Abstract: Objective To analyze the employment confidence of health services and management graduates and its influencing factors in two types of institutions. Methods A questionnaire survey was conducted among 303 graduates enrolled in 2017 from 10 institutions with health services and management programs , to investigate their employment confidence and influencing factors. Chi-square test was used to analyze the differences in employment confidence to the students from different institutions, logistic regression was used to analyze the influencing factors. Results Among the graduates of health service and management majors from medical colleges, 8.6% (13/152) was very confident in employment, higher than those of health service and management graduates from non-medical colleges, which was 2.0% (3/151), the difference was statistically significant (P=0.030).In addition, 14 factors such as the practicality of course content (P=0.025), the scientific nature of the professional curriculum (P=0.023), strong professional competence (P<0.001), and a joyful personality (P<0.001) all had an impact on graduates' confidence in employment. Conclusions The employment confidence of graduates majoring in health service and management in medical colleges is higher than that of non-medical college graduates. Non-medical colleges should optimize the curriculum system, standardize the content of professional courses and professional skills training, then enhance the graduates' employment confidence .

Key words: Students, Health services and management, Employment confidence, Influencing factors