影响上海市全科医生参加继续职业教育的因素分析  

Factors Influencing Participation in Continuing Occupation Education of General Practitioners in Shanghai

作　　者：谢庆文[1] 朱静芬[1] 施榕[1] 沈恬[1] 唐红梅[2] 曹晓红[3] 

机构地区：[1]上海交通大学公共卫生学院,上海市200025 [2]上海医药高等专科学校 [3]上海市卫生局卫生监督所

出　　处：《中国全科医学》2013年第7期778-780,共3页Chinese General Practice

基　　金：上海市教育委员会科研创新项目(11YS60);上海市教育科学研究项目(B10021)

摘　　要：目的了解影响上海市全科医生参加继续职业教育的因素,进一步探索有效的干预机制。方法对上海市24家社区卫生服务中心的290名全科医生参加继续职业教育的影响因素进行单因素和多因素Logistic回归分析。结果相对于21～35岁,36～45岁、46～60岁的全科医生继续职业教育的参与率更低,OR(95%CI)分别为9.025(3.100,26.277)、19.234(6.353,58.239),差异有统计学意义(P<0.05);女性〔OR=5.299,95%CI(2.294,12.238)〕、将工作置于非首位〔OR=5.270,95%CI(2.317,11.988)〕、职称在中级及以上〔相对于初级职称,中级、高级职称OR(95%CI)分别为0.200(0.080,0.499)、0.030(0.003,0.332)〕、培训效果≥40%〔相对于培训效果为0～,40%～、80%～的OR(95%CI)分别为0.412(0.178,0.954)、0.087(0.027,0.286)〕、由他人承担家务劳动〔OR=0.302,95%CI(0.141,0.649)〕都进入最终的回归方程(P<0.05)。结论年龄增长、女性、将工作置于非首位是全科医生参加继续职业教育的负向因素;职称等级增高、培训效果越好、由他人承担家务劳动是参加继续职业教育的正向因素。关注全科医生的自身状况,提供个性化的继续职业教育;加强全科医生的职业认同感,提高参加继续职业教育的主动性;建立对继续职业教育的评估体系,增强教育的有效性。Objective To investigate the influencing factors of participation in continuing occupation education of general practitioners in order to further explore the effective intervention. Methods Single -factor and multi -factor Logistic regression analyses were used in the investigation of possible influencing factors to participate in continuing occupation education for 290 general practitioners from 24 community health services in Shanghai. Results Compared with those in 21 - 35 - year group, the percentage of general practitioners in 36 - 45 - year and 46 - 60 - year groups who participated in continuing occupation education were significantly lower, the OR （95% Cl） was respectively 9. 025 （3. 100, 26. 277） and 19. 234 （6. 353, 58. 239） （P 〈 0. 05）. And the resuhs of Logistic analyses showed that the factors which finally entered the regression equation were female （ OR = 5. 299, 95 % CI （2. 294, 12. 238）, putting work on non - top position [ OR = 5. 270, 95 % CI （ 2. 317, 11. 988 ） 3, professional title in middle and high levels [ OR （95% CI） was respectively 0. 200 （0. 080, 0. 499） and 0. 030 （0. 003, 0. 332） as compared with professional title in primary level3, training efficacy in 40% - and 80% - [ OR （95% CI） was respectively 0. 412 （0. 178, 0. 954） and 0. 087 （0. 027, 0. 286） as compared with training efficacy in 0 - ], and taking burden of housework by others [OR=0.302, 95%CI （0. 141, 0.649）1 （P〈0.05）. Conclusion The increased age, female and putting work on non - top position are the negative factors for general practitioners to participate in continuing occupation education. The higher professional title, better training efficacy, and taking burden of housework by others are the positive factors. It is necessary to pay attention to the condition of general practitioners and thus provide personalized education, enhance their sense of occupation cognition to increase their initiative to participation in the education, and establish the evaluation

关 键 词：全科医生 继续职业教育 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]