六省基层全科医生专业知识能力抽样分析  

Sampling survey on professional knowledge levels of general practitioners in primary health care institutions from six provinces

作　　者：孙艳春[1] 王伟[1] 谢学勤 王帅 刘琴琴 徐芳 刘爽 严非[1] Sun Yanchun;Wang Wei;Xie Xueqin;Wang Shuai;Liu Qinqin;Xu Fang;Liu Shuang;Yan Fei(School of Public Health,Fudan University,Health Commission Key Laboratory of Health Technology Assessment(Fudan University),Institute of Global Health,Fudan University,Shanghai 200032,China;Center for Health Statistics and Information,Health Commission,Beijing 100810,China)

机构地区：[1]复旦大学公共卫生学院国家卫生健康委员会卫生技术评估重点实验室(复旦大学)全球健康研究所,上海200032 [2]国家卫生健康委统计信息中心,北京100810

出　　处：《中华全科医师杂志》2021年第6期691-695,共5页Chinese Journal of General Practitioners

基　　金：第六次国家卫生服务总调查专题研究——分级诊疗制度下基层卫生服务体系评估。

摘　　要：2019年4—10月,采取分层随机抽样的方法,兼顾地区分布选取6个案例研究省份,在46个社区卫生服务中心和30个乡镇卫生院,对388名基层全科医生进行基层全科医生专业知识测试。基层全科医生专业知识测试得分为31.82~84.09(56.94±9.19)分,及格率为36.3%(141/388)。不同工作单位、地区、省份、婚姻状况、学历、专业技术职称、编制、工龄以及是否参与医院培训和是否参与专业课程培训的医生得分差异有统计学意义(均P<0.05)。多因素回归分析显示,学历(B=-2.835)、专业技术职称(B=-8.867)、是否参与专业课程培训(B=2.214)是测试得分的影响因素(均P<0.05)。预防-健康管理和法规类题目的及格率较低,分别为13.7%(53/388)和12.1%(47/388)。结果提示基层全科医生专业知识水平较低,应加强继续教育提高基层全科医生的专业知识水平,尤其应加强传染病相关卫生法规、疾病预防以及健康管理知识。A survey on professional knowledge levels was conducted from April to October 2019 among 388 general practitioners(GPs)from 46 community health service centers and 30 township health centers of 6 provinces selected by stratified random sampling method.The overall knowledge test score was 31.82—84.09(56.94±9.19)points,and the pass rate was 36.3%(141/388).There were significant differences in test scores among participants with different types of work units,regions,provinces,marital status,educational background,professional titles,types of employment,length of service,and training status(all P<0.05).Multivariate regression analysis showed that educational background(B=-2.835),professional title(B=-8.867),and participation in professional course training(B=2.214)were the influencing factors of knowledge level(all P<0.05).The pass rates in knowledge of prevention/health management(13.7%,53/388)and policies and regulations(12.1%,47/388)were low.The results show that the levels of professional knowledge among GPs working in grassroots health institutions are relatively low,and suggest that continuing education should be strengthened to improve the professional knowledge level of GPs in primary care institutions,particularly,knowledge of health policies and regulations,disease prevention and health management.

关 键 词：专业能力 全科医生 书面测试 

分 类 号：R192.3[医药卫生—卫生事业管理]