影響中醫畢業學生選擇執業地點因素之研究－以某大學中醫學系應屆畢業生為例

A study on the factors of Chinese medicine graduate students to choose practice locations

許銘津(Ming-chin Hsu)

指導教授 ： 洪錦墩

中臺科技大學/管理學院/健康產業管理研究所/碩士(2011年)

https://doi.org/10.6822/CTUST.2011.00058

摘要

目的：中醫師人力地理分布明顯趨勢集中於都會區及中部地區，近年來大部份學者皆以現有執業或自立開業之中醫師為研究探討。本研究認為瞭解中醫學系應屆畢業學生對執業地點選擇，其考量之影響因素相當重要。
方法：本研究樣本以中區某大學98學年度中醫學系7年級應屆畢業學生及學士後中醫學系5年級應屆畢業生為研究對象，以自填之結構式問卷發給所有研究對象。其回收有效問卷共77份，回收率為56.6％。經次數分配分析、交叉分析、卡方檢定、獨立樣本t檢定、單因子變異數分析、羅吉斯迴歸統計分析。
結果：戶籍地區與未來希望開業地點相同者影響因素為：考量未來開業地點、鄰近父母親或親人的居住地、未來可主導設立醫療機構之影響因素為正顯著，而就學地區及成本與收入為負顯著。醫學教育地區與開業地點相同者則影響因素為：成長居住地、配偶的意見、短期執業地點。實習地區與開業地點相同者影響因素為：宗教信仰、成長居住地而影響之因素為正顯著，而老師的建議為負顯著。個人背景特性顯著差異為男性會考量畢業2年內工作地點為未來開業地點、未來開業個人擁有主導權。25-29歲會因實習醫院、鄉鎮區經濟水準而影響。家族具醫事背景者會考量畢業2年內工作地點為未來開業地點、選擇長時間居住地、住宅品質水準、成本與收入。已婚者會選擇交通便利地點，未婚者會因父母親的意見。5年制中醫學生會考量中醫相關家族事業、中醫診所為畢業2年內醫師訓練機構，7年制中醫學生會因中醫實習醫院、選擇醫院中醫部為2年內醫師訓練機構。
結論：希望本研究結果能提供於醫療相關單位參考，以利重視對於山地離島偏遠地區中醫醫療照護資源之公平性及可近性。

關鍵字

醫師人力 ； 執業地點 ； 中醫 ； 醫學院學生

並列摘要

Objective: Chinese medicine focuses on the metropolitan area . In recent years, most scholars study with the existing practice of Chinese medicine practitioners, or self-study place opened. This study that understanding the Chinese Medicine Department this year’s graduates the situation on the practice location selection and the reasons of choosing the practice location is very important.
Method: The study sample included seventh grade students graduating in the Bachelor and the fifth grade graduates of the school of Chinese Medcine. A structured survey sent to all the subjects. 77 valid questionnaires were returned return rate were used 56.6%. The Frequencies, Crosstabs, Chi-Square test, t test, ANOVA, logistic regression analysis.
Results: The residence areas and hope for the future opening of the same locations as those factors: Considering the future locations opening near the residence of parents or relatives and the future could lead to a health care institution. The factors of medical Education Area and the opening of the same place the factors of included : the growth of residence, spouse''s opinion and short-term place of practice, practice location and opened practice in the same region included: married, regional population density, growth and residence impact. The significant gender difference included men considering the next 2 years as the future opening location and individuals having ownership of the future opening. A 25-29 could be related to the teaching hospital and economic level of rural areas. Family with a medical background would considerate the same location of work place during the first of 2 years after graduatation as the future opening location. They would also select the place that they lived for a long time during the process of growth, housing quality standards and cost and revenue. Married students’ work place would be chosen by considering the locations’ convenience. Unmarried student would dependon their parents’ advices. 5-year Chinese students concerns, and related to the family inheritance, and 2 years for the school physician training institutions. 7-year Chinese students considered the followings： teaching hospital for Chinese medicine practitioners being familiar and 2 years trainning.
Conclusion: Therefore, this study suggests that to assess to furtherly achieve the fairness and aceessibilty of Chinese medical health care,especially in romote areas.

並列關鍵字

physician human resource ； medical students ； China medicine

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