摘要
目的探索适合远郊农村社区卫生服务中心在岗全科医生职业服务能力的培训方式并进行效果评价。方法采取"午餐式"培训方式,"学分制"管理模式,"优势互补"讲课方式、"一堂二讲"课程安排;从专业理论知识、指南研读分享、案例讨论汇报、实践技能操作培训4个方面,对37名上海远郊农村社区卫生服务中心在岗全科医生进行为期12个月的规范化职业能力培训并进行效果评价。结果经过培训后,37名全科医生临床专业理论和实践操作技能考核成绩为(75.70±6.77)分和(78.27±6.67)分,均较培训前有所提升,差异均有统计学意义(t=3.386,t=4.460,均P<0.01);经培训后,全科医生对于培训时间、课程安排、日常管理及总体评价的满意度均高于培训前,差异均有统计学意义(均P<0.01);经培训后,门诊补液比及抗生素处方使用率分别为3.31%和5.54%,均较培训前呈现下降,差异均有统计学意义(χ~2=1 055.031,χ~2=644.423,均P<0.01),而培训后门诊接诊人数为228 239人次,较培训前207 108人次增加,合理使用抗生素处方比(81.23%)也出现上升,差异有统计学意义(χ~2=289.038,P<0.01)。结论采取"午餐式""学分制""优势互补""一堂二讲"的培训方式,具有一定的实效性,在远郊农村社区卫生服务中心全科医生业务能力培训工作中可加以推广。
Objective To explore the suitable standardized on-the-job training mode for general practitioners in rural community health service center in the outlying suburbs and to evaluate its effect.Methods The " learn-at-lunch" training," Credit system" management model," Complementary advantages" lectures,and " One lesson by two lectures" course arrangement employed to train the professional theoretical knowledge,study and share the treatment guidelines,discuss and report the illness cases,and practice skills.A 12-month standardized on-the-job training program was performed in 37 general practitioners from the rural community health service center in the outlying suburbs of Shanghai,and the effectiveness was evaluated.Results After the training,the scores of clinical specialty theory and practice skills of 37 general practitioners were(75.70 ± 6.77) scores and(78.27 ± 6.67) scores,respectively,that was improved obviously when compared with these before the training,the difference was statistically significant(t = 3.386 and t = 4.460,all P < 0.01);After the training,general practitioners’ satisfaction with the training time,course schedule,daily management and overall evaluation were improved significantly(all P < 0.01);After the training,the ratio of outpatient rehydration and ratio of antibiotic prescriptions were 3.31% and 5.54%,respectively,which showed a declining trend(χ^2= 1 055.031 and χ^2= 644.423,both P < 0.01).The number of outpatient visits(228 239 vs.207 108) and the proportion of rational use of antibiotics(81.23%) increased(χ^2= 289.038,P < 0.01).Conclusion The modes of "learn-at-lunch" training," Credit system" management model," Complementary advantages" lectures,and " One lesson by two lectures" arrangement have some effectiveness in the on-the-job training for general practitioners in rural community health service center in the outlying suburbs,that is worth of widely application.
作者
蔡利强
侯进
陆新建
CAI Li-qiang;HOU Jin;LU Xin-jian(Datuan Community Health Service Center,Pudong New District,Shanghai 201311,China)
出处
《中华全科医学》
2019年第2期256-258,共3页
Chinese Journal of General Practice
基金
上海市浦东新区卫生系统示范全科团队项目(PWZqt2017-01)
关键词
全科医生
服务能力
培训模式
效果评价
General practitioner
Service capability
Training mode
Evaluation
作者简介
通信作者:侯进,E—mail:hjin1012@163.com.
