列斯特评估量表及其在全科医生应诊能力评价中的应用

Leicester Assessment Package and Its Application in the Assessment of the Consultation Ability of General Practitioners

全科医生是综合程度较高的医学人才,主要在基层承担预防保健、常见病/多发病的诊疗和转诊、康复及慢性病长期管理、健康管理等多维一体化服务。全科医生应诊能力的不断改进是提高全科医疗服务质量的保障,也是全科医生必备的"看家本领"。在全科医生培训中,用于评价其应诊能力和全科医学思维能力的工具很多。本文在复习文献的基础上,介绍列斯特评估量表(LAP)及其在国外全科医生应诊能力评价中的应用和经验,为建立适合我国国情的、客观的、科学的全科医生应诊能力评价体系提供借鉴。

General practitioners are medical talents with high degree of comprehensive ability,who are mainly responsible for the multidimensional integration services at the grassroots level including disease prevention and health care,diagnosis,treatment and referral of common and frequently occurring disease, rehabilitation, chronic disease long-term management and health management. The continuous improvement of the consultation skills of the general practitioners is the guarantee of the service quality,and also the ＂ one＇ s special skill＂ of the general practitioners. In the progress of the general practitioner training,there are many instruments used to evaluate the consultation skills and the family medicine thinking ability. The current study aims to introduce the Leicester Assessment Package and the application and experience in the assessment of the consultation skills in the foreign countries based on literature review,and to provide reference for the establishment of the consultation skills assessment system of the general practitioners which is objective,scientific and suitable for China＇ s national conditions.