健康中国战略背景下康复医学研究生就业偏好与实际去向的差异及影响因素

doi:10.3969/j.issn.1006-9771.2026.05.012

Abstract

Abstract:

Objective To systematically investigate the discrepancies between employment preferences and actual job placements among postgraduate students in rehabilitation medicine, explore the influencing factors, and elucidate the underlying mechanisms of their employment decisions.
Methods A cross-sectional questionnaire survey was conducted among 100 full-time postgraduate students who had graduated from Capital Medical University School of Rehabilitation in the past six years. A self-designed questionnaire was used to collect information on personal background, self-assessed competencies, employment preferences, and actual job placements. Logistic regression models were employed to analyze the factors influencing employment preferences and actual job placements, respectively.
Results Employment preferences among rehabilitation medicine postgraduates were highly concentrated on large tertiary hospitals (79.0%), yet the actual placement rate (61.0%) showed a significant gap. Preference for tertiary hospitals showed no significant association with individual factors such as gender, degree type or self-assessed competencies (P>0.05). Univariate analysis revealed that those who entered tertiary hospitals scored significantly higher in self-assessed clinical skills, research ability, communication and coordination, and resource integration (|t|>3.661, P<0.001), and demonstrated clearer career planning (P=0.012). Multivariate logistic regression analysis did not identify any independent predictors of actual employment within the context of this study sample (P>0.05).
Conclusion Employment among rehabilitation medicine postgraduates is characterized by highly homogeneous preferences coexisting with complexity of factors influencing actual employment. It is recommended to optimize the training system, deepen personalized career education, and establish diversified employment guidance mechanisms to promote rational talent flow and facilitate the balanced development of the rehabilitation medical service system.

Key words: rehabilitation medicine, postgraduate employment, influencing factors

CLC Number:

R49-4

WEI Liwei, TANG Zhiqing, LI Hongxia, QIAO Kejiao. Differences and influencing factors between employment preferences and actual career destinations of rehabilitation medicine postgraduate students under Healthy China Strategy[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(5): 611-620.

Figures/Tables 3

Table 1

Table 2

Table 3

References 33

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项目	非三甲医院(n=21)	三甲医院(n=79)	χ²/t值	P值
性别/n			0.646	0.422
男	7	34
女	14	45
学位类型/n			0.454	0.501
硕士	13	55
博士	8	24
是否愿意从事本专业工作/n			0.554	0.758
非常愿意	7	29
愿意	11	43
一般	3	7
职业规划清晰度/n			-	1.000
非常清晰	4	16
初步规划	15	53
有思考未规划	2	10
临床技能	6.90±1.97	7.18±1.59	-0.662	0.509
科研能力	7.00±1.52	6.95±1.55	0.134	0.894
沟通协调能力	7.67±1.39	7.66±1.54	0.023	0.982
资源整合能力	7.10±1.55	7.11±1.57	-0.049	0.961
期望就业地点/n			-	1.000
一线城市	13	46
新一线城市	6	22
省会城市	2	8
无偏好	0	3
期望税前月薪/n			-	0.353
≤ 8000元	0	1
8001~12000元	4	13
12001~18000元	7	28
18001~25000元	3	24
>25000元	7	13
薪资福利待遇/n			0.141	0.708
非常重要	14	56
重要	7	23
工作地点与生活环境/n			-	0.730
非常重要	12	48
重要	8	29
一般	1	2
职业发展与晋升空间/n			-	0.917
非常重要	10	42
重要	10	33
一般	1	4
工作稳定性/n			-	0.448
非常重要	9	45
重要	12	30
一般	0	3
不重要	0	1
工作与生活平衡/n			-	0.918
非常重要	14	48
重要	6	26
一般	1	5
求职时面对的首要挑战/n			-	0.454
信息不对称	7	19
核心竞争力不足	2	16
岗位竞争激烈	12	39
缺乏就业指导	0	5

项目	非三甲医院(n=17)	三甲医院(n = 61)	χ²/t值	P值
性别/n			0.000	0.989
男	7	25
女	10	36
学位类型/n			3.146	0.076
硕士	14	36
博士	3	25
是否愿意从事本专业工作/n			5.361	0.069
非常愿意	3	23
愿意	10	34
一般	4	4
职业规划清晰度/n			-	0.012
非常清晰	2	14
初步规划	9	43
有思考未规划	6	4
临床技能	6.00±1.22	7.52±1.59	-3.661	<0.001
科研能力	5.59±1.46	7.38±1.25	-5.017	<0.001
沟通协调能力	6.35±1.32	8.00±1.34	-4.491	<0.001
资源整合能力	5.88±1.36	7.46±1.41	-4.107	<0.001
首选就业方向/n			0.000	1.000
非三甲医院	3	11
三甲医院	14	50
期望就业地点/n			-	0.015
一线城市	7	38
新一线城市	4	18
省会城市	4	5
无偏好	2	0
期望税前月薪/n			-	0.122
8001~12000元	5	7
12001~18000元	5	22
18001~25000元	6	16
>25000元	1	16
薪资福利待遇/n			0.725	0.395
非常重要	13	40
重要	4	21
工作地点与生活环境/n			-	0.294
非常重要	10	36
重要	6	25
一般	1	0
职业发展与晋升空间/n			-	0.719
非常重要	8	32
重要	8	27
一般	1	2
工作稳定性/n			-	0.658
非常重要	8	31
重要	8	28
一般	1	1
不重要	0	1
工作与生活平衡/n			-	0.189
非常重要	10	39
重要	5	21
一般	2	1
求职时面对的首要挑战/n			-	0.792
信息不对称	3	17
核心竞争力不足	3	11
岗位竞争激烈	11	31
缺乏就业指导	0	2

项目	β	S.E	Z	GVIF^1/(2*Df)	P	调整后OR (95%CI)
截距	-5.08	3.04	-1.67		0.094	0.01 (0.00~2.39)
学位类型				1.194
硕士						1.00 (Reference)
博士	1.59	1.09	1.45		0.147	4.89 (0.57~41.72)
是否愿意从事本专业工作				1.076
非常愿意						1.00 (Reference)
愿意	0.02	0.99	0.02		0.988	1.02 (0.14~7.12)
一般	-1.55	1.30	-1.19		0.234	0.21 (0.02~2.72)
职业规划清晰度				1.174
非常清晰						1.00 (Reference)
初步规划	-0.16	1.08	-0.14		0.885	0.86 (0.10~7.07)
有思考未规划	-0.61	1.34	-0.45		0.650	0.54 (0.04~7.57)
临床技能	-0.22	0.43	-0.51	1.713	0.613	0.80 (0.35~1.87)
科研能力	0.32	0.39	0.81	1.710	0.417	1.37 (0.64~2.93)
沟通协调能力	0.58	0.50	1.15	1.935	0.249	1.78 (0.67~4.78)
资源整合能力	0.28	0.39	0.72	1.685	0.474	1.32 (0.62~2.81)
期望就业地点				1.073
一线城市						1.00 (Reference)
新一线城市	0.05	1.01	0.05		0.964	1.05 (0.14~7.59)
省会城市	-0.89	1.16	-0.76		0.445	0.41 (0.04~4.00)
无偏好	-18.68	1643.96	-0.01		0.991	0.00 (0.00~Inf)

Differences and influencing factors between employment preferences and actual career destinations of rehabilitation medicine postgraduate students under Healthy China Strategy

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