上海市社区全科师资基本能力评估指标体系的建立

Preliminary studies on establishment of indicator system to evaluate basic capacities of trainers of training for community general practitioners in Shanghai

目的探讨建立上海市社区全科师资基本能力的评估指标体系，以规范社区全科师资队伍的建设和管理。方法对190名上海市12个区县从事全科临床医疗、社区卫生服务行政管理及全科医师规范化在培学员行问卷调查，了解社区全科师资应该具备的基本能力；根据问卷调查结果拟定“社区全科师资基本能力评估指标体系”评议表，选择从事全科医疗、全科教学、公共卫生事业及卫生行政管理等28位专家，进行两轮德尔菲法咨询，经数据统计分析咨询结果、意见汇总确立评估指标体系。结果建立的社区全科师资基本能力评估指标体系，包括5个一级指标（综合素质、能力和个人愿望，教育和工作背景，个人职业发展能力，全科医疗工作能力，全科医学教学能力）和57个二级指标。两轮咨询的专家积极系数均为100％，专家权威程度均为0．85，指标重要性协调系数分别为0．190和0．225（均P〈0．01）。结论采用德尔菲专家咨询法初步建赢了上海市社区全科师资基本能力评估指标体系，多方位、多角度评价社区全科师资应当具备的基本能力，可作为将来设立社区全科师资准入标准的基础。

Objective To explore establishment of indicator system to evaluate basic capacities of trainers of training for community general practitioners （ GPs ） to standardize their capacity building and management. Methods Questionnaire survey was conducted among 190 trainers of training for community health managers and GPs who were involved in community health-care and health-care service management in 12 districts of Shanghai to investigate what basic capacities the trainers should have. Delphi expert consultation method was used to construct an evaluation indicator system. Firstly, an evaluation form was formulated based on the preceding questionnaire. Then, two rounds of expert consultation were carried out with 28 experts specialized in general practice, training for GPs, public health and health management. The last step was to set up an evaluation indicator system based on experts＇ opinions with statistical analysis. Results The newly-established system consisted of five first-grade indicators including comprehensive performance, capacities and personal willingness, background of education and career, personal potential for professional development, capacity in general practice and capacity in training for GPs, and 57 second-grade indicators. Activity coefficient of the experts was all 100%, authority coefficients of the experts were 0. 85, and harmonious coefficient of importance of the evaluation was 0. 190 and 0. 225 （ all P 〈 0. 01 ）, respectively, in two rounds of Delphi consultation. Conclusions The preliminarily established indicator system to evaluate capacities of trainers of training for community GPs in diverse aspects can be used as references for quality criteria in selection of trainers of training for community GPs.