社区卫生服务中心全科实训中心建设标准

Criteria for the Establishment of a Simulation Center for GPs in the Community Health Center

背景全科实训中心是全科医生培养和考核的重要平台,在要求提高全科医生临床能力的背景下,全科实训中心得到快速发展,因此亟须建立一套全科实训中心建设的标准,以为全科实训中心的功能配置提供参考标准。目的构建一套科学性、实用性、合理性的社区卫生服务中心的全科实训中心建设标准。方法采用文献分析法并结合实际经验,拟定目录框架,然后小组讨论,编制调查问卷。于2019-05-28至2019-07-10,邀请25名专家,采用Delphi法进行两轮专家咨询,评价专家积极系数、权威程度和专家意见协调程度,确定最终的社区全科实训中心建设标准目录。结果填写有效问卷的25名专家专业领域平均工作年限(14.42±6.90)年,两轮咨询专家积极系数分别是96.2%和100.0%,对于硬件、软件、人员配备专家权威系数两轮咨询分别是0.83、0.83、0.85和0.90、0.89、0.89,专家意见的协调程度必要性分别是0.133、0.498(P<0.001),可得性分别是0.280、0.390(P<0.001)。最终构建了3个一级指标(硬件配备、软件配备、人员配备)、13个二级指标、17个三级指标的社区全科实训中心建设标准。结论本研究专家的积极程度和权威程度较高,两轮咨询后专家意见协调性良好,结果可靠,制定的社区全科实训中心建设标准可推广应用。

Background Simulation center for GPs,an important platform for fostering and evaluating GPs,has been developed rapidly in the context of the requirement of improving GPs’clinical abilities.So it is urgent to establish a set of criteria for the building of simulation centers for GPs,to provide a reference for the functional configuration of such centers.Objective To establish a set of scientific,practical and reasonable criteria for the building of a simulation center for GPs in the community health center.Methods Literature review and practical experience were used to develop a draft content framework of criteria for the building of a simulation center for GPs in the community health center,which was used to formulate a questionnaire after being determined according to group discussion results.From May 28,2019 to July 10,2019,the questionnaire was revised in accordance with two rounds of consultations with 25 invited experts using the Delphi technique after the positive and authoritative coefficients of the experts and Kendall’s W of their judgments were assessed as eligible.Based on the above,the final content of the criteria was determined.Results The average years of working in their own field for the 25 experts were(14.42±6.90)years.The positive coefficients of the experts in the first and second rounds of consultations were 96.2%and 100.0%,respectively.For the hardware,software,and staffing configuration,the authoritative coefficients of the experts in the first round of consultation were 0.83,0.83,0.85,respectively,and were 0.90,0.89,0.89,respectively,in the second round of consultation.The Kendall’s W values of the necessity were 0.133,0.498,respectively(P<0.001),and the availability were 0.280,0.390,respectively(P<0.001).Finally,we established a set of criteria for the establishment of a simulation center for GPs in the community health center,including 3 first-level indicators(hardware,software,and staffing),13 second-level indicators,and 17 third-level indicators.Conclusion The positive and authoritative coefficients of the experts were relatively high,and Kendall’s W of their judgments was good in the consultations,indicating that our criteria are reliable,which can be applied and promoted.