical

licensingexaminationpassratesweresimilartothoseofgeneralclinicalgraduates.Theyadvancedmorequicklyin

professionaltitlesandpositions,with82.5%becomingattendingphysiciansand16.2%obtainingpositionsinthe

seventhyearaftergraduation.However,theirmonthlyincomewassignificantlylowerthanthatofgeneralclinical

graduates,andthisincomediscrepancyexpandedannually.AsofDecember2022,amongthe493targ