On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services

He Kunrong

doi:10.3760/cma.j.cn116021-20210920-01303

您当前的位置：

首页 >

文章列表页 >

On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services

PersonnelTrainingofPublicHealth | 更新时间：2023-07-15

- On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services
- Chinese Journal of Medical Education Research Vol. 22, Issue 6, Pages: 828-833(2023)
- 作者机构：
  
  川北医学院党委组织部，南充　637100
- 作者简介：
  
  Email: 347764087@qq.com
- 基金信息：
  
  The Second Batch of Pilot Projects of Educational System and Mechanism Reform of Sichuan Provincial Department of Education (G8-01)
- DOI：10.3760/cma.j.cn116021-20210920-01303
  CLC： R192.9
- Published：20 June 2023，
  
  Received：20 September 2021，
扫描看全文
何昆蓉. 农村订单定向免费医学生的培养及其对基层公共卫生服务的影响研究[J]. 中华医学教育探索杂志, 2023, 22(6): 828-833.

He Kunrong. On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services. [J]. Chinese Journal of Medical Education Research 22(6):828-833(2023)
何昆蓉. 农村订单定向免费医学生的培养及其对基层公共卫生服务的影响研究[J]. 中华医学教育探索杂志, 2023, 22(6): 828-833. DOI： 10.3760/cma.j.cn116021-20210920-01303.

He Kunrong. On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services. [J]. Chinese Journal of Medical Education Research 22(6):828-833(2023) DOI： 10.3760/cma.j.cn116021-20210920-01303.

摘要

目的

探讨农村订单定向免费医学生的培养及其在基层公共卫生服务中的影响，为进一步提升农村定向全科医生培养方案的有效性提出针对性建议。

方法

通过访谈四川省基层医疗机构的63名毕业后的农村订单定向免费医学本科学生，研究采用了主轴编码和内容分析的标准程序，深入分析了农村订单定向免费医学生培养效果对基层公共卫生服务作用的影响及不足。

结果

研究发现，农村订单定向免费医学生培养成效主要体现在理论学习、实践工作能力、未来职业规划与毕业后教育情况几个方面，其中理论学习与实践工作能力2个维度的培养成效较好。农村订单定向免费医学生在基层公共卫生服务中发挥了积极作用，主要体现在重点人群的防护、老年人群及慢性病患者居家预防和管理、儿童和孕产妇人群居家预防和管理。

结论

针对农村订单定向免费医学生对基层公共卫生服务的建议措施包括：国家和学校的配套政策能继续完善和执行、高校教师应更加注重全科医学生的人文精神的引导、课程体系建设中需突出基层及全科医学相关的课程、学生培养过程中应构建有效的实践方式、加强就业后的继续教育等方面。

Abstract

Objective

To discuss the role of rural-order tuition-waived medical students in grass-roots public health

and put forward pertinent suggestions for further improving the effectiveness of rural directional general practitioner training programs.

Methods

Through interviews with 63 graduated rural-order tuition-waived medical undergraduates from rural primary medical institutions in Sichuan Province

the standard procedures of spindle encoding and content analysis were used to analyze the influence of the training effect of rural-order tuition-waived medical students on grass-roots public health services.

Results

The results showed that the training effect of rural-order tuition-waived medical students mainly reflected in theoretical learning

practical work ability

future career planning and post-graduation education

among which the training effect of theoretical learning and practical work ability was better. Rural-order tuition-waived medical students played a positive role in grass-roots public health services

mainly in the protection of key populations

home prevention and management of the elderly and chronic diseases patients

and home prevention and management of children and pregnant women.

Conclusion

The measures for rural-order tuition-waived medical students to provide grass-roots public health services should include that the supporting policies of the state and schools can be continuously improved and implemented

college teachers should pay more attention to the guidance of the humanistic spirit of general medical students

and the curriculum system construction of rural-order tuition-waived medical students should highlight the courses related to grass-roots and general medicine. In the process of student training

we should construct effective practical methods and strengthen post-employment continuing education.

关键词

定向医学生基层医疗机构质性研究基层公共卫生服务

Keywords

Rural-order medical studentPrimary medical institutionQualitative researchGrass-roots public health service

references

刘丰，顾建钦，王留义，等. 全科医学专业学位研究生培养现状研究及建议[J]. 中国继续医学教育， 2020， 12（5）： 68-70. DOI: 10.3969/j.issn.1674-9308.2020.05.026http://dx.doi.org/10.3969/j.issn.1674-9308.2020.05.026.

孙艳春，王伟，张耀光，等. 基层全科医生临床思维能力现状及其影响因素[J]. 中国卫生资源， 2021， 24（4）： 441-447. DOI: 10.3969/j.issn.1007-953X.2021.04.021http://dx.doi.org/10.3969/j.issn.1007-953X.2021.04.021.

杨慧敏，尹德卢，辛倩倩，等. 我国基层全科医生继续医学教育现状调查[J]. 中华全科医学， 2018， 16（8）： 1375-1378. DOI: 10.16766/j.cnki.issn.1674-4152.000376http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.000376.

何鸿，屈伟，廖礼奎，等. 新形势下基层公共卫生人才发展现状与对策研究[J]. 中国卫生事业管理， 2021， 38（5）： 357-361.

周宁天，钱东褔，乔学斌，等. 高校全科医学院（系）的定位与发展策略[J]. 中国全科医学， 2021， 24（28）： 3543-3547. DOI: 10.12114/j.issn.1007-9572.2021.00.271http://dx.doi.org/10.12114/j.issn.1007-9572.2021.00.271.

陈辉，杨欢，史婧茹，等. 基于农村订单定向全科医学人才培养的思政教育分阶段干预对策[J]. 科教导刊（中旬刊）， 2020（20）： 90-91. DOI: 10.16400/j.cnki.kjdkz.2020.07.042http://dx.doi.org/10.16400/j.cnki.kjdkz.2020.07.042.

王楠，刘春. 胜任力视角下的医学人文培养状况与需求调查[J]. 护理研究， 2021， 35（9）： 1680-1683. DOI: 10.12102/j.issn.1009-6493.2021.09.034http://dx.doi.org/10.12102/j.issn.1009-6493.2021.09.034.

朱梦蓉，杨先碧，杨珉. 四川省乡镇卫生院基本公共卫生服务工作量和人力需求研究[J]. 四川大学学报（医学版）， 2021， 52（5）： 783-788. DOI: 10.12182/20210960103http://dx.doi.org/10.12182/20210960103.

屈伟，陈浩，郑琪，等. 医防融合视域下基层公共卫生人才队伍的建设与发展[J]. 中国卫生事业管理， 2021， 38（11）： 839-843， 846.

李源杰，徐娜，沙悦，等. 全科医生临床实践中知识型临床问题的处理现状研究[J]. 中国全科医学， 2021， 24（13）： 1602-1606. DOI: 10.12114/j.issn.1007-9572.2021.00.047http://dx.doi.org/10.12114/j.issn.1007-9572.2021.00.047.

季燕，严春泽，孙艳格，等. 全科医生继续医学教育开展形式及应用[J]. 中国全科医学， 2021， 24（1）： 88-91. DOI: 10.12114/j.issn.1007-9572.2019.00.715http://dx.doi.org/10.12114/j.issn.1007-9572.2019.00.715.

陈泽君，廖晓阳，吴洁，等. 基于基层卫生岗位练兵和技能大赛成绩探讨基层全科医生临床知识与技能水平及影响因素[J]. 中华全科医师杂志， 2019， 18（8）： 789-791. DOI: 10.3760/cma.j.issn.1671-7368.2019.08.019http://dx.doi.org/10.3760/cma.j.issn.1671-7368.2019.08.019.

刘彩茵，何婷婷，王全. 基层医务人员的家庭医生签约服务政策响应度及工作满意度研究[J]. 中国全科医学， 2019， 22（10）： 1160-1164. DOI: 10.12114/j.issn.1007-9572.2019.10.006http://dx.doi.org/10.12114/j.issn.1007-9572.2019.10.006.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰