目的 调查医学生从医意愿现状,分析其与目前医疗执业环境的相关性,尝试找寻影响医学生从医意愿的可能因素。方法 以问卷调查方式,对上海交通大学医学院2013级~2016级临床医学专业全体学生进行从医意愿与医疗执业环境认知情况的调查,使用单因素logistic回归模型对所得数据进行相关性分析。结果 医学生的从医意愿与其对医疗执业环境的认知情况如医患关系、医生收入与付出比、医患矛盾的归因等密切相关;与医学生眼中患者对医生的信任程度、患者对医生的态度、对伤医事件的认知及医生的人身安全问题、对媒体相关医疗报道的看法等具体事件相关性不显著。结论 医学生对医疗执业环境的认知与其从医意愿密切相关。加强医学生人文教育,提高医学生职业认同感,引导其正确认识当下的医疗执业环境,可有助于减少医学生消极情绪,坚定医学生从医意愿,减少医学人才流失。
Objective To investigate the status of medical students and analyze their relevance to the current medical practice environment, and try to find out the possible factors that affect the medical students’ willingness to seek medical treatment. Methods The questionnaire survey was conducted to investigate the cognition of medical students’ willingness and medical practice environment in the clinical practice of Shanghai Jiao Tong University School of Medicine. The regression analysis model was used to analyze the correlation data. Results The medical students’ willingness to engage in medical treatment and their cognition of medical practice environment, such as doctor-patient relationship, doctor’ s income and pay ratio and the attribution of doctor-patient contradiction, were closely related. There was no significant correlation between the degree of trust of the patient in the eyes of the medical students, the attitude of the patient to the doctor, the cognition of the wounded medical practitioner and the personal safety of the doctor, the view of the media related medical report, and so on. Conclusions Medical students’ cognition of medical practice environment is closely related to their willingness to engage in medical care.To strengthen medical students’ humanistic education, improve the medical students’ professional identity, and guide the correct understanding of current medical practice environment, may help reduce the negative emotions among medical students, firm medical students’ willing to engage in medical care, and reduce the loss of medical talent.
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