Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1405
2
1
gregorian
2026
5
1
24
12
online
1
fulltext
fa
بازده اقتصادی مورد انتظار آموزش پزشکی عمومی و تخصصی در میان دانشجویان پزشکی دانشگاه علوم پزشکی رفسنجان در سال ۱۴۰۳: یک مطالعه توصیفی
Expected Economic Returns of General and Specialized Medical Education among Medical Students at Rafsanjan University of Medical Sciences in 2024:
A Descriptive Study
مديريت و اطلاع رساني پزشكي
مديريت و اطلاع رساني پزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> تحصیل در رشته پزشکی پرهزینه و زمانبر است و تصمیم برای ورود به آن مبتنی بر تحلیل اقتصادی می­باشد. هدف این مطالعه، تعیین بازده اقتصادی مورد انتظار دانشجویان پزشکی از تحصیل در دوره عمومی و تخصصی پزشکی در دانشگاه علوم پزشکی رفسنجان در سال </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">۱۴۰۳</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> بود.</span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b> <span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">این پژوهش توصیفی بر روی </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">۳۲۵</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> دانشجوی دوره پزشکی عمومی انجام شد. دادهها با پرسشنامه مبتنی بر نسخه استاندارد </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Hackman</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Oldham</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> (با روایی و پایایی تأیید شده در ایران) جمعآوری گردید. جهت تجزیه و تحلیل دادهها از آزمون </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">t</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> مستقل و آنالیز واریانس یکطرفه استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> نتایج نشان داد بازده اقتصادی مورد انتظار دوره تخصص نسبت به دوره پزشکی عمومی در مردان (0/34</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif">±</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">0/55) بیش از زنان (0/24</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif">±</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">0/45) بود (0/001=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و بازده مورد انتظار دوره تخصص نسبت به کارشناسی در مردان (0/64</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif">±</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">1/10) بیش از زنان (0/62</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif">±</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">0/92) بود (0/26=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). همچنین، در رابطه با بازده اقتصادی مورد انتظار دوره تخصص نسبت به عمومی نوع تخصص (0/49=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و سن پدر (0/009=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، تخصص نسبت به کارشناسی سن (0/49=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و سطح درآمد خانوار (0/038=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، تخصص به شغل آزاد، وضعیت اشتغال (0/033=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و بار هزینه تحصیل (0/035=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و دوره عمومی نسبت به کارشناسی، نوع آموزش (0/015=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) از عوامل مرتبط با بازده مورد انتظار بودند</span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">.</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> دانشجویان پزشکی در تصمیمگیری تحصیلی خود به تحلیل اقتصادی توجه دارند و ارزیابی درآمد آینده یکی از عوامل مهم در انتخاب مسیر تحصیلی است. توجه به این عوامل میتواند برای سیاستگذاران در مدیریت ظرفیت پذیرش رشتههای پزشکی و طراحی نظام پرداخت در بخش سلامت مفید باشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> بازده اقتصادی، نرخ بازده داخلی، سرمایه انسانی، پزشکی عمومی، پزشکی تخصصی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a> <span style="font-size:9.0pt"><span style="line-height:140%">Studying medicine is costly and time-consuming, and the decision to enter this field is based on economic analysis. The aim of this study was to determine the expected economic return of medical students from studying general medicine and medical specialties at Rafsanjan University of Medical Sciences in 2024.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This descriptive study was conducted on 325 general medicine students. Data were collected using a questionnaire based on the standard version of Hackman and Oldham (with validity and reliability confirmed in Iran). Independent t-test and one-way analysis of variance were used for data analysis.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> The results showed that the expected economic return of the specialty program compared to the general medicine program was higher in men (0.55±0.34) than inwomen (0.45±0.24) (p=0.001), and the expected return of the specialty program compared to a bachelor's degree was higher in men (1.10±0.64) than in women (0.91±0.62) (p=0.026). Furthermore, regarding the expected economic return, the following factors were associated: type of specialty (p=0.049) and father's age (p=0.009) for specialty versus general medicine; age (p=0.049) and monthly family income (p=0.038) for specialty versus bachelor's degree; student employment status (p=0.033) and educational cost burden (p=0.035) for specialty versus self‑employment; and type of education (p=0.015) for general medicine versus bachelor's degree.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:140%">Medical students pay attention to economic analysis in their educational decisions, and the assessment of future income is one of the important factors in choosing their educational path. Attention to these factors can be useful for policymakers in managing the admission capacity of medical fields and designing the payment system in the health sector.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Economic return, Internal rate of return, Human capital, General medicine, Medical specialty</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:3.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:130%"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:130%"> The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1403.104).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Aghdas Sourasrafil, Hassan Ahmadinia</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Atena Hemmati, Aghdas Sourasrafil</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Hassan Ahmadinia, Aghdas Sourasrafil</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Writing – original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:130%">Atena Hemmati</span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation: </span></span></b><span style="font-size:8.0pt"><span style="line-height:150%">Ahmadinia H, Souresrafil A, Hemmati A, Rezaeian M. Expected Economic Returns of General and Specialized Medical Education among Medical Students at Rafsanjan University of Medical Sciences in 2024: A Descriptive Study. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2026; 24 (12): 1149-66. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing – review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Hassan Ahmadinia, Aghdas Sourasrafil</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
بازده اقتصادی, نرخ بازده داخلی, سرمایه انسانی, پزشکی عمومی, پزشکی تخصصی
Economic return, Internal rate of return, Human capital, General medicine, Medical specialty
1149
1166
http://journal.rums.ac.ir/browse.php?a_code=A-10-2772-4&slc_lang=fa&sid=1
Hassan
Ahmadinia
حسن
احمدی نیا
h.ahmadinia@gmail.com
6900319475328460062575
6900319475328460062575
No
Assistant Prof., Dept. of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
استادیار، گروه اپیدمیولوژی و آمارزیستی، دانشکده بهداشت، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران
Aghdas
Soorasrafil
اقدس
صوراسرافیل
asouresrafil@gmail.com
6900319475328460062576
6900319475328460062576
No
Assistant professor of Health Economics, Dept. of Health Services and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
استادیار گروه آموزشی خدمات بهداشتی و ارتقا سلامت، دانشکده بهداشت، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران
Atena
Hemmati
آتنا
همتی
www.atenahemati75@gmail.com
6900319475328460062577
6900319475328460062577
No
General Medicine Student, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
دانشجوی پزشکی عمومی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران
Mohsen
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460062578
6900319475328460062578
Yes
-Prof., Dept. of Epidemiology and Biostatistics, Occupational Environment Research Center, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
استاد گروه آموزشی اپیدمیولوژی و آمار زیستی، دانشکده پزشکی، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران