Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study
BackgroundIn order to actively cultivate a new generation of village doctors (NGVDs) who possess a high level of education, provide high-quality healthcare services, Shanghai Municipal Health Bureau, together with the Municipal Education Commission, Municipal Finance Bureau, and Municipal Agricultur...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511709/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832593970720407552 |
|---|---|
| author | Jing Gao Juhua Zhang Chenlei Shi Aiqin Fan Peng Zhang |
| author_facet | Jing Gao Juhua Zhang Chenlei Shi Aiqin Fan Peng Zhang |
| author_sort | Jing Gao |
| collection | DOAJ |
| description | BackgroundIn order to actively cultivate a new generation of village doctors (NGVDs) who possess a high level of education, provide high-quality healthcare services, Shanghai Municipal Health Bureau, together with the Municipal Education Commission, Municipal Finance Bureau, and Municipal Agriculture Commission initiated Rural-oriented Tuition-waived Medical Education (RTME) in 2006. This study aims to identify the factors that influence the reselection intention and perceptions of NGVDs of RTME program in Shanghai.MethodsIn 2023, a questionnaire survey was conducted among a sample of NGVDs enrolled in the RTME program in 8 districts of Shanghai. The research focused on five aspects, including demographic characteristics, job characteristics, reasons for choosing RTME, career identity and job satisfaction. The participants were asked questions related to their experiences, opinions, and perceptions. Analysis of variance (ANOVA), chi-square tests and logistic regression analysis was conducted.ResultsA total of 419 questionnaires were collected. The majority (64.44%) indicated they would reselect this career, while 35.56% expressed either no preference or indifference. Factors influencing reselection included “Volunteering to serve the grassroots people” (odds ratio [OR], 2.29 [95% confidence interval {CI}, 1.22–4.30]), “Enjoying the medical profession” (OR, 2.64 [95%CI, 1.33–5.27]), not fulfilling family wishes (OR, 0.47 [95%CI, 0.24–0.88]), Satisfied with the current salary (OR, 2.39 [95%CI, 1.27–4.49]). NGVDs who think village doctors can leverage their professional ability with “okay” (OR, 32.87 [95%CI, 3.69–293.64]) and “yes” (OR, 120.03 [95%CI, 12.78- > 999.99]) and who think NGVDs were “important” (OR, 3.74 [95%CI, 1.21–11.55]) were more inclinatively to reselect to be NGVD.ConclusionReasons for choosing RTME, understanding of the government’s policy, career identity, and job satisfaction were all influence the reselection of RTME. This research can contribute to the improvement and development of similar programs in the future, benefiting both the students and the healthcare system as a whole. |
| format | Article |
| id | doaj-art-f6f8dd95f960437b9cfab41837868a73 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-f6f8dd95f960437b9cfab41837868a732025-01-20T07:20:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15117091511709Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional studyJing Gao0Juhua Zhang1Chenlei Shi2Aiqin Fan3Peng Zhang4School of Clinical Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, ChinaShanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, ChinaSchool of Clinical Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, ChinaShanghai Pudong New Area Sunqiao Community Health Service Center, Shanghai, ChinaSchool of Management, Hainan Medical University, Haikou, ChinaBackgroundIn order to actively cultivate a new generation of village doctors (NGVDs) who possess a high level of education, provide high-quality healthcare services, Shanghai Municipal Health Bureau, together with the Municipal Education Commission, Municipal Finance Bureau, and Municipal Agriculture Commission initiated Rural-oriented Tuition-waived Medical Education (RTME) in 2006. This study aims to identify the factors that influence the reselection intention and perceptions of NGVDs of RTME program in Shanghai.MethodsIn 2023, a questionnaire survey was conducted among a sample of NGVDs enrolled in the RTME program in 8 districts of Shanghai. The research focused on five aspects, including demographic characteristics, job characteristics, reasons for choosing RTME, career identity and job satisfaction. The participants were asked questions related to their experiences, opinions, and perceptions. Analysis of variance (ANOVA), chi-square tests and logistic regression analysis was conducted.ResultsA total of 419 questionnaires were collected. The majority (64.44%) indicated they would reselect this career, while 35.56% expressed either no preference or indifference. Factors influencing reselection included “Volunteering to serve the grassroots people” (odds ratio [OR], 2.29 [95% confidence interval {CI}, 1.22–4.30]), “Enjoying the medical profession” (OR, 2.64 [95%CI, 1.33–5.27]), not fulfilling family wishes (OR, 0.47 [95%CI, 0.24–0.88]), Satisfied with the current salary (OR, 2.39 [95%CI, 1.27–4.49]). NGVDs who think village doctors can leverage their professional ability with “okay” (OR, 32.87 [95%CI, 3.69–293.64]) and “yes” (OR, 120.03 [95%CI, 12.78- > 999.99]) and who think NGVDs were “important” (OR, 3.74 [95%CI, 1.21–11.55]) were more inclinatively to reselect to be NGVD.ConclusionReasons for choosing RTME, understanding of the government’s policy, career identity, and job satisfaction were all influence the reselection of RTME. This research can contribute to the improvement and development of similar programs in the future, benefiting both the students and the healthcare system as a whole.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511709/fullnew generation of village doctorsquestionnaire surveyrural-oriented tuition-waived medical educationjob satisfactionhealthcare system |
| spellingShingle | Jing Gao Juhua Zhang Chenlei Shi Aiqin Fan Peng Zhang Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study Frontiers in Public Health new generation of village doctors questionnaire survey rural-oriented tuition-waived medical education job satisfaction healthcare system |
| title | Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study |
| title_full | Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study |
| title_fullStr | Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study |
| title_full_unstemmed | Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study |
| title_short | Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study |
| title_sort | factors influencing reselection of village doctors in rural oriented tuition waived medical education program in shanghai china a cross sectional study |
| topic | new generation of village doctors questionnaire survey rural-oriented tuition-waived medical education job satisfaction healthcare system |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511709/full |
| work_keys_str_mv | AT jinggao factorsinfluencingreselectionofvillagedoctorsinruralorientedtuitionwaivedmedicaleducationprograminshanghaichinaacrosssectionalstudy AT juhuazhang factorsinfluencingreselectionofvillagedoctorsinruralorientedtuitionwaivedmedicaleducationprograminshanghaichinaacrosssectionalstudy AT chenleishi factorsinfluencingreselectionofvillagedoctorsinruralorientedtuitionwaivedmedicaleducationprograminshanghaichinaacrosssectionalstudy AT aiqinfan factorsinfluencingreselectionofvillagedoctorsinruralorientedtuitionwaivedmedicaleducationprograminshanghaichinaacrosssectionalstudy AT pengzhang factorsinfluencingreselectionofvillagedoctorsinruralorientedtuitionwaivedmedicaleducationprograminshanghaichinaacrosssectionalstudy |