Objective To explore the impact of application motivations on the commitment fulfillment willingness of government-funded medical students in Shandong Province, and provide reference for enhancing their commitment fulfillment willingness and cultivation quality. Methods A self-designed questionnaire was used to investigate 2 058 government-funded medical students from grade 2019 to grade 2022 in five medical colleges and universities in Shandong Province. Descriptive statistical analysis, one-way analysis of variance and multiple linear regression model were used to analyze the influence of the motivation of government-funded medical students on their willingness to perform the contract. Results The results of one-way analysis of variance showed that there were statistically significant differences in the scores of willingness to fulfill the contract between parents ' opinions, government arrangement of work and free study policy (P < 0. 001) . There were also statistically significant differences in the scores of willingness to implement the policy and whether the place of origin and the place of destination were matched (P<0. 001) . The regression results of the willingness of medical students to fulfill the contract showed that the two motivations of government arranged work (P = 0. 021) and free study policy (P = 0. 001) had a significant impact on the willingness of medical students to fulfill the contract. Policy identification had a significant effect on the willingness of medical students to perform the contract (P < 0. 001) . The interaction term between parental opinions and policy identification has a significant impact on willingness to fulfill the agreement (P = 0. 025) . Conclusion The examination motivation, policy identification and matching of students ' place of origin and orientation of public medical students have an important impact on their willingness to perform the contract. © 2025 Publishing House of Chinese Journal of General Practice. All rights reserved.
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