公共卫生人才医德培育模型构建  

Construction of a model for cultivation of medical ethics in public health talents

作　　者：张忠[1] 关喆 高松 孙大宇 颜南[2] 李鸿鹏 ZHANG Zhong;GUAN Zhe;GAO Song(School of Basic Medicine,Shenyang Medical College,Shenyang,Liaoning Province 110034,China;不详)

机构地区：[1]沈阳医学院基础医学院,辽宁沈阳110034 [2]沈阳医学院公共卫生学院 [3]沈阳医学院教务处 [4]沈阳医学院医学教育研究中心

出　　处：《中国公共卫生》2022年第6期739-742,共4页Chinese Journal of Public Health

基　　金：2018年辽宁省委组织部“兴辽英才计划”项目(XLYC1806015)。

摘　　要：目的构建公共卫生人才的医德培育模型,进一步增强公共卫生人才医德培育实效。方法对110名公共卫生领域专家进行问卷调查,初步筛选医德培育的主要维度与重要因素,运用层次分析法确定各维度和因素权重并进行一致性检验。结果构建的医德培育模型包括8项一级指标、27项二级指标,一致性检验λ_(max)=8,CR<0.1,RI=1.41,符合一致性要求,构建的矩阵比较合理。基于模型计算出各指标权重,其中一级指标位列前3位的分别为医学伦理决策、医学心理契约、医学行为机会,其权重分别为0.2836、0.2382、0.1435。结论构建的医德培育模型具有一定的科学性、客观性和实用性,可为进一步完善公共卫生人才医德培育体系提供理论支撑。Objective To construct a model for the cultivation of medical ethics among public health talents for promoting the efficiency in cultivating medical ethics among talents providing public health services.Methods Main dimensions and factors for medical ethics cultivation were initially screened out through a survey among 110 experts having at least ten years professional experience of public health/medical education/health management using a self-designed questionnaire.Then analytic hierarchy process was adopted to determine the weight of each dimension and factor and to conduct consistency testing.Results The constructed medical ethics cultivation model includes 8 first-level indicators and27 second-level indicators.The results of consistency test indicated that the constructed model met the requirement of consistency,with the values of 8 forλmax,less than 0.1 for consistency index(CI),and 1.41 for random consistency index(RI),indicating a reasonable matrix constructed.Based on the constructed model,the weight for each of the indicators were calculated and the top three first-level indicators are medical ethical decision-making,medical psychological contract,and medical behavior opportunity,with the weights of 0.2836,0.2382,and 0.1435,respectively.Conclusion A model for the cultivation of medical ethics among public health talents was established and the constructed model could provide a theoretical support for improving system establishment in the medical ethics cultivation.

关 键 词：医德培育 公共卫生人才 层次分析法 模型构建 

分 类 号：R192[医药卫生—卫生事业管理]