摘要
背景全科医生队伍的长久、稳定发展对落实家庭医生签约服务政策、持续推进分级诊疗制度建设、实现国家“大健康”战略目标至关重要。全科医生是否继续从事全科医学职业主要取决于其对全科医生职业的信心。探讨已结业的全科住院医师规范化培训(简称住培)学员对全科医学职业认知情况,可以为今后培训内容改进及相关政策制定提供参考,但目前相关研究较少。目的调查已结业非订单定向全科住培学员对全科医学职业认知情况,从而为能够更好地留住全科人才提供参考。方法于2021年8月,采用分层随机整群抽样法,选取河南省10家全科住培基地2014—2017年入培且已结业的非订单定向全科住培学员进行问卷调查。问卷由课题组设计,本研究涉及的主要内容包括:学员基本信息、住培情况、目前工作情况、对全科医学的职业认知等。通过“问卷星”发放问卷,由学员自行填写。结果共发放问卷326份,回收有效问卷271份(83.1%),结业后从事全科医学工作者77名(28.4%)。结业后从事全科医学相关工作学员对全科医学学科地位、全科医生社会地位的评分高于未从事全科医学相关工作者(P<0.05);结业后从事全科医学相关工作学员中,80.5%(62/77)愿意将全科医生作为终生职业,该比例明显高于未从事全科医学相关工作者(P<0.05)。不同年龄、是否为独生子女学员对全科医学学科地位的评分比较,差异有统计学意义(P<0.05);母亲不同文化程度学员对全科医生社会地位的评分比较,差异有统计学意义(P<0.05);不同年龄学员对全科医生职业前景的评分比较,差异有统计学意义(P<0.05);不同年龄、婚姻状况、文化程度、母亲职业、目前工作单位学员将全科医生作为终生职业的意愿评分比较,差异有统计学意义(P<0.05)。学员认为前三位限制全科医学发展的因素依次为:配套政策不完善(150名,
Background The long-term and stable development of the general practitioner workforce is crucial to the implementation of policies related to contracted family doctor services,the continuous promotion of construction of the hierarchical diagnosis and treatment system,and the realization of national strategic goals for achieving"big health".Whether a general practitioner continues to work in general practice depends primarily on his confidence in the profession.Exploring the perceptions toward general practice as a career among general medical graduates finishing the standardized general residency training program(SGRTP),can provide a reference for the improvement of training content and relevant policy formulation.However,there are few relevant studies.Objective To explore the perceptions toward general practice career among non-targeted admission general medical graduates completing the SGRTP,offering insights into how to better retain general practice talents.Methods In August 2021,stratified cluster random sampling was used to select non-targeted admission general medical graduates who had been admitted to the SGRTP in 10 standardized general residency training bases in Henan Province during 2014 to 2017,and completed the SGRTP as of the survey date.They attended a self-administered survey conducted through an online platform named"Wenjuanxing",using a questionnaire developed by our research group for understanding their general information,standardized training information,current work situation and perceptions toward a career in general practice.Results Three hundred and twenty-six cases attended the survey,and 271(83.1%)of them who handed in responsive questionnaires were finally included,among whom 77(28.4%)went into the career of general practice after the completion of SGRTP.Compared with their counterparts who did not work in general practice following the completion of training,the trainees who worked in general practice rated the disciplinary position of general medicine and the social position of gen
作者
李兵
杨珊
王璁
陈金京
徐志伟
刘晓宇
王留义
LI Bing;YANG Shan;WANG Cong;CHEN Jinjing;XU Zhiwei;LIU Xiaoyu;WANG Liuyi(General Practice Department,Henan Provincial People's Hospital(People's Hospital of Zhengzhou University),Zhengzhou 450003,China)
出处
《中国全科医学》
北大核心
2023年第28期3544-3550,3558,共8页
Chinese General Practice
基金
河南省医学教育研究课题(wjlx2019083)
全国全科医学教育教学研究课题(A-YXGP20210201-02)。
关键词
全科医学
住院医师规范化培训
职业认知
教育
医学
卫生人力
General practice
Standardized residency training program
Professional cognition
Education,medical
Health workforce
