临床住培基地(综合医院)全科医学科配置与建设评价模型及其特点  

Development and Characteristics of an Evaluation Model of General Practice Department Configuration and Construction in Standardized Clinical Residency Training Bases(General Hospitals)

作　　者：沈士立 吴彬[1] 齐殿君[1] 陈歆悦[1] 张鑫岩 李一萱 张旭[1] 宫雪[2] 于晓松[1] SHEN Shili;WU Bin;QI Dianjun;CHEN Xinyue;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》2021年第7期791-798,共8页Chinese General Practice

摘　　要：国家卫生健康委要求,所有负责全科医学住院医师规范化培训的临床基地(综合医院)[临床住培基地(综合医院)]必须独立设置全科医学科。但科室开设以后,应该如何配置与建设,相关研究开展较少。目前,许多新开设的全科医学科正在套用其他医学专科的配置与建设评价标准,这些标准与全科医学学科特色不相适应,已经对其发展形成制约。本课题组通过文献检索、专题小组讨论和德尔菲专家咨询构建了临床住培基地(综合医院)全科医学科配置与建设评价模型,包含6个一级指标、22个二级指标、78个三级指标及其评价标准,凸显了全科医学科的建科宗旨,体现了全科医疗的基本原则,强调了基层医疗的指导与提升,为指导和规范综合医院全科医学科的建设提供了借鉴和思考。The National Health Commission of the People's Republic of China requires that every clinical residential training base(general hospital)responsible for standardized training of general practitioners must set up a general practice department independently.However,few studies have focused on the configuration and construction of general practice department.At present,evaluation standards of configuration and construction of specialty departments,which are not suitable for general practice characteristics,are being applied to many newly established general practice departments,which must have engendered restriction on their development.Our research group has developed an evaluation model of the configuration and construction of general practice department in clinical residential training bases(general hospitals)by using literature review,focus group discussions and expert Delphi surveys,which includes 6 first-level indicators,22 second-level indicators,78 third-level indicators and their evaluation criteria.The model highlights the purpose of development of general practice department,reflects the basic principles of general practice and lays stress on the guidance and promotion of supervision towards primary care,providing ideas for guiding and standardizing the development of general practice department in general hospitals.

关 键 词：医院 综合 全科医学科 评价模型 学科建设 

分 类 号：R197[医药卫生—卫生事业管理]