上海市助理全科医生培训（3＋2模式）配套政策的定性访谈研究  

Supporting policies for assistant general practitioner training program （3 ＋ 2 mode） in Shanghai： A qualitative study

作　　者：顾杰[1] 潘志刚[1] 沈瑶[1] 蒋玉婷[2] 龚剑[1] 戴维[1] 祝墡珠[1] 

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]上海市嘉定区安亭镇社区卫生服务中心

出　　处：《中华全科医师杂志》2015年第7期516-520,共5页Chinese Journal of General Practitioners

基　　金：上海市公共卫生重点学科三年行动计划（12GWZX1001）

摘　　要：目的探索上海市助理全科医生培训（3＋2模式）的配套政策。方法2012年10月至2013年10月间采用深入访谈、焦点组讨论的方法对上海市3＋2模式培训试点的相关人员共53人就3＋2模式培训的组织管理、培训实施、职业发展3个方面进行定性研究，包括3＋2模式在培学员10人、上海市医药高等专科学校（医药高专）临床医学专业（乡村医生方向）毕业生8人、已工作的乡村医生12人、3＋2模式培训医院相关领导2人、3＋2模式培训学员用人单位相关领导5人、上海市医药高专相关领导3人、上海市郊区县卫生和计划生育委员会（卫计委）相关领导9人、上海市卫计委相关领导3人、国家卫计委相关领导1人。完成深入访谈15次、焦点组访谈5次。结果3名市卫计委领导均认为培训涉及多个部门，尚无统一的配套政策；2名郊区县卫计委领导认为应适当控制招生规模；“社会人”模式的探索得到市卫计委领导的鼓励。用人单位领导强烈建议增加选拔和退出机制，以保证生源和培训质量；3名郊区县卫计委领导建议应适当招收外省市学员；用人单位和市卫计委领导一致认为取得执业助理医师资格是培训的重要目标，应当在取得资格后才可以毕业；10名3＋2模式培训学员均对完成培训后能同时获得本科学位有强烈期望；市卫计委和3＋2模式培训医院领导提出应重视培训基地建设和师资培养工作。约1／3的3＋2模式培训学员、市医药高专临床医学专业（乡村医生方向）毕业生（非3＋2模式培训学员）和“老乡医”表示希望通过努力获得更多的发展空间；用人单位和市卫计委领导均认为应在取得执业助理医师资格后才能人编；市医药高专和3＋2模式培训医院领导均建议有关部门应在收入、晋升政策等方面给予新乡村医生（“新乡医”）支持。结论上海市3＋2模式培训试�Objective To investigate the supporting policies of assistant general practioner training program （3 ＋2 mode） in Shanghai. Methods Total 53 subjects were involved in 15 in-depth interviews and 5 focus group discussions held from October 2012 to October 2013, including 8 graduates from the specialty of country doctor of Shanghai Institute of Health Sciences, 12 country doctors,2 leaders of 3 ＋ 2 mode training hospital,5 leaders of rural community health centers,3 leaders of Shanghai Institute of Health Sciences ,9 leaders of Commission of Health and Family Planning in Shanghai suburbs ,3 leaders of Shanghai Municipal Commission of Health and Family Planning, 1 leader of National Health and Family Planning Commission. Results Three leaders of Shanghai Municipal Commission of Health and Family Planning admitted the training program involved muhiple departments and there were no unified supporting policies ,2 leaders of Commission of Health and Family Planning in Shanghai suburbs thought the enrollment amount should be appropriately controlled. The exploration of ＂social person （ non-formal employees ） ＂ mode was encouraged by the leaders of Shanghai Municipal Commission of Health and Family Planning. Leaders of ruralcommunity health centers strongly recommended to increase the selection and withdrawal mechanism to ensure the quality of students and training. Three leaders of rural Commission of Health and Family suggested to enroll student from other provinces. Leaders of rural community health centers and Shanghai Municipal Commission of Health and Family Planning agreed that qualifying as assistant general practioner was an important target of training which should be obtained before graduation. All 3 ＋ 2 mood trainees had a strong expectation to get a bachelor degree at the same time of completing the training. Leaders of Shanghai Municipal Commission of Health and Family Planning and 3 ＋ 2 mode training hospitals proposed to pay attention to the construction of training base and teacher train

关 键 词：在职培训 定性研究 全科医师 

分 类 号：R197.1[医药卫生—卫生事业管理]