摘要
[目的]了解基层医疗卫生服务机构全科医生技能培训需求和培训实施现状,为进一步制定合理有效的技能培训计划提出切实可行的对策建议。[方法]在江苏省的镇江市、山西省的太原市、湖北省的武汉市、襄阳市以及四川省的成都市、内江市,整群抽取1012名全科医生进行问卷调查,数据采用SPSS 22.0进行统计分析。[结果]903名全科医生中,参与技能培训意愿强烈和比较强烈的有631名(69.9%);认为医学专业知识培训重要的有665名(73.6%);认为疾病诊治能力技能培训重要的有566名(62.7%);认为经过技能培训医疗实践水平有所提升的有535名(59.2%);对最近一次技能培训整体满意的有501名(55.5%)。[结论]目前培训主要存在全科医生的培训积极性不高、培训需求满足感较低、全科医疗理念不强以及培训效果不佳等问题。提出充分调动全科医生参与技能培训的积极性,健全“政府、高校、公立医院、基层卫生服务机构”为协作主体的培训机制,构建以“六位一体”服务功能为导向的培训模式及优化“互联网+健康中国”融合背景下的培训方式等对策。
Objective To investigate the skill training needs and implementation status of general practitioners(GPs)in primary medical health service institutions so as to provide feasible countermeasures for further formulating reasonable and effective skills training programs.Methods 1012 GPs working in primary health service institutions in Zhenjiang of Jiangsu province,Taiyuan of Shanxi Province,Wuhan and Xiangyang of Hubei province,Chengdu and Neijiang of Sichuan province were conducted questionnaire survey,statistically analyzed the data by SPSS 22.0.Results In 903 general practitioners,there were 631(69.9%)general practitioners had relatively strong willingness to participate in skill training,665(73.6%)general practitioners regarded that medical professional knowledge training was important,566(62.7%)general practitioners regarded that the skill training of disease diagnosis and treatment general was important,535(59.2%)practitioners regarded that medical practice level had improved after the skill training,and 501(55.5%)general practitioners were satisfied with the latest skill training.Conclusions There are some problems such as low enthusiasm in training of general practitioners,low satisfaction on training request,weak general practice idea and poor training effect and so on.It is suggested to fully mobilize the enthusiasm of GPs to participate in skill training,improve the training mechanism with“government,educational institutions,public hospitals and primary health service institutions”as cooperation subjects,construct“Six in One”service function-oriented training mode and optimize training mode under the background of“Internet+Healthy China”.
作者
马志强
林枫
欧阳晨慧
马泽君
MA Zhi-qiang;LIN Feng;OUYANG Chen-hui;MA Ze-jun(Management School of Jiangsu University,Zhenjiang Jinagsu 212013,China)
出处
《卫生软科学》
2020年第10期99-104,共6页
Soft Science of Health
基金
国家自然科学基金—全科医生服务价值实现的机理与策略研究(71573109)。
关键词
基层医疗卫生服务机构
全科医生
技能培训
培训需求
primary health service institutions
general practitioners
skill training
training needs
