基于探索性因子分析的全科医生胜任力模型构建研究

Competency Model of General Practitioners: An Exploratory Factor Analysis

目的了解全科医生胜任能力要素并构建胜任力模型。方法 2012年4月通过查阅文献法、全科医生工作分析和半结构化访谈,编制全科医生胜任力问卷,对某省五个城市的全科医生进行问卷调查。运用主成分分析法提取因子。结果问卷的Cronbach'sα系数为0.93。全科医生胜任力模型包括6个因子:基本公共卫生服务能力、综合管理能力、职业责任感、基本医疗服务能力、良好的道德修养和人际沟通能力。结论构建的全科医生胜任力模型为全科医生的工作岗位选拔、工作评价、绩效管理提供依据,对全科医生的培养及培训也具有很高的指导及参考价值。

Objective To explore the competence elements of general practitioners( GPs) and build a competency model. Methods Through literature review,the analyses of GP's work,and semi- structured interviews,GP competence questionnaire was designed in April 2012. A questionnaire survey was conducted among GPs in five cities of a province. The competence elements were extracted with principal component analysis( PCA). Results The Cronbach' s of the questionnaire was0. 93. GP competency model included 6 factors: the capability of basic public health services,the capability of comprehensive management,occupational responsibility,the capability of basic medical services,high moral values,and interpersonal communication skills. Conclusion The GP competency model could provide some evidence in GP selection and their performance evaluation and management,and also guide the GP's education and training.