摘要
目的了解新疆基层全科医生岗位胜任力现况并分析影响因素,为强化新疆基层全科医生岗位胜任力提供理论参考。方法采用问卷调查法于2022年4-6月在新疆地区随机抽取645名在职基层全科医生以自评方式考察岗位胜任力情况,采用χ^(2)检验、t检验和方差分析对全科医生岗位胜任力自评结果进行分析,用线性回归分析法探讨岗位胜任力的影响因素。共发放658份问卷,筛除缺陷卷后共收回645份有效问卷,回收率为98.02%。结果不同地区全科医生年龄、学历、职称、工作年限、所在机构类别差异有统计学意义(均P<0.05);新疆基层全科医生岗位胜任力自评总均分为(51.09±15.24)分,处于中等水平;昌吉州全科医生岗位胜任力较好得分最高[(55.15±16.53)分],其次是塔城地区[(54.11±16.53)分];不同性别(P<0.001)、不同学历(P=0.028)、不同工作年限(P=0.007)、不同类别医疗机构(P=0.027)的全科医生岗位胜任力自评得分差异有统计学意义;新疆基层全科医生岗位胜任力受性别和所在机构类别的影响(P<0.01)。结论新疆基层全科医生岗位胜任力还有很大的提升空间,留住现有人才扩充全科医生队伍,基于区情同质化发展基层医疗机构,改善执业环境,开展针对性的培训重点提升全科医生的人文执业能力,强化基本医疗和公共卫生服务能力。
Objective To investigate the current position competence of grassroots general practitioners(GPs)in Xinjiang and analyze the major influencing factors,so as to provide theoretical reference for strengthening the positional competence of grassroots GPs in Xinjiang.Methods A total of 645 in-service primary care physicians in Xinjiang were randomly selected by questionnaire survey from April to June 2022.The results of post-competence were analyzed byχ^(2) test,t-test and variance analysis,and the influencing factors of post-competence were explored by linear regression analysis.A total of 658 questionnaires were sent out in this survey,and 645 valid questionnaires were collected after the screening of defective papers,with a recovery rate of 98.02%.Results There were statistically significant differences in age,education,professional title,years of practice and institution category of general practitioners in different regions(all P<0.05).The total post-competence self-assessment score of grassroots general practitioners in Xinjiang was(51.09±15.24)points,which was at the medium level;Changji Prefecture had the highest competency score[(55.15±16.53)points],followed by Tacheng district[(54.11±16.53)points].There were statistically significant differences in the self-assessed post-competence scores of general practitioners between different genders(P<0.001),different educational backgrounds(P=0.028),different working years(P=0.007)and different categories of medical institutions(P=0.027).The post-competence of grassroots general practitioners in Xinjiang was affected by gender and the category of their institutions(P<0.01).Conclusion There is still much room for improvement in the skills of grassroots GPs in Xinjiang.Existing talents should be retained to expand the team of general practitioners.Grassroots medical institutions should be developed based on the homogeneity of regional conditions,the practice environment should be improved,targeted training should be carried out to enhance the humanistic practice ability of general practitioners,and the capacity of basic medical and public health services should be strengthened.
作者
沙玛·木拉提
陈红
迪丽菲亚·地力夏提
徐培兰
Shama·Mulati;CHEN Hong;Delifia·Dilishati;XU Peilan(School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830017,China;不详)
出处
《中华全科医学》
2023年第8期1351-1355,共5页
Chinese Journal of General Practice
基金
新疆维吾尔自治区自然科学基金项目(2022D01A134)。
关键词
全科医生
岗位胜任力
影响因素
新疆
General practitioners
Post competency
Influencing factors
Xinjiang