全科医学培训需求分析

Analysis for the needs in general practice training

目的了解2000-2006年全科医学规范化培训学员的教育需求变化。方法采用自行设计的调查问卷调查2006年在我院参加上海市全科医师规范化培养的62名学员对全科医学规范化培养的认识及需求，并与2000年培训的53名学员的调查结果相比较。结果2000年培训的学员中，36％（19／53）认识全科医学（“六位一体”内容）、94％（51／53）愿意接受全科医学培训、57％（30／53）对社区工作不满意；2006年培训的学员对全科医学的认识、对培训的接受程度及对工作环境的满意程度均有提高，分别为100％（62／62）、100％（62／62）和98％（61／62），但单位领导不重视仍是对社区工作不满意的主要原因。结论目前社区全科医生对全科医学教育需求有了很大提高，在有些方面还有待政策支持。

Objective To study the changes in needs of standard training for general practice during the period of 2000 to 2006. Methods Sixty-two trainees participated in a municipal training program for general practitioners （GPs） in Zhongshan Hospital, Shanghai were interviewed by questionnaire to understand their recognition of general practice and needs in training for general practice, and compared to other 53 trainees who entered an another training program in 2000. Results Nineteen of 53 trainees （ 36 percent） trained in 2000 could understand all the six aspects of general practice, including medical and health care, preventive care, rehabilitative care, health education and family planning techniques service, 51 （94 percent） were willing to accept such training, and 30 （57 percent） did not satisfy with current conditions in community health care service. As compared, their recognition for general practice, acceptance of training, and satisfaction with their working condition improved obviously in trainees trained in 2006, with proportions of 100 percent, 100 percent and 98 percent, respectively. But, main reason for dissatisfaction with community health care service could still attribute to less attention paid to general practice by relevant leadership. Conclusions Nowadays, the needs in general practice training by health care workers in communities increased greatly, but which still should be supported by governmental policies.