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題名:探討醫師個人特質對選擇專科之影響
書刊名:醫務管理期刊
作者:林威宇刁茂盟陳志弘黃獻立林孟志
作者(外文):Lin, Wei-yuTiao, Mao-mengChen, Chih-hungHuang, Hsien-liLin, Meng-chih
出版日期:2018
卷期:19:1
頁次:頁63-78
主題關鍵詞:愛德華斯個人興趣量表專科選擇個人特質畢業後一般醫學訓練EPPSMedical specialty choicePersonal traitsFirst-postgraduate-year training
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:23
  • 點閱點閱:6
目的:醫學中心面臨五大科醫師招募不足或冷熱門科招募不均的問題,本研究藉探討個人特質對於選擇專科的影響,希對醫院擇才及醫學生生涯規劃有助益。方法:以南部某醫學中心2014、2015年畢業後一般醫學訓練醫師為對象,填寫愛德華斯個人興趣量表(Edwards Personal Preference Schedule;EPPS),回收124份,而後觀察其執登專科,以STATA 14.0 進行羅吉斯回歸,探討個人特質對選擇專科的影響。結果:名次居中或「內省需求(intraception)」高的醫師會傾向選開業科,但名次中後段的男性或「改變需求(change)」高的醫師會傾向不選開業科;名次居後或「積極需求(aggression)」高的醫師傾向選外科;「表現需求(exhibition)」高的醫師傾向選兒科或急診;「自謙需求(abasement)」高者傾向選內科。結論:自謙、積極、表現、內省、改變五種心理需求會影響專科選擇;性別對專科選擇無顯著影響,但同時加上畢業名次因素,影響程度會接近顯著。
Objectives: The shortage of medical residents in traditional specialties in Taiwan has become a major issue in recent years. The purpose of the study is to investigate the impact of personality traits on the specialty choices of the first-postgraduate-year residents (PGY- 1). The results will be used to improve resident recruitment strategies and the career development of the medical graduates. Methods: The study adopted purposive sampling and Edwards Personal Preference Schedule for data collection. A total of 124 PGY-1 residents participated in the study in 2014-2015. Statistical software (STATA 14.0) was used for stepwise logistic regression to investigate the impact of personality traits on specialty choice. Results: Participants with mid-academic ranking or high-intraception scores tend to choose general practice as a career, but male participants with low-academic ranking or high-change scores do not. Participants with low-academic ranking or high-aggression scores tend to choose surgery, while participants with high-exhibition scores tend to choose pediatrics or emergency as a career. Participants with high-abasement scores tend to be internists. Conclusions: A significant difference was found among first-postgraduate-year residents choosing specialties regarding abasement, aggression, exhibition, intraception, and change. Gender is not one of the contributing factors unless the academic ranking is taken into account.
期刊論文
1.張曉卉(20120701)。畢業生寧可做白工也要卡皮膚科缺--台灣醫療大崩盤。康健雜誌,164。  延伸查詢new window
2.吳俊穎、楊增暐、賴惠蓁、陳榮基(20100700)。醫療糾紛民事訴訟時代的來臨:臺灣醫療糾紛民國91年至96年訴訟案件分析。臺灣醫學,14(4),359-369。  延伸查詢new window
3.Diamantopoulos, A.、Siguaw, J. A.(2006)。Formative versus reflective indicators in organizational measure development: A comparison and empirical illustration。British Journal of Management,17(4),263-282。  new window
4.王錦堂、蔡哲嘉、李智雄(2016)。A大附設醫院畢業後一般醫學訓練學員申請住院醫師考量因素調查。醫院雙月刊,49(3),39-47。  延伸查詢new window
5.張維國、陳正榮、余慕賢、俞志誠、于大雄、范保羅(20101100)。推動「一年期畢業後一般醫學訓練計畫」對醫院的影響與衝擊。醫療品質雜誌,4(6),12-16。new window  延伸查詢new window
6.黃漢華(2012)。外科和皮膚科複雜度不同,健保給付竟一樣。遠見雜誌,313,152-209。  延伸查詢new window
7.劉彩卿、陳欽賢、鄭雅靜(20041200)。全民健保制度下影響醫學系學生選擇醫療科別之因素分析。醫務管理期刊,5(4),473-494。new window  延伸查詢new window
8.鄭希彥、林莉華、高忠漢(20160900)。醫學倫理法律之醫病溝通教育是否影響醫學生未來的專科選擇。醫學與健康期刊,5(2),45-55。new window  延伸查詢new window
9.Abioye, I. A.、Ibrahim, N. A.、Odesanya, M. O.、Wright, K. O.(2012)。The future of trauma care in a developing country: Interest of medical students and interns in surgery and surgical specialties。International Journal of Surgery,10(4),209-212。  new window
10.Borges, N. J.、Savickas, M. L.(2002)。Personality and Medical Specialty Choice: A Literature Review and Integration。Journal of Career Assessment,10(3),362-380。  new window
11.Chen, T.、Chou, L.、Hwang, S.(2006)。Patterns of ambulatory care utilization in Taiwan。BMC Health Services Research,6(1)。  new window
12.Fang, Ji-tseng、Lii, Shu-chung(20151100)。Relationship between Personality Traits and Choosing a Medical Specialty。Journal of the Formosan Medical Association,114(11),1116-1121。  new window
13.Hartung, P.、Taber, B.、Richard, G.(2005)。The physician values in practice scale: Construction and initial validation。Journal of Vocational Behavior,67(2),309-320。  new window
14.Kiker, B.、Zeh, M.(1998)。Relative Income Expectations, Expected Malpractice Premium Costs, and Other Determinants of Physician Specialty Choice。Journal of Health and Social Behavior,39(2),152。  new window
15.Kumar, A.、Mitra, K.、Nagarajan, S.、Poudel, B.(2014)。Factors influencing medical students' choice of future specialization in medical sciences: A cross-sectional questionnaire survey from medical schools in china, malaysia and regions of south asian association for regional cooperation。North American Journal of Medical Sciences,6(3),119。  new window
16.Kwon, O. Y.、Park, S. Y.(2016)。Specialty choice preference of medical students according to personality traits by Five-Factor Model。Korean Journal of Medical Education,28(1),95-102。  new window
17.Scott, I.、Gowans, M.、Wright, B.、Brenneis, F.、Banner, S.、Boone, J.(2010)。Determinants of choosing a career in family medicine。Canadian Medical Association Journal,183(1),E1-E8。  new window
18.Subait, A.、Ali, A.、Andijani, A.、Altuwaijry, M.、Algarni, S.、Alduhaimi, T.、Metwally, A.(2017)。Factors Influencing the Career Choices among Medical University students of King Saub bin Abdulaziz University, Riyadh Saudi Arabia; A Cross-sectional Study Design。The Saudi Journal for Dental Research,8(1/2),73-78。  new window
19.Taber, B. J.、Hartung, P. J.、Borges, N. J.(2011)。Personality and values as predictors of medical specialty choice。Journal of Vocational Behavior,78(2),202-209。  new window
會議論文
1.行政院衛生署(2012)。「守護台灣醫療高峰會議」會議手冊。守護台灣醫療高峰會。台北:衛生署。  延伸查詢new window
學位論文
1.何佳澤(2013)。醫學生專業科別抉擇與相關因素探討(碩士論文)。國立成功大學。  延伸查詢new window
2.陳宜成(2011)。台灣醫學生科別選擇因素--以在醫學中心實習者為例(碩士論文)。台北醫學大學,台北市。  延伸查詢new window
3.劉凱萍(2013)。影響住院醫師科別選擇相關因素研究(碩士論文)。國立嘉義大學。  延伸查詢new window
圖書
1.Edwards, A. L.(1987)。Edwards Personal Preference Schedule。New York:The Psychological Corporation。  new window
2.Gatewood, R.、Feild, H.、Barrick, M.(2008)。Human resource selection。Mason, Ohio:Thomson/South-Western。  new window
3.黃煌雄、沈美真、劉興善(20120000)。全民健保總體檢。臺北:五南。new window  延伸查詢new window
4.Cohen, Jacob、Cohen, Patricia、West, Stephen G.、Aiken, Leona S.(2003)。Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences。Lawrence Erlbaum Associates, Inc.。  new window
5.Hair, Joseph F. Jr.、Black, William C.、Babin, Barry J.、Anderson, Rolph E.、Tatham, Ronald L.(2006)。Multivariate Data Analysis。Prentice-Hall。  new window
單篇論文
1.國家衛生研究院(20141219)。醫事人力發展評估--著重內、外、婦、兒、急診五大科,http://www.nhri.org.tw/NHRI_ADM/userfiles/file/1031219-05.pdf。  延伸查詢new window
其他
1.楊銀興(2012)。愛德華斯個人興趣量表,http://terms.naer.edu.tw/detail/1312115/?index=28。  延伸查詢new window
 
 
 
 
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