ArticleBMC medical education2018
Attitude towards working in rural areas: a cross-sectional survey of rural-oriented tuition-waived medical students in Shaanxi, China.
Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Development of a career questionnaire for medical undergraduates using Mokken scale analysis.BMC medical education · 2022Pooled it
- A systematic review of depression and anxiety in medical students in China.BMC medical education · 2019Pooled it
- Effectiveness of standardized training for rural-oriented tuition-waived medical students in Yunnan Province: a multi-center cross-sectional survey.BMC medical education · 2025Observational
- Maximising the potential of the National Compulsory Service Programme in rural China: a mixed methods study.BMJ open · 2025Article
- A study on the relationship between self-efficacy and career identity of rural-oriented tuition-waived medical students based on the mediating effect of vocational outcome expectations.BMC medical education · 2025Article
- Job satisfaction and turnover of the first group of rural-oriented tuition-waived medical students in Guangxi, China: a mixed-method study.BMC primary care · 2024Article
- Trends in the mobility of primary healthcare human resources in underdeveloped regions of western China from 2000 to 2021: Evidence from Nanning.BMC primary care · 2024Article
- Policy perception, job satisfaction and intentions to remain in rural area: evidence from the National Compulsory Service Programme in China.Global health research and policy · 2024Article
- 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 · 2024Article
- Job preference of preventive medicine students during the COVID-19 pandemic: a discrete choice experiment survey in Shandong Province, China.BMC medical education · 2023Review
- Preparing future general practitioners: the effects of individual, familial, and institutional characteristics.BMC medical education · 2023Article
- The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China.BMC medical education · 2023Article
- Relationship between honesty-credit, specialty identity, career identity, and willingness to fulfill the contract among rural-oriented tuition-waived medical students of China: a cross-sectional study.Frontiers in public health · 2023Article
- Retention of dental practitioners in rural health services in Iran: Experiences from Kerman province.Dental research journal · 2022Article
- Article
- How does job mobility relate to work commitment among rural healthcare workers? a cross-sectional study in western China.BMC health services research · 2021Article
- Factors Associated With Working in Remote Indonesia: A National Cross-Sectional Study of Early-Career Doctors.Frontiers in medicine · 2021Article
- Factors associated with increasing rural doctor supply in Asia-Pacific LMICs: a scoping review.Human resources for health · 2020Article
- Family medicine training in China: crisis and opportunity.Family medicine and community health · 2020Article
- A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries.Frontiers in medicine · 2020Article
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Abstract
backgroundAttracting and recruiting health workers to work in rural areas is still a great challenge in China. The rural-oriented tuition-waived medical education (RTME) programme has been initiated and implemented in China since 2010. This study aimed to examine the attitudes of rural-oriented tuition-waived medical students (RTMSs) in Shaanxi towards working in rural areas and the related influencing factors.
methodsA cross-sectional survey was conducted in 2015 among 232 RTMSs in two medical universities from the first group of students enrolled in the RTME programme in Shaanxi. Descriptive and analytical statistics were used for the data analyses.
resultsOf the 230 valid responses, 92.6% expressed their intentions of breaking the contract for working in rural township hospitals for 6 years after their graduation under the RTME programme. After the contract expired, only 1.3% intended to remain in the rural areas, 66.5% had no intention of remaining, and 32.2% were unsure. The factors related to a positive attitude among the RTMSs towards working in rural areas (no intention of breaking the contract) included being female, having a mother educated at the level of primary school or below, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the policy. The factors related to a positive attitude of the RTMSs towards remaining in rural areas included being female, having a rural origin, having no regular family monthly income, having a father whose occupation was farmer, having a mother educated at the level of postsecondary or above, having the RTMSs be the final arbiter of the policy choice, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the educational scheme.
conclusionsRelated policy makers and health workforce managers may benefit from the findings of this study. Appropriate strategies should be implemented to stimulate the RTMSs' intrinsic motivation and improve their willingness to work in rural areas and to better achieve the objectives of RTME policy. Meanwhile, measures to increase the retention of RTMSs should also be advanced.
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