全科医学示范社区教学基地评价指标体系研究

Establishment of an index system to evaluate the demonstration community teaching base for general practice

目的建立全科医学示范社区教学基地评价指标体系，为实现“到2010年在全国每个地级市遴选建设至少1～2个社区卫生服务人才培养示范基地”的规划目标奠定基础。方法采用Delphi专家咨询法及专家访谈法初拟指标体系，之后遴选专家，进行专家咨询，并对函询结果进行统计分析，最终确立评价指标体系。结果两轮函询的回收率分别为94．12％和100．00％，5类指标的专家权威程度均在0．8以上；两轮咨询的专家协调系数平均值为0．262和0．534，说明本次研究中的专家意见有较高的协调性。研究最终确定了一级指标4项，二级指标10项，三级指标41项，另附附加分指标5项。结论本指标体系的建立立足于目前社区教学基地的实际情况，着重考查其师资、教学过程及基地功能。此指标体系可作为全科医学示范社区教学基地遴选的参考依据。

Objective Developing an index system to evaluate the community teaching bases of general practice, for the purpose of identifying and completing at least one demonstration teaching base for general practice in each city in 2010. Methods Initial building of the index system by means of Delphi method and experts interview, followed by selection of experts for consultation, statistical analysis on the results of letter inquiries, and rounded up by the establishment of the index system for evaluation in the end. Results The recovery rates of a two-round Delphi questionnaire response are 94. 12% and 100. 00% respectively. Expert＇s authority degrees of five indexes are all over 0.8, which suggests high expert＇s authority. The average coordination coefficient of two-round Delphi experts consultation is 0. 262 and 0. 534 respectively, showing good expert＇s coordination. In the end, the study established four firstclass indexes, ten second-class indexes, 41 third-class indexes and five additional indexes. Conclusions The index system is established in view of the current development of community teaching bases. It focuses on evaluating teachers, the teaching process and base＇s function. The evaluation system provides reference for selecting demonstration community teaching bases of general practice.