杨艳新 喻欢 蔺可 王敬 谢尚宏

[摘要] 高等职业教育要服务区域社会发展需求。巴中市是“三区叠加”地区，社会经济发展相对滞后，卫生资源缺乏，卫生人力严重不足，是当地卫生事业发展的重要制约因素。为促进革命老区振兴发展，提高当地医疗卫生服务水平，对当地唯一一所高等职业院校医学生进行就业意向调查，了解医学生生源与就业意向，分析就业意向影响因素，探讨促进高职医学生在当地就业的有效途径，实现职业教育服务地方经济的人才培养目标，促进巴中地区卫生事业健康发展。

[關键词] 高职院校;医学生;基层医疗机构;就业意向

[中图分类号] R19 [文献标识码] A [文章编号] 1672-5654（2020）03（b）-0190-03

[Abstract] Higher vocational education should serve the needs of regional social development. Bazhong City is a "three-region superimposed" area， with relatively lagging socio-economic development， lack of health resources， and severe shortage of health manpower， which are important constraints to the development of local health services. In order to promote the revitalization and development of the revolutionary old district and improve the level of local medical and health services， a survey was conducted on the employment intention of the medical students in the only local vocational college， to understand the source and employment intention of medical students， analyze the influencing factors of employment intention， and explore an effective way of the promotion of higher vocational medicine for students to find jobs in the local area， to achieve the goal of vocational education to serve the local economy， and to promote the healthy development of health services in Bazhong.

[Key words] Higher vocational colleges; Medical students; Primary medical instutions; Employment intention

巴中位于川陕革命老区，属于国家级贫困地区。由于地理位置偏远，社会经济水平欠发达，本科及以上学历卫生人才引进困难，部分引进来的人员，也存在“下不去、留不住”的现象。卫生人力资源的相对缺乏，已经成为制约当地医疗机构发展、医疗水平提升的重要因素。为了解在校医学生的就业意向，选取550名学生为调查对象，分析毕业生在巴中地区就业的影响因素，探讨促进学生在当地就业的有效途径，缓解巴中地区卫生人才缺乏的现状，从而为满足革命老区广大人民群众的基本卫生服务需求，制定卫生政策提供科学依据。

1  对象与方法

采用单纯随机抽样法，在959名在校医学生中，随机抽取560名学生作为调查对象，样本容量与总体的比例为1：1.7。调查问卷包括个人及家庭基本情况、个人就业意向两个方面，共15道问题。……