安徽省乡镇卫生院全科医生培训现状及需求的调查分析

Investigation and Analysis of GP Current Training Situations and Needs in Anhui Township Hospitals

目的:了解安徽省乡镇卫生院全科医生培训需求现况,以期为改善社区卫生服务质量和制定相应措施提供理论依据。方法:对安徽省17个地市参加全科医师骨干培训班380名学员进行现场自填式问卷调查。结果:不同年龄和职称的全科医生接受培训情况差异存在统计学意义(P<0.05);调查对象认为有帮助的学科之间有统计学意义(P<0.05);对新医改相关政策、基本公共卫生服务项目实施方案、全科医疗中的伦理原则熟悉程度较高,对流行病学和统计学方法、医学心理熟悉程度较低,但对其要求培训的需求较高。结论:强化全科医生配套政策激励和政策宣传;以实际需求为导向,优化培训项目;完善全科医生培训考核评价体系。

Objective:To provide a theoretical basis for improving the quality of community health services and then taking appropriate measures after understanding training situations and needs of general medical practitioners(GP)in Anhui township hospitals.Methods:380trainees from 17cities in Anhui Province,participating in the training for outstanding GPs,were investigated by on-site self-administered questionnaire.Results:There was statistically significant difference in training situations for different ages and titles of general practitioners(P<0.05);there was statistical significance between subjects which the GPs considered helpful(P<0.05).The GPs were more familiar with relevant policies of the new medical reform,implementation plans for basic public health service projects,and general principles of medical ethics;however they were less familiar with epidemiology,statistical methods and medical psychology,for which more trainings were highly required.Conclusion:Policy incentives and advocacy for GPs should be strengthened.With actual demand focused,training programs should be optimized and GP training assessment system should be improved.