基于层次分析法的广西城市社区全科医生能力评价指标体系的构建研究

Construction of Evaluating Index System Based on the AHP on the Competence of Urban General Practitioner in Guangxi

目的基于层次分析法构建一套广西城市社区全科医生能力评价指标体系,为科学评价全科医生能力、积极推进全科医生培养提供理论指导。方法通过文献研究法和专家咨询法确定广西城市社区全科医生能力评价指标体系的各项指标,运用层次分析法计算指标权重。结果构建了广西城市社区全科医生能力评价指标体系,并确定了各指标权重,包括5个一级指标和31个二级指标。5个一级指标分别为"基本医疗服务能力""公共卫生服务能力""人文执业能力""职业素养""教育学习能力",权重分别为0.252 7、0.193 7、0.181 8、0.207 7及0.164 1。结论本研究构建了一套科学、适用、方便操作的广西城市社区全科医生能力评价指标体系,全科医生的基本医疗服务能力和职业素养较为重要,相对而言教育学习能力不是全科医生的工作重点。

Ohjeetive Based on the AHP to establish a set of evaluating index system on the competence of urban general practitioners and to provide a theoretical guidance for scientific evaluation and active cultivation of general practitioners.Methods Literature review and expert consultation were used to determine the evaluating indexes for the general practitioners in Guangxi urban areas.AHP was used to determine the index weight.Results A provincial level for evaluating index system was established including 5 first-level indicators and 31 second-level indicators and each index weight was also determined.The 5first-level indicators were ＂ Basic medical service ability＂ and the weight was 0.252 7,＂ Public health service ability＂ and the weight was 0.193 7,＂ Humanistic practice ability＂ and the weight was 0.181 8,＂ Occupation accomplishment＂ and the weight was 0.207 7,＂ Studying and learning ability＂ and the weight was 0.164 1.Conclusion The author constructed a set of scientific,suitable and convenient evaluating index system on the competence of urban general practitioner.The basic medical service ability and professional quality is much more important.By contrast,the education learning ability is not the working emphasis of general practitioners.