北京市医疗机构继续教育现状分析  

Analysis of the current status of medical continuing education in primary health care in beijing

作　　者：崔卫东[1] 张衡[1] 王以新[1] 吴洁[1] 孙敏[1] 姚崇华[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,北京100029

出　　处：《心肺血管病杂志》2011年第1期38-40,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:通过对400名基层医师整体知识水平的了解,分析北京城乡基层医疗机构继续教育对医师医技知识获知的情况,为北京城乡基层医疗机构的继续教育寻求适合的方式。方法:以《中国高血压防治指南》及相关继续教育课程为指导设计调查问卷,采用多层随机抽样,建立数据库对北京市城乡基层医疗机构400名医师问卷调查结果进行分析。结果:北京城乡基层医疗机构有定期业务培训的占66.5%,城乡继续教育渠道不一致,参加继续教育计划课程的占79.3%、阅读专业书刊文献占82.5%,这是城区医师继续教育的主要渠道。乡镇医师的知识渠道比例排序前2位为继续教育课程(45.8%)和报刊及广告(37.5%)。通过继续教育课程获知《中国高血压指南》相关知识的比例为29.3%,城乡差异有统计学意义(34.8%vs.12.6%,P<0.01),考核及格率为44%,参加过培训与未培训者分别为(56.9%vs.38.7%,P<0.01)。结论:北京基层继续教育计划课程不是北京基层医疗机构医师、医技知识获知主渠道,其现状影响基层医生医疗水平的提高。Objective：To analyze the effect of medical continuing education on the knowledge of medi-cine update in professionals of primary health care in Beijing through investigation of implementation of＂the guidelines for prevention and treatment of hypertension in China＂in order to suggest some feasibile strategies.Methods：A cross-sectionaI study with questionnaire Interview was conducted in Beijing primary care settings.400 professionals were selected by multilayer random sampling.Results：The proportion of having professional training system in primary care settings was 66.5%.The sources of professional medical information were differ-ent between professionals in prijmary health care in urban and rural areas in Beijing.The main sources of medi-cal continuing education in urban are medical continuing education（79.3%） and professional medical books and papers（82.5%）.Whereas in rural,the proportion of the sources from media,for example from newspaper and advertising were higher than professional medical books and papers.The proportion of having guideline training courses is 29.0%.There is significant difference between medical professionals in primary health care,in urban and in rural（34.8% vs.12.6%,P 0.01）.Forty-four percent of professionals had passed the knowledge examination.And the proportion of them were 56.9% and 38.7%（P 0.01）in which having guide-line training courses or not.Conclusion：The formalization of the medical continuing education system in primary health care in Beijing led to poor effect on medical knowledge update.

关 键 词：中国高血压防治指南 基层医生 继续教育 

分 类 号：R544.1[医药卫生—心血管疾病]