申正付, 黎丹丹, 齐玉龙, 杨秀木, 孟贝, 贺庆功. 农村全科医生胜任力素质测评指标体系研究[J]. 蚌埠医学院学报, 2016, 41(1): 84-88. DOI: 10.13898/j.cnki.issn.1000-2200.2016.01.027
    引用本文: 申正付, 黎丹丹, 齐玉龙, 杨秀木, 孟贝, 贺庆功. 农村全科医生胜任力素质测评指标体系研究[J]. 蚌埠医学院学报, 2016, 41(1): 84-88. DOI: 10.13898/j.cnki.issn.1000-2200.2016.01.027
    SHEN Zheng-fu, LI Dan-dan, QI Yu-long, YANG Xiu-mu, MENG Bei, HE Qing-gong. A study on the competency evaluation index system of the rural general practit[J]. Journal of Bengbu Medical College, 2016, 41(1): 84-88. DOI: 10.13898/j.cnki.issn.1000-2200.2016.01.027
    Citation: SHEN Zheng-fu, LI Dan-dan, QI Yu-long, YANG Xiu-mu, MENG Bei, HE Qing-gong. A study on the competency evaluation index system of the rural general practit[J]. Journal of Bengbu Medical College, 2016, 41(1): 84-88. DOI: 10.13898/j.cnki.issn.1000-2200.2016.01.027

    农村全科医生胜任力素质测评指标体系研究

    A study on the competency evaluation index system of the rural general practit

    • 摘要: 目的:构建并开发农村全科医生胜任力素质测评指标体系。方法:运用关键事件访谈法,在安徽省蚌埠地区、滁州地区对30名全科医生、10名市/县卫生与计划生育委员会卫生行政管理者、10名乡镇卫生院院长进行结构式访谈。访谈内容运用NVivo8.0质性分析软件进行分析。选择30名专家进行2轮德尔菲法专家咨询。对安徽、河南、山西、湖南、湖北和江西中部6省1458名农村全科医生进行问卷调查。结果:根据质性分析提取题目的内涵以及专家的意见归纳为9个胜任力素质维度:个人特质、职业道德能力、心理适应性、基本公共卫生服务能力、临床基本能力、信息管理能力、系统分析能力、沟通与合作能力和非医学专业知识。德尔菲法专家咨询:专家的积极程度100%,权威程度Cr=0.89。探索性因素分析结果,取样适切性量数=0.976,P=0.000,提取9个公因子,累计解释方差75.128%,总问卷及各维度问卷的克朗巴哈系数为0.857~0.975;验证性因素分析结果,各项拟合指标分别为卡方自由度比=2.649,渐进残差均方和平方根=0.065,良适性适配指标=0.94,增值适配指数=0.98,非规准适配指数=0.98,比较适配指数0.98;农村全科医生绩效考核优秀者胜任力素质各维度评分均明显高于合格者(P<0.01)。结论:构建的农村全科医生胜任力测评体系可以作为测评农村全科医生胜任能力的依据。

       

      Abstract: Objective:To develop the competency evaluation index system of the rural general practitioners.Methods:Thirty general practitioners from Bengbu and Chuzhou, 10 administrators from the health and Family Planning Commission in city/county and 10 presidents from township hospitals were interviewed using the critical incident interview method, the results of which were analyzed by NVivo8.0.software.Thirty experts were consulted with Delphy expert consultation for two rounds.The 1458 rural general practitioners from Henan, Hunan, Shanxi, Hubei, Anhui and Jiangxi provinces were investigated by questionnaire.Results:Nine competency quality dimensions(including personal trait, occupation moral ability, psychological adaptability, basic public health service ability, basic clinical skill, information management capability, system analysis capability, communication capability, cooperation capability and nonmedical professional knowledge) were extracted according to the meaning of the subject and opinions of experts.The results of Delphy expert consultation showed that the enthusiasm and authority degree of experts were 100% and Cr=0.89, respectively.The exploratory factor analysis results showed that the kaiser-meyer-olkin was 0.976, the P value was 0.000, 9 common factors were extracted, the cumulative variance was 75.128%, the Cronbach's α of the total questionnaire and various dimensions of the questionnaire was from 0.857 to 0.975.The results of confirmatory factor analysis showed that the χ2/df was 2.649, the root mean square error of approximation was 0.065, the goodness of fit index was 0.94, the incremental fit index was 0.98, the non-normed fit index was 0.98 and the comparative fit index was 0.98.The score of each dimension in the performance excellence general practitioners was significantly higher than that in qualifier(P<0.01).Conclusions:The development of the rural general practitioner competency assessment system can be used as the evaluating basis of the competency of rural general practitioner.

       

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