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中文摘要: 摘 要 :目 的 :调查深圳市全科住院医师规范化培训(以下简称全科住培)基地结业学员的就业状况,分析学员结业 后未投身全科医学相关工作的核心原因,为完善全科住培管理模式、增强全科医生岗位吸引力、稳固基层全科医生队伍提供 实证依据。方法:2025年1 — 2月,采用便利抽样法选取2014 — 2021年在深圳市全科住院医师规范化培训基地完成全科住 培的214名结业学员,采用课题组自主设计的问卷开展调查。问卷内容涵盖基本信息、全科住培参与情况、结业后就业状况 等,通过“问卷星”平台发放并回收问卷。结果:214名学员中,206人(96.3%)顺利就业。其中,184人从事全科医学相 关工作,172人就职于基层医疗卫生机构。学员选择从事全科医学相关工作排名前3位的原因依次为看好全科医生发展前景 (67.9%,125/184),对全科医学领域感兴趣(44.6%,82/184),认为全科医学工作压力适中(25.5%,47/184);未从事全科 医学相关工作排名前3位的原因为单位岗位分配(54.5%,12/22), 所在单位未设立全科医学科(22.7%,5122),家庭相关因 素(22.7%,5122)。结论:深圳市全科住培结业学员中,多数人结业后选择在基层医疗卫生机构从事全科医学相关工作。健 全激励机制、提升全科医生的社会认可度与职业认同感是增强基层全科医学岗位吸引力、稳定全科医生队伍的关键举措。
中文关键词: 关键词:全科医学 全科住院医师规范化培训 就业 职业选择 激励机制
Abstract:Abstract: OBJECTIVE To investigate the employment status of graduates who completed standardized residency training in general practitioner(GP)in Shenzhen,to analyze the core reasons for not engaging in general practice related work after graduation,and to provide empirical evidence for improving the management model of GP residency training,enhancing the attractiveness of general practitioner positions,and stabilizing the primary care GP workforce.METHODS From January to February 2025,convenience sampling was used to select 214 graduates who completed GP residency training in Shenzhen Standardized Residency Training Base for General Practitioners Shenzhen from 2014 to 2021.A selfdesigned questionnaire developed by the research team was used for the survey,covering basic information,residency training participation,and postgraduation employment status.Data were collected via the Wenjuanxing platform. RESULTS Among the 214 respondents,206(96.3%)successfully secured employment,of whom 184 were engaged in general practice related work and 172 worked in primary care institutions.The top thre reasons for choosing general practice related work were:promising career prospects for GPs(67.9%,125/184),interest in the field of general practice(44.6%, 82/184),and moderate work pressure(25.5%,47/184).The top thre reasons for not engaging in general practice related work were: job assignment by the employer(54.5%,12/22),absence of a general practice department in the workplace(22.7%,5122),and familyrelated factors(22.7%,5122).CONCLUSION The majority of GP residency training graduates in Shenzhen chose to work in primary care institutions and engage in general practicerelated work after graduation.Improving incentive mechanisms and enhancing the social recognition and professional identity of GPs are key measures to increase the attractiveness of primary care GP positions and stabilize the GP workforce.
keywords: Keywords:general practice standardized residency training for general practitioner employment career choice incentive mechanism
文章编号:3202410004 中图分类号:R-4;C975 文献标志码:
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