互联网+移动医疗在妇产科住院医师规范化培训过程管理中的应用  

Exploration and application of"internet+mobile medicine"in the process management of standardized residency training of obstetrics and gynecology

作　　者：裴美丽[1] 王丽[1] 赵娟[1] 杨婷[1] 安瑞芳[1] 杨筱凤[1] Pei Meili;Wang Li;Zhao Juan;Yang Ting;An Ruifang;Yang Xiaofeng(Department of Gynecology and Obstetrics,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院妇产科,西安710061

出　　处：《中华医学教育探索杂志》2023年第1期133-138,共6页Chinese Journal of Medical Education Research

基　　金：西安交通大学第一附属医院院级教学研究改革项目(JG20180310,JG2021-0303)。

摘　　要：目的:探讨"互联网+移动医疗"在妇产科住培过程管理中的应用效果。方法:选择参与基地住培工作的43名教师(住培管理者14人,基地未直接负责管理工作的指导医师29人)和41名住培学员作为研究对象。应用互联网技术管理基地过程管理资料,结合个人意愿及抓阄的方式,将学员分为两组,对照组(n=21)用传统方式进行过程管理,观察组(n=20)用移动医疗协助过程管理。用多维度问卷调查和数据对比方式,分析师生对基地住培管理不同方面的评价、学员干预前后测评考核成绩、不同过程管理方式下学员主管的宫颈癌术后患者医疗满意度情况。采用SPSS 22.0进行t检验和卡方检验。结果:"互联网+移动医疗"用于住培管理,在师生中均获得了肯定的评价。认为"有必要"改革既往传统住培管理模式的比率,住培学员[95.1%(39/41)]与住培管理者[92.9%(13/14)]均高于指导医师[62.1%(18/29)]。78.6%(11/14)的住培管理者认为云端资料管理工作耗时更少。用不同方式进行过程管理6个月后,观察组学员临床诊治能力、技能操作能力评分均高于对照组(93.6±5.6 vs.89.4±5.7;89.6±8.8 vs.84.0±8.7)。两组学员主管的宫颈癌手术患者"总体医疗满意率"均较高[100%(30/30)vs.93.3%(28/30)],移动医疗组患者"非常满意率"高于传统组患者[86.7%(26/30)vs.63.3%(19/30)]。结论:"互联网+移动医疗"用于妇产科住培过程管理有利于加强本专业住培管理过程,提升本专业住培管理质量。Objective To assess the application effect of"internet+mobile medicine"on the process management of standardized residency training of obstetrics and gynecology.Methods A total of 43 teachers including 14 administrators and 29 instructors who were not directly responsible for management,and 41 residents who participated in the standardized training in our base were enrolled as research objects.The data of process management were sorted by internet technology,and combined with personal wishes and casting lots,the residents were divided into two groups:the control group(n=21)adopted traditional way while the observation group(n=20)used mobile medicine for process management.By conducting multi-dimensional questionnaire and data comparison,we analyzed the evaluation of teachers and residents,the scores of different stage of residents,and the satisfaction of cervical cancer postoperative patients to medical care under different process management mode.SPSS 22.0 software was used for t test and chi-square test.Results The application of"internet+mobile medicine"in standardized residency training obtained positive evaluation both by teachers and residents,and the ratio of considering"necessary"to reform the traditional residency training management mode in residents[95.1%(39/41)]and administrators[92.9%(13/14)]were both higher than that in instructors[62.1%(18/29)].And 78.6%(11/14)of the administrators believed that cloud data management took less time.After 6 months of process management by different modes,the clinical diagnosis and treatment ability and skill operation ability scores of observation group were higher than those of control group[(93.6±5.6)vs.(89.4±5.7);(89.6±8.8)vs.(84.0±8.7)].The"overall medical satisfaction rate"of cervical cancer patients was relatively high in both groups[100%(30/30)vs.93.3%(28/30)],and the"very satisfied rate"of patients in the mobile medical group was higher than that in the traditional group[86.7%(26/30)vs.63.3%(19/30)].Conclusion The application of"internet+mobile medicine"

关 键 词：住院医师规范化培训 过程管理 互联网+移动医疗 

分 类 号：R-05[医药卫生]