上海市某区域社区全科医生临床进修现况及需求调查  

Survey on status and demands of advanced clinical training among community general practitioners in two districts of Shanghai

作　　者：茹雪颖 任利民 王天浩 余情 郑玉英 潘志刚 Ru Xueying;Ren Limin;Wang Tianhao;Yu Qing;Zheng Yuying;Pan Zhigang(Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai 200032, China （ Ru XY , Ren LM, Wang TH, Pan ZG;Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China（ Yu Q, Zheng YY)

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]复旦大学附属中山医院教育处,上海200032

出　　处：《中华全科医师杂志》2018年第7期514-518,共5页Chinese Journal of General Practitioners

基　　金：上海市卫生和计划生育委员会重要薄弱学科建设全科医学项目（2015ZB0601）

摘　　要：目的了解上海市社区全科医生临床进修现状、满意度及相关需求，为探索适合基层现况的社区全科医生临床进修模式提供参考。方法2016年1—5月采用自行设计的社区全科医生临床进修现况和需求调查表，对上海市闵行区和嘉定区的所有社区全科医生展开调查。调查内容包括：个人基本情况，工作后的进修经历、进修满意度以及进修需求等。结果本次调查人数为526人，有效问卷478份，问卷有效率90.9%。其中有进修经历者202人（42.3%），69.3%（140/202）进修单位选择在上海市二级医院，67.2%（131/195）的医生认为既往进修效果不能完全符合社区需要。不同年龄、职称和工作年限者的进修需求差异有统计学意义（χ2＝12.754、7.912、4.501，均P〈0.01），年龄小、学历高和工作年限短者进修需求更大。57.3%（274/478）的社区全科医生表示未来有进修需求，58.3%（239/410）希望进修单位为上海市三级医院，79.0%（321/406）希望进修的科室选择内科及老年科，73.2%（298/407）最希望进修的部门为门诊，60.4%（243/402）选择时间为3个月或6个月，61.5%（253/411）选择方式为分段完成。选择参加进修的目的主要是补足自己的能力，提高业务水平（94.2%，258/272）；工作离不开（53.4%，66/116）是社区全科医生不愿意参加临床进修的主要原因。结论目前上海市社区全科医生对临床进修的需求比较迫切。未来社区全科医生进修的内容要体现社区需要，进修方式要灵活机动，将利于解决社区全科医生的工学矛盾。ObjectiveTo survey the status and related demands of advanced clinical training among community general practitioners （GPs） in Shanghai.MethodsA survey on the status and demands of advanced clinical training was conducted with a self-designed questionnaire among GPs in Minhang District and Jiading District of Shanghai from January to May 2016. The questionnaire included basic information, experience of advanced clinical training, satisfaction with training and training demands.ResultsTotal 526 questionnaire were distributed and 478 valid questionnaires were returned with a response rate of 90.9%. Among the participants 202 （42.3%） had experience of advanced clinical study; the training units were mainly secondary hospitals in Shanghai （69.3%, 140/202）; 67.2% （131/195） participants considered that the previous training did not fully meet the needs of the community. There was significant difference in the training demands among participants with different ages, professional titles, and working years （χ2=12.754, 7.912, 4.501, all P〈0.01）; those with younger age, higher education and shorter working years had higher training demands. Survey showed that 57.3% （274/478） of participants demanded further studies in the future; 58.3% （239/410） of them chose tertiary hospitals in Shanghai as training unit, 79.0%（321/406） chose internal medicine and geriatrics as training specialties, particularly in outpatient clinic （73.2%, 298/407）; the length of study should be 3 months （32.8%, 132/402） or 6 months （27.6%, 111/402）, and completed in segments （61.5%, 253/411）. The purpose of training was mainly to upgrade clinical competence （94.2%, 258/272）; busy working schedule （53.4%, 66/116） was the main reason for not intending the advanced clinical studies.ConclusionsThe community general practitioners in Shanghai have high demands for advanced clinical training. The training should meet the needs of clinical practice in community and the mode of study should be more flexi

关 键 词：社区 全科医生 进修 

分 类 号：R192.3[医药卫生—卫生事业管理]