基于“知识-技能-管理”维度的家庭医生岗位能力评价量表的构建

Construction of an evaluation scale for post competence of family doctors based on knowledge-skill-management model

目的构建针对家庭医生岗位能力的评价量表。方法首先通过文献复习、研究小组内部会议及头脑风暴、专家深度访谈预设家庭医生岗位能力模型的评价维度和指标体系。然后设计专家咨询问卷,基于判断抽样法于2020年12月至2021年4月抽取16位全科医学领域和家庭医生制度实践专家参与2轮德尔菲专家咨询。通过整理分析、归纳讨论,最终形成基于"知识-技能-管理"3个维度的家庭医生岗位能力评价量表。对专家的积极性和权威性、专家意见协调系数、各级指标的评分等进行定量分析,综合使用界值法和集中讨论法对指标进行筛选。结果参与咨询的专家共16位,分别来自上海市卫生健康委员会、上海市社区卫生协会、长宁区卫生健康委员会、上海市第一人民医院、上海交通大学医学院附属仁济医院、上海交通大学医学院附属新华医院、上海交通大学医学院附属同仁医院以及长宁区6家社区卫生服务中心,年龄(47.9±7.3)岁,工作年限为(24.6±7.8)年。指标体系问卷的Cronbach′sα=0.891,KMO=0.844。2轮专家咨询的积极系数均为100%,16位专家第1轮熟悉程度为0.86、权威程度为0.89,第2轮熟悉程度为0.84、权威程度为0.90。2轮咨询后,"知识"维度、"技能"维度的专家意见协调系数>0.5,"管理"维度以及整体评价体系的专家意见协调系数均>0.3。经过讨论及第1轮咨询删去2项指标,最终构建了一个包含3个维度、8个二级指标、61个三级指标的家庭医生岗位能力评价量表。结论通过德尔菲法成功构建了基于"知识-技能-管理"3个维度的家庭医生岗位能力评价量表。

ObjectiveTo construct an evaluation scale for post competence of family doctors based on knowledge-skill-management model.MethodsThe evaluation dimensions and indicators for post competency of family doctors were preliminarily developed through literature review,internal group meeting and brainstorming,and in-depth interviews of experts.And 16 experts in the fields of general practice and health management were invited for 2 rounds of Delphi consultation from December 2020 to April 2021.A competency evaluation scale for family doctors based on the dimensions of knowledge,skills and management was finally constructed.ResultsThe age of the experts was(47.9±7.3)years with a working experience of(24.6±7.8)years.The Cronbach′sαof the questionnaires was 0.891 and the KMO was 0.844.The positive coefficients for 2 rounds of expert consultation were 100%;the familiarity level of experts was 0.86 and authority level was 0.89 in the first round consultation,and those were 0.84 and 0.90 in the second round consultation.After 2 rounds of consultation,the coordination coefficient of expert opinions in the knowledge and skill dimensions was>0.5,and that in the management dimension and overall evaluation system was>0.3.After discussion 2 indicators were deleted in the first round of consultation.The finally constructed family doctor post competency evaluation scale included 3 dimensions,8 secondary indicators and 61 tertiary indicators.ConclusionThrough the Delphi consultation,we have successfully constructed an evaluation scale for post competence of family doctors based on the three dimensions of knowledge,skills and management.