摘要
目的筛选临床医师执业能力量化考评指标体系,构建量化考评模型,探索临床医师执业能力量化考评方法。方法通过对临床医师执业能力量化评价现状以及实施必要性的分析,从卫生人力资源管理实际出发,采用文献法和系统分析法相结合筛选指标和考评框架设计,采用德尔菲法和层次分析法,对医师临床执业能力考核指标问卷调查进一步确定考评指标体系,根据医师执业能力指标体系设计指标权重调查表,对指标赋权,建立考评模型。结果发放问卷136份,回收率100%,有效率97%,分别从工作成绩、业务水平和职业道德3个维度筛选考评指标体系,最终确定33项执业能力考评指标,制定了量化考评流程。提出采用SAATY的1~9标度法对每一层次中各因素相对重要性建立判断矩阵,进行专家咨询,两两比较作出判断,得出权重评价。结论建立一套临床医师执业能力量化考评模型势在必行,通过对临床医师的工作成绩、业务水平和职业道德等3维度33项的指标构架符合医师执业的性质与特点,结合严格的考评流程能对医师执业的业务素质、工作质量数量、工作效率和经济效益进行全面、系统考评,可操作性强,切合医院实际,考评模型能够满足现阶段临床医师执业能力量化评估的需要,起到积极的导向作用,为医疗机构的人力资源管理提供新的方法和思路。
Objectlve To screen the quantitative evaluation index for the clinical competence of physician, establish the quantitative evaluation model, and explore the quantitative evaluation method of the clinical competence of physician. Methods The present situation of the quantitative evaluation of clinical competence and its necessary in physician were evaluated. The screening of quantitative evaluation index and designing of evaluation framework were carried out by the methods of literature and system analysis based on the actual health human resource management. Delphi method and ana- lytic hierarchy process were adopted to improve the evaluation index system. The quantitative evaluation model was estab- lished on designing the survey questionnaire by employing a weighting method according to the index system for the clini- cal competence of physician. Results 136 questionnaires were handed out,the recovery rate was 100% ,effective rate was 97%, respectively. The evaluation index system was screened through the three dimensions of the level of work perform- ance, business and professional ethics, and 33 clinical competence evaluation indexes were selected, and the quantitative evaluation process was developed;while the judgment matrix was established on the basis of the relative importance of va- rious factors in each level by SAATY＇ s 1-9 sealing method for expert eonsuhation;A judgment was formed by pairwise comparison,and the weighted assessment was concluded. Conclusions To establish a quantitative evaluation model for the clinical competence of physician is imperative. The index system which included 33 clinical competence evaluation in- dexes in three dimensions covering the performance, level of business and professional ethics of physician is consistent with the nature and characteristics of physician. This quantitative evaluation system, with strong operability, can achieve a comprehensive and systematic evaluation outcome for the professional achievements, work quality, efficiency and economic benefit of physician. This evaluation model is relevant to the actual situation of hospital, can meet the needs of the quanti- tative evaluation of the clinical competence of physician at present. It will play an active role in the quantitative evaluation of physician;provide new methods and ideas for the management of human resource in medical institutions.
出处
《中华全科医学》
2015年第1期115-117,132,共4页
Chinese Journal of General Practice
基金
安徽省蚌埠医学院人文社会科学研究重点项目(BYKY14103sk ZD)
关键词
医师
临床执业能力
考评模型
Physician
Clinical competence
Assessment model
