为该地区接受教育? 一种基于注册表的序列分析,模拟医生职业发展轨迹
Marie Hella Lindberg1, Birgit Abelsen2
1National Centre for Rural Medicine, Department of Community Medicine, UiT Arctic University of Norway, Postbox 6050, Langnes, Tromsø, 9037, Norway. marie.h.lindberg@uit.no.
Research in health services & regions
|October 22, 2025
概括
北挪威的医学教育旨在留住医生. 纵向数据显示,大多数毕业生转移到城市专家角色,而不是农村初级保健,突出需要有针对性的干预措施.
科学领域:
- 医学教育 医学教育
- 医疗保健劳动力研究 劳动力研究
- 农村卫生 农村卫生
背景情况:
- 在农村和初级医疗保健中招聘和留住医生是一个全球性的挑战.
- 挪威北部地区也面临与医务人员相似的问题.
- 挪威北极大学 (UiT) 实施了为挪威北部培训医生的举措,包括优先录取和农村实践.
研究的目的:
- 分析挪威UIT北极大学医学毕业生的长期职业发展轨迹.
- 了解毕业生背景特征如何影响他们在不同的医疗保健环境中的职业道路.
- 评估教育干预措施在解决农村医疗保健人员需求方面的有效性.
主要方法:
- 利用纵向注册数据来追踪医生十年的职业生涯.
- 采用序列分析来基于位置,区域类型和医疗保健部门的职业道路模型.
- 应用集群分析来识别不同的职业发展轨迹和后勤回归来探索背景关联.
主要成果:
- 在医学毕业生中确定了七种不同的职业发展轨迹.
- 来自北方的医生更有可能留在挪威北部.
- 大多数 (53.7%) 追求城市专业职业,而只有12.8%在北方农村初级医疗保健工作,主要是那些来自北方和农村背景的人.
结论:
- 尽管有针对性的教育举措,但大多数医学毕业生最终不会进入北方农村初级医疗保健角色.
- 毕业生的地理来源和农村背景影响他们的职业选择.
- 教育干预措施需要改进,以更好地与加强挪威北部农村和初级医疗保健的目标保持一致.
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