摘要
目的为了使住院医师规范化培训工作达到标准化与同质化,本研究旨在建立一个以柯氏模型(kirkpatrick model)为基础的住院医师规范化培训效果评价指标体系,以便于对住院医师规范化培训的效果进行全面掌控,为规培工作的改进提供依据。方法成立研究小组,运用柯氏模型构建住院医师规范化培训效果评价指标体系草案,形成调查问卷,按要求选取北京、四川、江西共10名专家,对专家进行德尔菲法咨询,采用SPSS 18.0统计软件对结果进行统计分析,采用层次分析法(analytical hierarchy process,AHP)及百分权重法确立指标体系各指标的权重。结果 2轮专家咨询问卷回收率为100%,表示全部专家积极性均非常高,所构建的指标体系共包含有4个一级指标,11个二级指标以及45个三级指标,得出各级各指标所占的权重,2轮协调系数的检验中,P<0.01,差异有统计学意义,2轮肯德尔和谐系数均大于0.2,且第2轮协调系数与第1轮协调系数比有所提高,表明经过2轮咨询,专家对指标评判的意见最终达到了统一。结论本研究选取的专家的积极性及协调程度均较高,指标客观、全面、有重点,指标体系实际操作性较强,可作为住院医师规范化培训效果的评价工具,同时也可以为医院其他方面的培训工作提供参考资料,为推进国家专科医师规范化培训打下基础。
Objective In order to make the work of standardized training for resident be standard and homogenous, this research develop a effect evaluation index system of standardized training for resident based on Kirkpatrick model, so that we can facilitate a comprehensive control on this work as well as provide basis for improving it. Methods The research team was set up, a draft of the index system was constructed,and the questionnaire was formed,then a total of 10 experts from Beijing, sichuan,jiangxi were selected according to the requirement. The expert consultation was finished by Delphi method, the results were analyzed with SPSS 18.0 ,and the index weight of the index system was established by AHP and Stratified analyse method. Results The questionnaire recovery rates of the two rounds were 100%. It indicated that the enthusiasm of the experts were very high. The Index system contained a total of 4 first-level indicators, 11 second-level indicators and 45 tertiary indicators. In the coordination coefficient test of the rounds（P 〈0.01 ）. The difference had statistics significance. Kendall ＇ W value of the two rounds were all greater than 0. 2 and the second round was greater than the first round, indicated that the opinion of the experts reached the unity after the two rounds. Conclusion The enthusiasm and Kendall＇ W of the experts in this study are very high, the indexes are objective and comprehensive, so this index sys- tem can be a evaluation tool of effect of standardized training for resident, and it can provide reference data for other training in the hospital, at the same time it makes the foundation to promote national specialist standardization training.
出处
《中华全科医学》
2016年第12期2113-2115,共3页
Chinese Journal of General Practice
基金
江西省卫计委科技计划项目(20154016)
关键词
柯氏模型
住院医师规范化培训
效果评价
指标体系
Kirkpatrick model
Standardized training for resident
Effect evaluation
Index system
