公費醫師服務期滿後執業選擇之研究

Practice Choices of Government Scholarship Sponsored Physicians after Service Obligation

高文惠(Wen-Huey Kao) ； 黃文鴻(Weng F. Huang) ； 楊漢湶(Han-Chuan Yang)

《Journal of Medical Education》 2卷3期 (1998/09) Pp. 282-294

https://doi.org/10.6145/jme.199809_2(3).0008

摘要

本研究的目的在瞭解服務期滿後的公費醫師，其執業地點、科別的分布情形，並分析公費醫師分發制度對於公費醫師在選擇目前執業科別、地點的影響。本研究以1988年1月至1994年12月底止經衛生署分發服務期滿之公费醫師399名為對象。以自填式問卷調查個人基本背景資料、服務期間訓練經驗、目前的執業地點與科別。計回收問卷142份，除1份確認為非該公费醫師本人填答外，有效回收問卷數為141份，回收率為35.3%。研究結果顯示服務期滿公費醫師選擇目前的執業科別、地點分布與其性別、學校別、高中以前的居住地經驗、婚姻狀況並無顯著關係；服務期間的訓練經驗則與目前的執業科別與地點有顯著相關；具基層醫療機構服務經驗或具縣轄市以下地區服務經驗者，服務期滿後傾向留在縣轄市以下地區服務。本研究並對未來公費醫師之研究方向提出建議。

關鍵字

公費醫師 ； 執業選擇

並列摘要

This research investigated the practice choices of government scholarship sponsored physicians after they had fulfilled their service obligation. It also evaluated the influence of government allocation policy on choices and distribution of practice locations and specialties. The study subjects consisted of 399 physicians who received government funding during their medical education years and were obliged to serve in accordance with the rules set by the Ministry of Education and the Department of Health. A self-administered questionnaire was delivered to the 399 study subjects. A total of 141 valid questionnaire responses were obtained, a 35.3% response rate. The content of the questionnaire included demographic information, current practice location and specialties, as well as the practice locations and training obtained during obligatory service.
Analysis of the data found no statistically significant relation among the variables of sex, medical school, marital status, resident location before high school and the current practice location and specialty among the study subjects. However, the choices of current location and specialty were significantly related to their training experience during the service obligation period. Those who had primary care service experience and those had service experience at non-metropolitan areas were more inclined to practice in non-metropolitan areas. These results of this study also suggest that future research in the practice choices of other public funding educated physicians is needed. (Full Text in Chinese)

並列關鍵字

practice choices ； physicians ； public funded education