上海市社区卫生服务中心全科医生岗位胜任力提升意愿调查分析OA北大核心
Willingness of General Practitioners to Enhance Working Competence in Community Healthcare Centers in Shanghai
目的 了解上海市社区卫生服务中心全科医生岗位胜任力提升意愿,为基层全科医生能力培养提供参考依据.方法 2023 年8 月选取上海地区部分社区卫生服务中心全科医生为研究对象,通过问卷调查法了解其岗位胜任力提升意愿.调查内容包括全科理论知识、全科临床技能及全科人文素养3 个维度共39 项二级指标.结果 共1 192 名全科医生完成调查问卷,问卷有效率为 100%.全科医生能力提升意愿总分为(258.45±80.93)分、维度平均分为(6.63±2.08)分,3 个维度中全科理论知识维度得分[(6.92±1.95)分]最高,全科人文素养维度得分[(6.44±2.34)分]最低.不同年龄范围(P<0.001)、职称(P<0.001)、工作年限(P<0.001)和学历(P=0.039)对全科医生能力提升意愿得分影响的差异有统计学意义,其中<30 岁、初级职称、工作年限<5 年和大专及以下学历的全科医生能力提升意愿得分最高.各维度意愿得分排名前3 位的二级指标中,社区全专结合门诊学习、弹性进修和继续教育培训班均为全科医生倾向的能力提升途径.结论 上海市社区卫生服务中心年轻全科医生能力提升需求较为迫切,可通过社区全专结合门诊学习、弹性进修及继续教育培训班等方式对不同特征的全科医生群体提供有针对性的能力提升方案,以进一步加强全科医生团队能力素质的提升.
Objective To understand the willingness of general practitioner(GP)to enhance working competence in community healthcare centers in Shanghai and provide a basis for the competence training of GPs in community healthcare centers.Methods In August 2023,GPs were selected from some community healthcare centers in Shanghai and their willingness to enhance working competence were studied by a questionnaire sur-vey.The survey included 39 secondary indicators in three dimensions:general practice theory,skills,and hu-manity.Results A total of 1 192 GPs completed the questionnaire,with an effective rate of 100%.The total score of GPs’willingness to enhance their working competence was 258.45±80.93,and the mean score of the three dimensions was 6.63±2.08.The score for the general practice theory was the highest(6.92±1.95),while that for general practice humanity was the lowest(6.44±2.34)among the three dimensions.The score of willingness to enhance working efficiency differed across different age ranges(P<0.001),professional titles(P<0.001),years of work(P<0.001),and educational backgrounds of GPs(P=0.039).Those with the age younger than 30 years old,junior professional titles,less than 5 years of work experience,and a college degree or below had the highest willingness score to enhance their working competence.Among the top three secondary indicators of willingness score in each dimension,the top three methods of working competence enhancement were community general practice and specialized healthcare services combined with outpatient learning,flexible further training,and continuing education courses.Conclusions There is an urgent need for young GPs in com-munity healthcare centers in Shanghai to enhance their working competence.Targeted enhancement plans can be provided to different groups of GPs with different characteristics through community general practice and special-ized healthcare services combined with outpatient learning,flexible further training,and continuing education courses,which can further enhance the ability and quality of the GP team.
赵苗苗;池宇枫;周传强;王新月;李宁
上海健康医学院 临床医学院,上海 201318上海健康医学院 临床医学院,上海 201318上海健康医学院 临床医学院,上海 201318上海健康医学院 临床医学院,上海 201318上海健康医学院 国际交流处,上海 201318
社区卫生服务中心全科医生能力提升意愿差异化分析
community healthcare centersgeneral practitionerwillingness to enhance competencedifferentiation analysis
《中国医学科学院学报》 2025 (1)
55-62,8
上海市卫生健康委员会卫生行业临床研究专项(20194Y0116)、上海健康医学院 2023 年度教师教学研究项目(CFDQ20230079)和上海健康医学院2023 年度师资人才百人库项目(A1-2601-23-311007)
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