北京市乡村医生岗位胜任力模型的构建

Construction of the post competency model of rural doctors in Beijing

目的构建北京市乡村医生岗位胜任力模型,为北京乡村医生的能力提升、成绩考核和培训提供可供参考的依据。方法采用文献研究法及专家小组讨论法构建岗位胜任力条目池及模型初稿,选择从事北京乡村医生研究的专家及直接从事乡村医生管理的基层医疗卫生管理人员18名,2019年5—9月运用改良的德尔菲专家咨询法通过邮箱发送2轮咨询表,对指标的重要性、适用性、可操作性进行评分,根据评分及专家意见修改北京市乡村医生岗位胜任力模型,运用层次分析法计算岗位胜任力模型各指标权重。结果经过2轮德尔菲专家咨询,2轮问卷专家的积极系数为100%,专家熟悉程度均值为0.87,判断依据均值为0.91,平均权威系数为0.89,最终确立的北京市乡村医生岗位胜任力模型,包括临床医疗服务能力、公共卫生服务能力、医学人文执业能力、教育与综合能力4个一级指标,8个二级指标及35个三级指标。计算各指标的权重,一级指标中临床医疗服务能力(0.374)及公共卫生服务能力(0.374)最高,二级指标中国家基本公共卫生服务(0.091)权重最高,三级指标中急、危、重症现场救护(0.021)和慢病管理权重(0.018)较高。结论通过改良的德尔菲法构建北京市乡村医生岗位胜任力模型,专家积极系数、权威系数较高,评价指标筛选科学合理,可作为评价北京市乡村医生胜任力的重要参考依据,但胜任力模型仍需根据乡村医生现状的发展不断修订完善。

Objective To construct a model of rural doctors'post competency in Beijing,and provide a reference for the improvement of Beijing rural doctors'ability,performance evaluation and training.Methods Competency framework and model draft were build using a literature research method and expert group discussion method.A total of 18 experts who were either engaged in Beijing rural doctor research or directly engaged in rural doctor management were selected.From May to September 2019,the improved Delphi expert consultation method was used to send two rounds of consultation forms via email to score the importance,applicability and operability of the indicators.The post competency model of rural doctors in Beijing was modified according to the scores and expert opinions,and the weight of each indicator of the post competency model was calculated using the analytic hierarchy process.Results After two rounds of Delphi consultation,the positive coefficient of the two rounds was 100%,the expert's familiarity with the topic was 0.87,their confidence of judgment was 0.91,making the average authority coefficient 0.89.The final establishment included four main areas,clinical medical service ability,public health service ability,medical humanities ability,education and other skills,with eight second-level indicators and 35 third-level indicators.The weight of each indicator was then calculated.In the first-level indicators,the highest scores were in clinical medical service capacity(0.374)and public health service capacity(0.374).Among the second-level indicators,the national basic public health service(0.091)had the highest weight.In the third-level indicators,urgent and severe on-site treatment(0.021)and chronic disease management(0.018)were the highest scoring.Conclusion The post competency model of rural doctors in Beijing is constructed through the improved Delphi method.The positive coefficient and authority coefficient of experts are high,and the selection of evaluation indicators is scientific and reasonable,which can be used as an important reference for evaluating the competency of rural doctors in Beijing.However,the competency model still needs to be constantly revised and improved according to the development of the current situation of rural doctors.