Factors that influence the choice to work in rural township health centers among 4,669 clinical medical students from five medical universities in Guangxi, China
| Autor: | Yanhua Yi, Jinling Wei, Guijie Hu, Hailun Peng, Yunbo Qing, Kailan Li, Qingyun Chen |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
China
media_common.quotation_subject Family support lcsh:Medicine Education Salaries and fringe benefits Optimism Medicine Salary Multinomial logistic regression media_common Government Medical education Motivation lcsh:LC8-6691 lcsh:Special aspects of education business.industry lcsh:R Questionnaire Rural health services Career choice General Health Professions business Social status Career development Research Article |
| Zdroj: | Journal of Educational Evaluation for Health Professions, Vol 12 (2015) Journal of Educational Evaluation for Health Professions |
| ISSN: | 1975-5937 |
| Popis: | Purpose: To produce competent undergraduate-level medical doctors for rural township health centers (THCs), the Chinese government mandated that medical colleges in Central and Western China recruit rural-oriented, tuition-waived medical students (RTMSs) starting in 2010. This study aimed to identify and assess factors that influence the choice to work in rural township health centers among both RTMSs and other students from five medical universities in Guangxi, China. Methods: An internet-based self-administered questionnaire survey was conducted with medical students in Guangxi province. Multinomial logistic regression was used to identify factors related to the attitudes toward work in a rural township health center. Results: Among 4,669 medical students, 1,523 (33%) had a positive attitude and 2,574 (55%) had a neutral attitude toward working in THCs. Demographic characteristics, personal job concerns, and knowledge of THCs were associated with the choice of a career in THCs. The factors related to a positive attitude included the following: three-year program, a rural-oriented medical program, being male, an expectation of working in a county or township, a focus on medical career development, some perceived difficulty of getting a job, having family support, sufficient knowledge of THCs, optimism toward THC development, seeking lower working pressure, and a lower expected monthly salary. Conclusion: Male students in a three-year program or a rural-oriented tuition-waived medical education program were more likely to work in THCs. Selecting medical students through interviews to identify their family support and intentions to work in THCs would increase recruitment and retention. Establishing favorable policies and financial incentives to improve living conditions and the social status of rural physicians is necessary. |
| Databáze: | OpenAIRE |
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