全科医师骨干理论培训的效果评价及其影响因素分析  

Effect Evaluation of Theoretical Training for Backbone General Practitioners and Its Influencing Factors

作　　者：徐庆锋[1] 苏慧萍[1] 涂正杰[1] 黄婉霞[2] 张立威[2] 王心旺[3] 王家骥[2] 

机构地区：[1]广东省卫生厅科技教育处,广东省广州市510060 [2]广州医学院公共卫生学院 [3]广东省全科医学教育培训中心

出　　处：《中国全科医学》2011年第34期3950-3952,共3页Chinese General Practice

基　　金：广东省医学科研指令性课题(C2009006)

摘　　要：目的了解广东省全科医师骨干理论培训的短期效果,为改进培训策略和措施提供依据。方法采用问卷调查和试卷测试相结合的方法,对参加广东省全科医师骨干培训班的194名学员进行培训前和培训后的调查和测试。结果学员培训前后测试的平均分数分别为(44.64±7.45)分和(62.52±9.72)分,培训前后测试分数间差异有统计学意义(P<0.05)。除"临床基本技能"外,培训后学员各项全科医学相关知识技能自评分值均高于培训前,差异有统计学意义(P<0.05)。学员对培训内容和培训保障项目的评价较低。学员知识技能水平提高程度的影响因素包括培训内容、学员性别、学员学历等。结论本次骨干培训班的理论培训取得了较好的效果;今后培训应结合社区卫生服务实际和基层医生的特点合理设计培训内容,注意课程的系统性和连续性,并重视对培训班的组织和管理,以期进一步提高全科医师培训的效果。Objective To understand the short-term effect of theoretical training for backbone general practitioners in Guangdong so as to provide scientific basis for improving the training strategy and measures. Methods A total of 194 trainees in Guangdong were investigated before and after training by using questionnaire survey and test paper. Results The average scores of the trainees before and after training were（44.64±7.45） and（62.52±9.72）,and the difference was statistically significant（P〈0.05）.The self-evaluation scores of the trainees on knowledge and skills after training were significantly higher than those before training（P〈0.05） except for the basic clinical skills.The items that the trainees were less satisfied with were training contents and facilities to guaranteeing the training program.The main factors influencing the effect of training were training contents,trainees′ gender and educational background. Conclusion The theoretical training for backbone general practitioners is of a remarkable effect.However,in the future,the training contents should be designed according to the status of community health and the characteristics of general practitioners,the course should be of systematization and continuity,and special attention should be paid to the organization and management of the training class.

关 键 词：全科医师 培训效果 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]