吸引医学院毕业生参加偏远地区医院的住院医师培训项目:挑战不仅仅在于经济激励。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Shalev Fried, Ofira Zloto, Avia Doron, Zeev Feldman, Alexey Belinsky, Gad Segal, Yael Frenkel-Nir, Arnon Afek
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引用次数: 0

摘要

背景:在许多国家,位于主要枢纽以外医院("偏远地区")的住院医师培训项目的招生工作是一项挑战。2011 年,以色列卫生部推出了一项为期 10 年的财政激励措施,鼓励医生报名参加此类医院的住院医师培训项目。该计划投入了近 10 亿新以色列谢克尔(约合 2.6 亿美元),但成效有限。由于新的医师协会集体协议即将签署,我们旨在衡量选定的激励措施在吸引医学院毕业生到偏远地区医院实习方面的效果:研究对象包括医学院最后一年的以色列医科学生。我们使用了一份在线问卷,其中包括多项选择人口统计学问题和一个 5 分李克特量表,以衡量各种激励措施对他们选择住院实习地点的影响:2022 年 7 月至 11 月期间,共有 522 名学生做出了答复(其中 405 人就读于以色列医学院(共 705 名学生),117 人就读于外国医学院(共 1936 名学生))。42%的学生至少有一次在偏远地区的医院实习,24%的学生将至少一家偏远地区的医院列入他们实习的前五大选择。只有 13% 的学生表示他们更喜欢在这些医院实习。学生们选择的最有说服力的激励措施是政府在接受国外奖学金方面的援助和财政支持,其次是财政拨款和较少的值班时间。只有 7% 的学生表示,没有任何激励措施会影响他们选择偏远地区的医院进行住院医师培训。在偏远地区的大学接受医学教育以及在实习的前五个选择中至少选择一家偏远地区的医院与接受激励的积极性有很大关系,而男性性别和年龄则与接受激励的消极性有关:这项关于以色列医学院毕业生对旨在吸引他们到偏远地区机构实习的激励措施的态度的研究表明,职业发展机会和获得奖学金方面的帮助可能会影响他们的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Attracting medical school graduates to residency programs in remotely located hospitals: the challenge lies beyond financial incentives.

Background: Recruitment to residency programs in hospitals located in other than major hubs ("remotely located") is a challenge in many countries. In 2011, the Israeli Ministry of Health launched a 10-year financial incentive to encourage physicians to enroll in residency programs in such hospitals. Nearly 1 billion New Israeli Shekels (260 million US$) were invested in that program which had only limited success. As a new physician association's collective agreement is impending, we aimed to measure the effectiveness of selected incentives in attracting medical school graduates to residencies in remotely located hospitals.

Methods: This study included Israeli medical students in their final year of medical school. We used an online questionnaire with multiple-choice demographic questions and a 5-point Likert scale to gauge the effect of various incentives on their preference for residency location.

Results: Between July and November 2022, 522 students responded (405 studied in Israeli medical schools [out of 705 students] and 117 in foreign medical schools [out of 1936 students]). Forty-two percent had at least one clerkship in a remotely located hospital, and 24% had included at least one remotely located hospital among their top five choices for internship. Only 13% reported that they prefer a residency program in those institutions. The incentive selected by students as most persuasive was government assistance in acceptance to and financial support for a fellowship abroad, followed by a financial grant and fewer on-call hours. Only 7% of the students indicated that no incentive would influence them to choose a remotely located hospital for their residency training. Medical education in a remotely located university and the choice of at least one remotely located hospital among the top five choices for internship were significantly associated with positive incentive receptivity, whereas male sex and older age were associated with negative receptivity.

Conclusion: This study on the attitudes of Israeli medical school graduates toward incentives aimed at attracting them to residencies in remotely located institutions revealed that career development opportunities and assistance in obtaining fellowships might influence their choice.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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