COVID-19 疫情下畢業後一般醫學訓練醫師參與防疫意願之探討

Abstract

目的:探究影響一般醫學訓練(PGY)醫師在 COVID-19 疫情下參與防疫意願之相關因素。 方法:運用結構式問卷蒐集資料。問卷包含個人特質、專業化特質、體系功能、參 與防疫意願等面向。 結果:不同個人特質的 PGY 醫師在參與防疫意願程度上沒有明顯差異,但其角色認同、資源可近性及 PGY 制度認可與參與防疫意願具有顯著正相關,PGY 制度 認可與角色認同之對於參與防疫意願的影響具有增強調節效果。 結論:PGY 醫師投入防疫的意願取決於個人在防疫義務、責任角色之認可與醫療體 系提供足夠的醫療人力、物力資源。此外,PGY 醫師對 PGY 制度認可,對參與防疫意願而言是一重要情境變數,建議醫學教育組織在 COVID-19 疫情下, 應重新檢視 PGY 醫學臨床實務訓練課程,提供 PGY 醫師完整臨床感控訓練與發展計劃,減少 PGY 醫師面對嚴峻疫情恐懼不安,增強 PGY 醫師投入防疫的 信心與意願。  Objective: The aim was to investigate the factors influencing PGYs’ willingness to partic-ipate in medical service during the COVID-19 pandemic. Methods: Data were collected using structured questionnaires. The questionnaire consisted of the perception of medical professionalism, system function, will-ingness to participate, and demographic data. Results: There was no significant difference in willingness among different demo- graphic characteristics of PGY. Role identity, resource accessibility, and iden-tity of the PGY system were significantly and positively related to the willing- ness to participate in medical service. The identity of the PGY system was a moderator influencing the effect of role identification on willingness. Conclusion: PGYs’ willingness to participate in medical service during the pandemic depends on the individual’s recognition of the role of obligation and respon-sibility, and the medical system’s provision of sufficient human and mate- rial resources. In addition, the enhancing moderating role of identity of the PGY system between role identity and willingness to participate during the COVID-19 pandemic have been confirmed. Our results suggest that medical education organizations should reform the PGY medical clinical practice train- ing courses under the COVID-19 epidemic, and provide PGY physicians with complete clinical infection control. The training and development plan can reduce PGYs’ fear and anxiety in the face of severe epidemics, and strengthen PGYs’ confidence and willingness to invest in epidemic prevention.