影響中醫學系畢業生選擇未來開業地點之因素分析

A Study of the Factors Influencing Chinese Medical Graduate Students to Choose Practice Locations

中醫學系（含中醫學系及學士後中醫學系）畢業學生之執業地點選擇對於中醫師人力地理分布均衡改善與否，有相當大的決定因素。因此瞭解中醫學系應屆畢業學生對未來開業地點選擇，其考量之影響因素相當重要。本研究樣本以中區某大學98學年度中醫學系7年級應屆畢業學生及學士後中醫學系5年級應屆畢業生為研究對象，以自填之結構式問卷收集研究樣本，有效問卷回收率達 56.6%，並以描述性統計及羅吉斯迴歸等統計分析方法進行分析。研究結果顯示中醫學系畢業學生 選擇未來開業地點是否與戶籍地相同與否之影響因素，與鄰近父母親或親人的居住地為正相關，而 就學地區及成本與收入因素則為負相關。年齡於25-29歲間男性者對未來開業影響為：個人擁有主導權、實習醫院、鄉鎮區經濟水準將影響決定開業地點的關鍵因素。中醫學系畢業生之家族中具醫事背景者，會考量於畢業2年內工作地點為未來開業地點的因素有：長時間居住地、成本與收入。已婚者會選擇交通便利地點，未婚者則會考量父母親的意見。醫療相關單位若能瞭解並應用這些結果特性將有助於解決中醫醫療照護資源之公平性及可近性。

The choice of practice place for Chinese medical graduate student can be a determining factor on the balance for physician human resource geographic distribution of Chinese. It is an important issue to assess the influential factors related to the choice of practice place. The study subject included both the graduating classes of department of Chinese medicine and school of post-baccalaureate Chinese medicine. A structured self-administered questionnaire validated by Chinese medicine expert was used. The complete questionnaire response rate was 56.6%. Statistic analyses included descriptive statistics and logistic regression analysis. The result showed that the choice of practice place for Chinese medicine graduate student was positively associated with household register and living nearby parents or relatives but negatively associated with school location and cost-benefit. The determining variables of further practice place associated with the place of work after two years graduation included: male, those aged 25-29, ownership, practice hospital and area economic level. Residential area and cost-benefit were major variables related to working place after 2 years graduation among those who had family medical background. A married person would choose traffic convenient locations but an un-married person would depend on the opinion of parents. The objective of this study is to understand and for the health-related government to apply and consider those determining factors to achieve the best validity, fairness and accessibility of Chinese medicine care service.