社区视角下的全科医学学科建设期望调查研究  

Survey on the Expectation of General Practice:Community Perspective

作　　者：吴恒璟[1,2] 吴静[3] 赵欣欣 陈琳[1] 刘辉[2] 吴娟丽[2] 李觉[1] WU Hengjing;WU Jing;ZHAO Xinxin;CHEN Lin;LIU Hui;WU Juanli;LI Jue(Tongji University School of Medicine,Shanghai 200092,China;Daqiao Community Healthcare Center Affiliated to Tongji University School of Medicine(Preparation),Shanghai 200090 China;School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]同济大学医学院,上海市200092 [2]同济大学医学院附属大桥社区卫生服务中心(筹),上海市200090 [3]上海中医药大学护理学院,上海市201203

出　　处：《中国全科医学》2019年第28期3471-3475,共5页Chinese General Practice

基　　金：中国学位与研究生教育学会学位与研究生教育研究课题（B1-YX20180309-01）;中华医学会医学教育分会医学教育研究课题(2018B-N02200)

摘　　要：背景新时代人民日益增长的健康需求给基层医疗发展带来了新的挑战,培养高层次全科医学人才、提高社区全科医学水平迫在眉睫。目的调查社区卫生服务中心全科医学学科建设现状及期望,探讨社区全科医学学科建设的优化对策。方法2018年7—8月对前期调研的10家社区卫生服务中心(定海社区卫生服务中心、三林社区卫生服务中心、石泉社区卫生服务中心、安亭社区卫生服务中心、大桥社区卫生服务中心、共和新路社区卫生服务中心、陆家嘴社区卫生服务中心、真如社区卫生服务中心、南翔镇社区卫生服务中心、彭浦新村社区卫生服务中心)51名管理人员进行回访。采用自行设计的问卷,以发送电子邮件形式进行回访调查。问卷内容主要包括社区全科医学学科(临床医疗、科学研究、教学师资、国际交流)的投入建设情况和发展期望、社区全科医生培训及交流期望情况及社区全科医学支撑平台的期望情况。结果共发放调查问卷51份,回收有效问卷51份,有效回收率100.0%。51名管理人员中,管理干部37人,全科医学干事14人。在社区全科医学学科实际的投入建设中,专人负责科研管理、制定国际交流计划、专人负责国际交流以及搭建国际交流平台方面投入建设程度均不足50%;其他方面投入建设程度超过80%。在社区全科医学学科的发展期望中,除专人负责国际交流的发展期望为60%左右,其他方面的发展期望均超过80%。在社区临床培训方面,8家社区卫生服务中心建设了临床实训中心或类似中心,用于全科医生的临床技能培训。通过对临床培训次数和时间的期望调查,45名(88.2%)管理者认为每季度至少组织2次临床培训,34名(66.7%)认为每次培训应在1~2h。在社区科研管理方面,9家社区卫生服务中心配套了科研项目孵化机制或平台,用于帮助全科医生开展社区科研。在社�Background The ever increasing health demand in the 21st century have brought significant new challenges to the development of primary health care.Therefore,there is a urgent need for the development and training of highlevel general practitioners in order to improve the level of community-based general practice.Objective To understand the current status and expectations of general practice in community health service centers,and to explore strategies for the construction of community-based general practice.Methods A total of 51 general administrators from 10 community health service centers(Dinghai Community Health Service Center,Sanlin Community Health Service Center,Shiquan Community Health Service Center,Anting Community Health Service Center,Daqiao Community Health Service Center,Gonghexin Community Health Service Center,Lujiazui Community Health Service Center,Zhenru Community Health Service Center,Nanxiang Community Health Service Center,Pengpu Community Health Service Center)were surveyed from July to August 2018.Self-designed questionnaires were sent out via e-mail to conduct the survey.The questionnaire mainly included the investment and development expectation of community general practice(clinical medicine,scientific research,teaching staff,international exchange),training and exchange expectation of community-based general practitioners,and expectation of its support platform.Results A total of 51 valid questionnaires were received,with a 100.0%response rate.,Among 51 administrators,37 were administrative leaders and 14 general managers.Investment in scientific research management,international exchange plan,international exchange and the establishment of international exchange platform were all lower than 50%in the actual investment of communitybased general practice,whereas the investment in other sectors exceeded 80%.The development expectations of other fields exceeded 80.0%except that the development expectations of international exchanges were about 60%.In terms of clinical training,a total of

关 键 词：全科医学 学科建设 人才培养 社区视角 数据收集 

分 类 号：R197[医药卫生—卫生事业管理]