基于门诊环境的全科住培医师核心能力评价指标体系研究

Research on the core competence evaluation index system of general practice residents based on the outpatient environment

目的运用德尔菲法构建基于门诊环境的全科住培医师核心能力评价指标体系。方法通过国内外文献回顾和小组讨论后,初步拟定了基于门诊环境的全科住培医师核心能力评价指标体系,并在此基础上经过两轮的专家咨询确定了指标体系。采用Excel 2015和SPSS 26.0进行数据录入及统计分析。结果两轮咨询专家积极系数分别为95.0%(19/20)和100.0%(19/19),专家权威程度为0.86,协调系数检验具有统计学意义(P<0.05)。确定了由6个一级指标、28个二级指标组成的指标体系。6个一级指标分别为医疗服务/患者照顾、医学知识、职业精神、以医疗体系为基础的实践、基于实践的学习和提高、人际交流和沟通及技巧。结论本研究构建了一套完整、可信度高的基于门诊环境的全科住培医师核心能力评价指标体系,可为今后全科住培医师门诊接诊能力的培养提供参考。

Objective To construct the core competence evaluation index system of general practice residents by the Delphi method.Methods After the literature review of home and abroad and group discussion,the core competence evaluation index system of general practice residents in the outpatient environment was preliminarily developed.On this basis,the index system was determined through two rounds of expert consultation.Excel 2015 and SPSS 26.0 were used for data entry and statistical analysis.Results The active coefficients of the two rounds of expert consultation were 95.0%(19/20)and 100.0%(19/19)respectively,and the degree of authority of the two rounds of expert consultation was 0.86.An index system consisting of 6 first-level indicators and 28 second-level indicators was determined.The 6 first-level indicators were medical services/patient care,medical knowledge,professionalism,systems-based practice,practice-based learning and improvement,interpersonal communication,and communication skills.Conclusion This study has constructed a complete and highly reliable core competence evaluation index system of general practice residents based on the outpatient environment,which can provide reference for the cultivation of the outpatient reception ability of general practice residents in the future.