医疗帮扶中继续医学教育的需求调研  

Needs assessment and analysis on continuing medical education in medical assistance program

作　　者：朱恒梁 祝华义[2] 尹荣荣 杨芳芳 丘雅维 周仲辉 蒋澍 杨智钧 苏国强 杨雯 卢加发 贾英竺 Zhu Hengliang;Zhu Huayi;Yin Rongrong;Yang Fangfang;Qiu Yawei;Zhou Zhonghui;Jiang Shu;Yang Zhijun;Su Guoqiang;Yang Wen;Lu Jiafa;Jia Yingzhu(Department of General Surgery,Shenzhen University General Hospital,Shenzhen 518055,China;People′s Hospital of Luocheng Mulao Autonomous County,Hechi 546400,China;Network Information Center,Southern University of Science and Technology,Shenzhen 518055,China;Department of Respiratory Medicine,Shenzhen Hospital,University of Hong Kong,Shenzhen 518013,China;Department of Endocrinology and Metabolism,Shenzhen University General Hospital,Shenzhen 518055,China;Department of General Affairs,Longhua Branch of Shenzhen People′s Hospital,Shenzhen 518020,China;Department of Ophthalmology,Shenzhen University General Hospital,Shenzhen 518055,China;Department of Radiology,Shenzhen University General Hospital,Shenzhen 518055,China;Department of Cardiovascular Surgery,Shenzhen University General Hospital,Shenzhen 518055,China;International Medical center,Shenzhen University General Hospital,Shenzhen 518055,China;Department of Emergency,Shenzhen University General Hospital,Shenzhen 518055,China;Development and Reform Commission of Shenzhen Municipality,Shenzhen 518110,China)

机构地区：[1]深圳大学总医院普通外科,深圳518055 [2]广西罗城仫佬族自治县人民医院,河池546400 [3]南方科技大学网络信息中心,深圳518055 [4]香港大学深圳医院呼吸内科,深圳518013 [5]深圳大学总医院内分泌科,深圳518055 [6]深圳市人民医院龙华分院总务科,深圳518020 [7]深圳大学总医院眼科,深圳518055 [8]深圳大学总医院放射科,深圳518055 [9]深圳大学总医院血管外科,深圳518055 [10]深圳大学总医院国际医学中心,深圳518055 [11]深圳大学总医院急诊科,深圳518055 [12]深圳市发展和改革委员会,深圳518110

出　　处：《中华医学教育杂志》2023年第10期788-792,共5页Chinese Journal of Medical Education

摘　　要：目的调查基层医务人员对医疗帮扶的认知情况及继续医学教育需求,为深入开展医疗帮扶提供借鉴。方法2022年8月,通过在微信群发放调查问卷的方法,收集粤桂地区基层医务人员对医疗帮扶的认知情况和继续医学教育需求。采用χ2检验或Mann-Whitney U检验对数据进行统计分析。结果调查对象中,医疗帮扶的派出医院人员为151人,受帮扶医院人员为930人。与派出医院人员相比,更高比例的受帮扶医院人员认为医疗帮扶在医疗技术、人才培养、教学传帮带3个方面的帮助很大[636人(68.4%)比75人(49.7%)、551人(59.2%)比59人(39.1%)、545人(58.6%)比51人(33.8%)],其差异均具有统计学意义(均P<0.001)。对于"临床水平一般"的派出医院医生,派出医院和受帮扶医院人员分别有109人(72.2%)和750人(80.6%)认为其应在"教学指导"方面发挥作用,分别有58人(38.4%)和184人(19.8%)认为"不该派出"此类医生参与医疗帮扶,其差异均具有统计学意义(均P<0.05)。588名工龄>10年的受帮扶医院人员中,有505人(85.9%)对"知识/技能培训"有培训需求,而342名工龄≤10年的人员中有273人(79.8%)有相应需求,其差异具有统计学意义(P<0.05)。结论派出医院与受帮扶医院人员对医疗帮扶的认知存在差异,不同工龄的受帮扶医院人员其继续医学教育需求存在差异。应当努力增强派出医院人员对继续医学教育的重视程度,针对基层医务人员的教育需求积极开展医学理论知识和技能培训,以进一步提高医疗帮扶的效果。Objective This study aims to investigate the awareness of and continuing medical education(CME)needs among primary medical staff involved in medical assistance programs.The findings offer valuable insights for enhancing medical assistance initiatives.Methods Starting from August 2022,we distributed a questionnaire within WeChat groups to collect data on the awareness and requirements of CME among medical staff in the Guangxi and Guangdong regions.The collected data was subjected to statistical analysis using theχ2 test or Mann-Whitney U test.Results The survey included 151 respondents from dispatched hospitals and 930 from assisted hospitals participating in the medical assistance program.Significantly higher proportions of individuals from assisted hospitals,compared to those from dispatched hospitals,believed that the medical assistance programs had a substantial impact on medical technology,talent development,and educational mentorship[636(68.4%)vs.75(49.7%),551(59.2%)vs.59(39.1%),and 545(58.6%)vs.51(33.8%),respectively,all P<0.001].Regarding the participation of doctors with moderate clinical skills from dispatched hospitals in medical assistance,109(72.2%)from dispatched hospitals and 750(80.6%)from assisted hospitals believed they should contribute to″medical education″(P<0.05),while 58(38.4%)from dispatched hospitals and 184(19.8%)from assisted hospitals believed that such doctors″should not be deployed″for medical assistance(P<0.05).Among the 588 staff members in assisted hospitals with more than 10 years of service,505(85.9%)expressed a need for″knowledge/skills training,″compared to 273(79.8%)among the 342 staff members with 10 or fewer years of service(P<0.05).Conclusions There are differences in the cognitions of medical assistance between dispatched hospitals staff and assisted hospitals staff,and there are also differences in CME needs of assisted hospital staff with different lengths of service.Efforts should be made to increase the emphasis placed on CME by the dispatched hospitals st

关 键 词：教育 医学 继续 基层医务人员 需求调查 医疗帮扶 

分 类 号：R-05[医药卫生]