摘要
目的了解湖北省全科医生对全科医学知识技能的掌握情况及培训需求,为该省制定合理有效的全科医生培训项目提供依据。方法采用分层随机抽样方法选取湖北省不同层级的全科医生90名为调查对象。采用德尔菲专家咨询法设计《全科医生培训需求调查表》,进行问卷调查。问卷主要内容包括:全科医生的基本信息、全科医学相关的理论与技能掌握情况、培训需求情况。共发放问卷90份,回收86份,合格84份,有效回收率为93.3%。结果84名全科医生中,男54人(占64.3%),大专及以上学历77人(占91.7%),中初级职称78人(占92.9%)。基本理论及技能掌握率较高的是院前急救基本知识、心肺复苏技术、病史采集和病例书写技能,分别为45.2%(38/84)、52.4%(44/84)、57.1%(48/84)。未掌握率较高的是以个人为中心的整体服务方法、儿童听力视力异常的筛查技术、社区精神疾病患者的管理,分别为16.7%(14/84)、44.0%(37/84)、27.4%(23/84)。培训需求率高的是常见急症的处理原则、急性心脑血管病知识、休克,分别为63.1%(53/84)、61.9%(52/84)、58.3%(49/84)。结论全科医生对突发性疾病和常见性疾病的掌握情况较好,培训需求也较高,而预防、保健、康复和健康管理等全科服务掌握率较低。应培养全科医生的全科医学意识,制定有针对性的培训内容与规划,培养满足基层医疗服务的全科医生队伍。
Objective To investigate the mastery status of and training demands for general practice knowledge of GPs in Hubei Province and to provide references for the establishment of a rational and effective GP training program. Methods A total of 90 GPs were selected from medical settings of different levels in Hubei Province using stratified random sampling method. The ＆quot; GP Training Demand Questionnaire＆quot;designed on the basis of the Delphi method was employed on the subjects. The content of the questionnaire included basic information,the mastery status of theories and skills related with general practice and training demands. A total of 90 questionnaires were sent out and 86 were recovered,among which 84 were qualified with an effective recovery rate of 93. 3%. Results Among the 84 subjects,54（64. 3%）were male,77（91. 7%）had associate degree or above,78（92. 9%）had primary or medium professional title. The mastery rates of the basic knowledge and skills of pre-hospital first aid, cardio pulmonary resuscitation, medical history collection, and medical record writing were 45. 2%（38/84）,52. 4%（44/84）and 57. 1%（48/84） respectively,higher than the rest. The no mastery rates of individual -centered overall service method,children＆#39;s hearing and vision abnormality screening technique and community mental patients management were 16. 7%（14/84）,44. 0%（37/84）and 27. 4%（23/84）,higher than the rest. The demanding rates for the training of the treatment of common emergency,acute cerebrovascular disease and shock were 63. 1%（53/84）,61. 9%（52/84）and 58. 3%（49/84）respectively,higher than the rest. Conclusion GPs have a better mastery of emergent and common diseases and have more demand for the relevant training. While the mastery rates of general practice services,such as prevention,health care,rehabilitation and health management are lower. Therefore,it is necessary to promote the awareness of general practice, work out targeted training plans and programs and foster a general practitioner team which could meet the demands for grassroots＇primary care.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第13期1555-1559,共5页
Chinese General Practice
关键词
全科医生
培训需求
湖北省
General practitioners
Training demand
Hubei Province
