高级职称医师临床能力评价指标体系的研究

Study on the evaluation index system for senior doctors＇ clinical competence

目的针对目前三级医院高级医师临床能力评价指标主要局限在学历、资历、论文、课题等方面的不合理现象，初步构建了三级医院高级医师临床能力评价的量化指标体系。方法运用文献检索、问卷调查、专家访谈等方法对评价指标进行筛选，所有数据进行整理、统计和分析。结果初步构建了三级医院高级医师临床能力评价指标体系，确定了临床工作态度、能力、业绩等3项一级指标和病人满意率等21项二级指标及其权重分布，通过可信度分析和可行性研究，证明所构建的指标体系具有一定的科学性和可行性。结论区分本指标体系不同的影响因素，建议根据评价对象和评价目标不同，深化本指标体系的研究和应用；开展医师临床能力评价方法的研究．力口强本指标体系的可操作性。

Objective In view of such unreasonable phenomena as confining doctors＇ clinical competence evaluation indexes to education, seniority, papers publication, and research subjects, a quantitative index system is initially built for clinical competence evaluation of senior doctors in tertiary hospitals. Methods Such methods as literature retrieval, questionnaire survey and expert interview were called into play, with all data organized, calculated and analyzed. Results An index system is initially built for clinical competence evaluation of senior doctors in tertiary hospitals. This system comprises three level-1 indexes of clinical work attitude, clinical work ability and clinical work performance, as well as 21 level-2 indexes including patient satisfaction and their weight distribution. Analysis of credibility and feasibility proves the index system so built as scientific and feasible. Conclusions Based on the different influence factors, it is recommended to further studies and application of this index system according to the evaluation of different targets and goals; and to carry out studies on the evaluation methods for higher operability of the index system.