摘要
目的了解我国部分省份接受过全科专业住院医师规范化培训(简称全科住培)的全科医师的岗位胜任力现状。方法该研究为横断面调查。于2021年1至2月采用分层抽样与按比例随机抽样结合的方法在我国东、中、西部地区全科住培基地选取符合要求的2018、2019、2020年结业的全科医师及其就业单位领导、接诊患者参与问卷调查, 从不同视角评价全科医师的岗位胜任力。结果调查在我国东、中、西部45家全科住培基地开展, 回收全科医师自评有效问卷677份, 单位领导评价有效问卷600份, 患者评价有效问卷2 579份。全科医师岗位胜任力自评得分最高的是职业精神与人文素养[(4.41±0.60)分], 最低的是教育学习和科研能力[(3.57±0.84)分], 不同地区全科医师岗位胜任力得分差异无统计学意义(P>0.05)。单位领导评价全科医师岗位胜任力, 得分最高的是职业精神与人文素养[(4.64±0.57)分], 最低的是基本公共卫生服务能力[(4.31±0.95)分], 东部地区职业精神与人文素养得分高于中部和西部地区(P<0.05)。接诊患者评价全科医师岗位胜任力, 得分最高的是职业精神与人文素养[(4.73±0.55)分], 最低的是基本医疗服务能力[(4.11±1.35)分]。68.2%(409/600)的单位领导认为被评医师"完全胜任目前岗位", 28.7%(172/600)的单位领导认为被评医师"基本胜任目前岗位"。70.5%(1 817/2 579)的患者对被评医师"很满意", 27.1%(700/2 579)的患者对被评医师"比较满意"。结论我国部分省份接受过全科住培的全科医师岗位胜任力基本达标, 但"教育和科研能力""基本公共卫生服务能力"有待提高。
Objective:To survey the post competency of general practitioners who had completed residency training in China.Methods:This study was a cross-sectional survey.An online questionnaire survey was conducted among general practitioners,institution leaders and patients from January to February 2021.The participants were selected from 45 general practice residential training bases in the eastern,central and western regions of China by a combination of stratified sampling and proportional random sampling methods.The post competency self-assessment questionnaire was used for the general practitioners,and the competency evaluation questionnaire was used for institution leaders and the patients.Results:A total of 677 valid self-assessment questionnaires were returned from general practitioners,600 from institution leaders,and 2579 from patients.The professionalism and humanistic literacy of the self-assessment questionnaire had the highest score(4.41±0.60),and the teaching,learning and research abilities had the lowest score(3.57±0.84).There was no significant difference in the post competency score of general practitioners among different regions(P>0.05).The highest score of general practitioners′post competency evaluated by leaders was the professionalism and humanistic literacy(4.64±0.57),and the lowest one was the basic public health service ability(4.31±0.95).The score of professionalism and humanistic ability in the eastern region was significantly higher than that in the central and western regions(P<0.05).The highest score of general practitioners′post competency evaluated by patients was the professionalism and humanistic literacy(4.73±0.55),and the lowest score was the basic medical service ability(4.11±1.35).There were significant differences in scores of the ability for basic medical service,ability for basic public health service,ability for interpersonal communication and ability for professionalism and humanistic literacy among different regions(P<0.05).For institution leaders,68.2%(409/600)believed that the general practitioners were fully competent for their current jobs,28.7%(172/600)believed that the general practitioners were basically competent for their current jobs.For patients,70.5%(1817/2579)were very satisfied with the general practitioners′service,and 27.1%(700/2579)were basically satisfied with the general practitioners′service.Conclusions:The competency of general practitioners who had received training in some provinces is basically up to standard,but the basic public health service ability and teaching,learning and research ability need to be improved.
作者
祝悦
胡雪婷
朱文华
方哲明
方力争
Zhu Yue;Hu Xueting;Zhu Wenhua;Fang Zheming;Fang Lizheng(Department of General Practice,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou310016,China)
出处
《中华全科医师杂志》
2025年第5期571-580,共10页
Chinese Journal of General Practitioners
基金
浙江省社科联研究课题(2023N002)。
关键词
全科医师
岗位胜任力
住院医师规范化培训
General practitioner
Postcompetency
Standardized training for residents
作者简介
通信作者:方力争,Email:lizheng.f@zju.edu.cn。
