中国全科医学2017，Vol.20Issue(25)：3088-3093,6.DOI:10.3969/j.issn.1007-9572.2017.25.006
江苏省基层全科医生岗位胜任力研究
Competencies of Grassroots General Practitioners in Jiangsu Province
摘要
Abstract
Objective To investigate the competencies of grassroots general practitioners (GPs) in Jiangsu Province,so as to provide an evidence for targeted improvement of the competencies of the primary heahhcare providers.Methods From July to August 2015,we purposively sampled 630 GPs from 23 township hospitals (community health service centers) and 41 village clinics (community health service stations) located in Jiangsu Province,China and surveyed them with a Self-rating Competencies Questionnaire for Grassroots General Practitioners in Jiangsu Province developed by our research team covering the demographic data and competencies (ability for delivering basic medical service,ability for delivering basic public health services,humanistic caring ability,professional spirit and literacy,and education and learning ability).The 608 (497 from township hospitals and 111 from village clinics) returning responsive questionnaires were selected as the final participants,with a response rate of 96.5％.Results Of the participants,64.1％ (390/608) had never delivered mental health services,62.8％(382/608) offered rehabilitation services for 5 or less than 5 times,31.6％ (192/608) were very familiar with/knew well the procedures for dealing with unexpccted health emergencies,and 23.0％ (140/608) were very familiar with/knew well the management for mental disorders.GPs from township hospitals were superior to those from village clinics in the level of mastery in management of common diseases/frequently occurring diseases,delivering family health assessment services and delivery times of rehabilitation services,but were inferior to those from village clinics in offering referral services and home-based diagnosis and treatment services (all P ＜ 0.05).Compared with those from village clinics,GPs from township hospitals did inferior in the mastery level of management of mental disorders,providing follow-up services for the three groups (pregnant women,children and the elderly),and educating the young people of marriageable age with family planning,and they were complained more times within three years,but had better team collaboration (all P ＜ 0.05).Township hospitals owned higher proportion of GPs who had worked in secondary/tertiary hospitals and possessed departments that those selected GPs from using more new diagnosis and treatment techniques in 2014 than village clinics (P ＜0.05).GPs from township hospitals spent more time on self-study per week,and they were more familiar with searching the medical information from the internet,but had less training times for improving the professional and technical title/level of education compared with those from village clinics (all P ＜ 0.05).Conclusion The competencies of grassroots GPs in Jiangsu Province are unsatisfactory and unbalanced,which need to be improved urgently.关键词
全科医生/基层医疗卫生机构/岗位胜任力/江苏Key words
General practitioners/Primary health care institutions/Post competency/Jiangsu分类
医药卫生引用本文复制引用
刘红,史卫红,乔学斌..江苏省基层全科医生岗位胜任力研究[J].中国全科医学,2017,20(25):3088-3093,6.基金项目
2015年江苏省高等教育教改研究立项课题重大项目(2015JSJG103) （2015JSJG103）
江苏省教育科学“十二五”规划2015年度课题重点课题(B-a/2015/03/009) （B-a/2015/03/009）
