基于基层部队“疾病谱”调查的全科军医胜任力培养分析与思考  

Analysis and thoughts of competency training of military general practitioners in grass-root troops based on an investigation of disease spectrum

作　　者：王娟 张倩 宋秋月 邹丽琴 Wang Juan;Zhang Qian;Song Qiuyue;Zou Liqin(Clinical Skill Training Center,The First Affiliated Hospital of Army Medical University(Southwest Hospital),Chongqing 400038,China;Department of General Medicine,The First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Department of Health Statistics,Army Medical University,Chongqing 400038,China;Clinical Teaching Management Center,The First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院(西南医院)临床技能培训中心,重庆400038 [2]陆军军医大学第一附属医院全科医学科,重庆400038 [3]陆军军医大学卫生统计学教研室,重庆400038 [4]陆军军医大学第一附属医院临床教学管理中心,重庆400038

出　　处：《中华医学教育探索杂志》2023年第9期1431-1435,共5页Chinese Journal of Medical Education Research

基　　金：重庆市教育委员会高等教育教学改革研究项目(182125)。

摘　　要：目的:调查分析基层部队的常见疾病谱,为满足官兵军事医学保障需求提供依据,提高基层部队全科军医能力培养的针对性。方法:参照国际疾病分类标准,以基层部队基层军医为对象,针对146种疾病的常见程度评价进行问卷调查。采用SPSS 23.0进行分析,对疾病进行常见程度评分,将每个疾病的平均分进行排序。同时,采用Kendell一致性检验对不同海拔、不同部队医师评分进行比较。结果:基层军医以20~39岁男性本科毕业生为主,109人(51.90%)未参加继续教育;所属卫生连140人(66.67%)、卫生排11人(5.24%)、卫生所35人(16.67%)、卫生队24人(11.42%);部队所属地域温带42人(20.00%)、亚热带56人(26.67%)、高寒地带57人(27.14%)、平原37人(17.62%)、海岛18人(8.57%);日均诊治病患年龄主要集中在20~29岁,占比173人(82.38%)。来自不同海拔的基层医师对146种疾病的评价具有一致性[Kendell’s W=0.968(χ2=711.51,P<0.001)]。结论:结合“疾病谱”调查分析,制定特色化军队全科医生培养目标与内容,探索军队基层全科医生培养模式与方法,推动新军事变革时期军事医学全科人才建设,提高军医岗位胜任力。Objective To investigate the common disease spectrum of grass-root troops,to provide a basis for meeting the needs for military medical support among officers and soldiers,and to improve targeted training of military general practitioners in grass-root troops.Methods With reference to International Classification of Diseases(9th edition),a questionnaire survey was conducted to investigate 146 types of diseases among the military doctors in grass-root troops.SPSS 23.0 was used to determine the score of the common degree of each disease,and the mean score of each disease was ranked.At the same time,the Kendell consistency test was used to compare the scores of doctors between different altitudes and troops.Results Most grass-root military doctors were male graduates aged 20-39 years,among whom 109(51.90%)did not receive continuing education,and there were 140 doctors(66.67%)belonging to the health company,11(5.24%)belonging to the health platoon,35(16.67%)belonging to the health clinic,and 24(11.42%)belonging to the health team.As for the location of the troops,there were 42 doctors(20.00%)in the temperate zone,56(26.67%)in the subtropical zone,57(27.14%)in the alpine region,37(17.62%)in the plains,and 18(8.57%)on the islands.There were 173 patients with an age of 20-29 years,accounting for 82.38%.The Kendell consistency test showed Kendell's W=0.968(χ2=711.51,P<0.001),suggesting a consistent evaluation of 146 diseases by grass-roots doctors from different altitudes.Conclusion With reference to the investigation of disease spectrum,it is necessary to formulate characteristic training objectives and contents for the training of military general practitioners,explore the training models and methods for military general practitioners in grass-root troops,promote the construction of military general practitioners during the new military reform,and improve the post competency of military doctors.

关 键 词：基层部队 疾病谱 全科军医 胜任力培养 

分 类 号：R197[医药卫生—卫生事业管理]