基于Delphi法的全科医师岗位胜任力评价体系研究

On the post competency evaluation system of general practitioners based on Delphi method

目的创建一套用于全科医师岗位胜任力评价的体系。方法2020年4至10月,采用专家咨询法对全科医师岗位胜任力评价的4项一级指标和48项二级指标的重要性进行咨询。采用Excel 2016和SPSS 22.0软件进行数据录入和统计分析。结果咨询专家16名,两轮积极系数分别为100%和75%;专家总体权威系数Cr为0.85;两轮专家咨询一级指标的重要性赋值均数分别为8.07~9.00、8.67~9.00,变异系数分别为0~0.16、0~0.09;二级指标的重要性赋值均数分别为6.79~9.00、8.17~9.00,变异系数为0~0.38、0~0.16;协调系数检验均具有统计学意义(P<0.001)。最终形成包含4项一级指标和32项二级指标的全科医师岗位胜任力评价体系。结论构建的全科医师岗位胜任力评价体系专家积极度和协调度比较高,专家意见协调性好,可信度高,可为全科医师培养的岗位胜任力评估提供参考。

Objective To build a system for evaluation on post competency of general practitioners.Methods From April to October 2020,the Delphi method was used to consult on the importance of 4 first-level indicators and 48 second-level indicators for evaluation on post competency of general practitioners.Excel 2016 and SPSS 22.0 was used for data entry and statistical analysis.Results There were 16 consulting experts,and the positive coefficients of the two rounds were 100%and 75%,respectively.The overall authority coefficient Cr of experts was 0.85.For the first-level indicators,the mean values of the importance of the two rounds were 8.07-9.00 and 8.67-9.00,and the coefficient of variation were 0-0.16 and 0-0.09,respectively.For the second-level indicators,the mean values of the importance of the two rounds were 6.79-9.00 and 8.17-9.00,and the coefficient of variation were 0-0.38 and 0-0.16,respectively.All the coordination coefficient tests were statistically significant(P<0.001).Finally,the evaluation system was established including 4 first-level indicators and 32 second-level indicators.Conclusion The constructed post competency evaluation system for general practitioners has a relatively high coordination and credibility,which can provide a reference for the post competency evaluation of general practitioners.