基于德尔菲法和层次分析法的中国助理全科医生岗位胜任力模型构建研究

Construction of Competency Model for Chinese Assistant General Practitioners Based on Delphi and Analytic Hierarchy Process

背景助理全科医生是全科医生队伍的重要组成部分,承担着许多基层全科工作,但目前国内还没有公认的国家层面助理全科医生岗位胜任力模型为培养合格的助理全科医生提供科学的依据。目的构建中国助理全科医生岗位胜任力模型指标体系,为国家助理医师执业资格考试设计的完善提供支持,同时为助理全科医生的培养和评价提供理论依据。方法基于课题组前期文献研究和行为事件访谈建立条目池,于2019年9月—2020年1月采用德尔菲法对30位从事全科医学领域的专家进行2轮咨询,运用层次分析法确定中国助理全科医生岗位胜任力模型指标及权重系数。结果最终拟定中国助理全科医生岗位胜任力一级指标6个[基本医疗卫生服务(0.2448)、医学知识与终身学习(0.2448)、职业素养(0.2448)、人际沟通与团队合作(0.1389)、基本公共卫生服务(0.0858)、信息利用能力与管理能力(0.0410)],二级指标63个,并明确了各个指标的权重系数。结论本研究首次构建了中国助理全科医生岗位胜任力模型,其专家代表性及权威程度较高,指标筛选较为全面、合理,为指标体系的实证研究奠定了基础。

Background As an important part of the general practice team,assistant general practitioners undertake a lot of grassroots general practice work,but at present,there is no recognized national level assistant general practitioners post competency model to provide scientific basis for training qualified assistant general practitioners.Objective The competency of assistant general practitioners for China was constructed to provide support for the design of national assistant physician qualification examination,and provide theoretical basis for the training and evaluation of assistant general practitioners.Methods Based on the research group's previous literature research and behavioral event interviews,from September 2019 to January 2020,the entry pool was established,and 30 experts engaged in general practice were consulted by Delphi method for 2 rounds.The index and weight coefficient of the Chinese assistant general practitioner post competency model were determined by AHP.Results Six first-level indicators[the basic medical and health services(0.2448),medical knowledge and life-long learning(0.2448),and professional quality(0.2448),interpersonal communication and team work(0.1389),the basic public health services(0.0858),the information utilization ability and management capacity(0.0410)]and 63 second-level indicators were finalized,and the weight coefficients of each indicator were defined.Conclusion This study constructs the post competency of assistant general practitioners for China for the first time,which has a high degree of expert representativeness and authority,and a more comprehensive and reasonable index selection,laying a foundation for the empirical study of the index system.