临床住培基地(综合医院)全科医学科的定位与评价指标研究:基于专题小组讨论的归纳性分析  

Positioning and Evaluation Indices of General Practice Department in Standardized Clinical Residency Training Bases(General Hospitals):a Qualitative Inductive Analysis of Focus Group Discussions

作　　者：沈士立 张鑫岩 李一萱 张旭[1] 宫雪[2] 于晓松[1] SHEN Shili;ZHANG Xinyan;LI Yixuan;ZHANG Xu;GONG Xue;YU Xiaosong(Department of General Practice,the First Hospital of China Medical University,Shenyang 110001,China;China Medical University Library,Shenyang 110122,China)

机构地区：[1]中国医科大学附属第一医院全科医学科,辽宁省沈阳市110001 [2]中国医科大学图书馆,辽宁省沈阳市110122

出　　处：《中国全科医学》2020年第13期1627-1631,1639,共6页Chinese General Practice

摘　　要：背景在临床住培基地(综合医院)开设全科医学科是国家卫健委为推动全科医学发展提出的新举措。然而目前,由于国内尚未出台标准化的临床住培基地(综合医院)全科医学科评价体系,许多医院的全科医学科正在延用专科科室的评价标准,而这些标准与全科医学的学科特色不相适应。此外,全科医学科定位不明确、全科医学挂靠在其他临床科室的情况也较常见。建立健全医院全科医学科的评价体系,已经成为当前亟待解决的新要求。目的探讨临床住培基地(综合医院)全科医学科的定位及其评价指标。方法于2019年3月29-31日,在第六届海峡两岸全科医学大会召开期间,采用目的性抽样法,邀请数名来自不同省市的综合医院全科医学科的科室负责人参加专题小组讨论会议两次。本课题工作小组人员共6名。两次会议的调查对象为同一批专家,第一次参会专家人数为7名,第二次参会专家为4名。会议前期,初步拟定评价综合医院全科医学科的5个一级指标,分别为“基础条件”“医疗技术队伍”“医疗服务能力与水平”“医疗质量状况”和“科研与教学”,并以此为基础制定了第一次会议的讨论提纲。在第一次会议结束之后,研究人员对会议内容及时分析和整理,在此基础上拟定了第二次会议的讨论提纲,再次归纳考核指标。会议由主持人主持,全程使用录音,并在结束后及时进行转录、编码和分析。结果临床住培基地(综合医院)全科医学科的定位是培养基层全科医生。将综合医院全科医学科的一级指标修改为“基础条件”“医疗技术队伍”“医疗服务能力与水平”“医疗质量状况”和“教学与科研”。其中“基础条件”包括病房规模及床位数、门诊规模、发展环境、相关科室能够满足全科住培轮转需要、合作的基层医疗服务机构能够满足全科住培轮转需要、场地�Background The establishment of a general practice department in standardized clinical residency training(SCRT)bases(general hospitals)is a new initiative of the National Health Commission of the People's Republic of China to promote the development of general practice.However,due to lack of a standardized evaluation system for general practice department,although the specialist department evaluation system is not suitable for general medicine,it has been used to evaluate the general practice department in many SCRT bases(general hospitals).Furthermore,problems such as inaccurate orientation of general practice department,and general practice's affiliation to other clinical departments are quite common,too.So it is urgently to develop a sound evaluation system for the general practice department in hospitals.Objective To explore the positioning and evaluation system for general practice department in SCRT bases(general hospitals).Methods During the 6th Cross-Strait Congress of General Practitioners held from 29th to 31st March,2019,we(a research team of 6 members)used purposive sampling to select several directors of general practice department of general hospitals in different regions of China to attend a two-round focus group discussions(7 of them attending the first round,and 4 attending the second round).The first round of focus group discussion was based on the outline of initial evaluation system for general practice department in general hospitals(consisting of 5 first-level indices:basic conditions,medical team,medical service capability level,medical quality,and research and teaching)previously developed by us,and the second round of discussion was based on the organized contents of the first round of discussion after analyzing.The discussions were hosted by the president,and were recorded,transcribed,coded and analyzed timely,and based on the results,the indicators of the initial evaluation system for general practice department were revised.Results The general practice department in SCRT bases(general

关 键 词：综合医院全科医学科 学科定位 评价指标 专题小组讨论 

分 类 号：R197.1[医药卫生—卫生事业管理]