实习培训经验对肯尼亚和乌干达医生的职业意图和决策的影响:一种定性研究
Yingxi Zhao1, Daniel Mbuthia2, Dos Santos Ankomisyani3
1NDM Centre for Global Health Research, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Global health action
|November 9, 2023
概括
在肯尼亚和乌干达,医疗实习的经验极大地影响了初级医生的职业意图. 然而,有限的就业机会往往决定了实际的职业决策,强调了背景的重要性.
科学领域:
- 医学教育 医学教育
- 健康劳动力研究 卫生劳动力研究
- 职业发展 职业发展
背景情况:
- 医疗实习是医生职业规划和劳动力市场过渡的关键阶段.
- 了解影响职业选择后实习的因素对于卫生系统规划至关重要.
研究的目的:
- 探索影响肯尼亚和乌干达初级医生在实习后职业意图和决策的多方面的因素.
- 在东非医疗保健系统的背景下,确定对职业偏好和就业选择的影响.
主要方法:
- 与54名初级医务官和14名顾问进行了半结构化访谈.
- 数据分析将直接内容方法与诱导性主题分析相结合,使用现有框架并开发新的见解.
主要成果:
- 临床暴露,工作与生活平衡,工作场所文化和专业发展问题影响了职业偏好,与现有框架保持一致.
- 一个新的发现是实习生希望根据他们的实习观察'填补卫生系统的空白'.
- 由于环境因素,主要是就业位短缺,职业意图经常与实际就业决策有所不同.
结论:
- 在肯尼亚和乌干达,实习经验深深地塑造了医生的职业意图.
- 工作机会的可用性和特定的背景因素是这些地区医生实际职业选择的关键决定因素.
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