中国乡村全科执业助理医师岗位胜任力指标体系认可度调查及影响因素分析  

Survey on the recognition of the post competency index system among Chinese rural general practice assistant physicians and analysis of influencing foctors

作　　者：高晗 张鑫岩 徐沙沙 宫雪[3] 张旭 李一萱 于晓松[1] Gao Han;Zhang Xinyan;Xu Shasha;Gong Xue;Zhang Xu;Li Yixuan;Yu Xiaosong(Department of General Practice,the First Hospital of China Medical University,Shenyang 110001,China;Department of Gastroenterology,the Fourth Hospital of China Medical University,Shenyang 110032,China;Library of China Medical University,Shenyang 110122,China;Department of Science and Education,Chaoyang Central Hospital,Chaoyang 122099,China)

机构地区：[1]中国医科大学附属第一医院全科医学科,沈阳110001 [2]中国医科大学附属第四医院消化内科,沈阳110032 [3]中国医科大学图书馆,沈阳110122 [4]朝阳市中心医院科教科,朝阳122099

出　　处：《中华全科医师杂志》2024年第1期19-24,共6页Chinese Journal of General Practitioners

基　　金：国家医学考试中心项目(222-2100019002)。

摘　　要：目的了解基层乡村全科执业助理医师对乡村全科执业助理医师岗位胜任力指标体系的认可度及影响因素。方法该研究为横断面调查。于2020年10月至2021年9月,采用分层整群抽样法对10个省/直辖市的乡村全科执业助理医师进行问卷调查,分析乡村全科执业助理医师对各级指标的认可度评分及认可度的影响因素。结果共发放问卷1123份,回收有效问卷1024份,问卷有效回收率91.18%。1024名助理医师中男性占51.7%(529人),年龄40~49岁者占比最高为42.5%(435人)。指标体系的认可度总得分为4.41分,一级指标的认可度得分为4.32~4.45分,认可度得分排名前3位的一级指标依次为职业素养、基本医疗卫生服务、人际沟通与团队合作。二级指标的认可度得分为4.18~4.61分,且认可度得分≥4分的占比均高于80%。不同工作年限、学历、职称、工作单位的助理医师对指标体系的认可程度差异有统计学意义(F/H=6.41、14.83、12.45、7.53,均P<0.01)。多元线性回归分析显示,学历(大专:B=0.091,P=0.015;本科及以上:B=0.196,P<0.001)和职称(中级及以上:B=-0.234,P<0.001)是乡村全科执业助理医师对指标体系认可度的影响因素。结论乡村全科执业助理医师岗位胜任力指标体系得到了基层乡村全科执业助理医师的普遍认可,学历、职称情况可影响其认可度。Objective To investigate the recognition of the post competency index system among rural general practice assistant physicians and its influencing factors.Methods This study was a cross-sectional survey.A questionnaire survey on the recognition of post competency index system was conducted from October 2020 to September 2021 among rural general practice assistant physicians from 10 provinces/municipalities selected by stratified cluster sampling method.The recognition of rural general practice assistant physicians at all levels of indexs and the factors influencing recognition were analyzed.Results A total of 1123 questionnaires were distributed and 1024 valid ones were collected with a recovery rate of 91.18%.Of the 1024 respondents,529 were male(51.7%)and 435 were aged 40-49 years(42.5%),which was the highest proportion by age group.The average overall recognition score of the index system was 4.41,and the scores of the primary indexes were 4.32-4.45.Three primary indexes had the highest recognition scores:professional competence,basic health care services,and interpersonal communication and teamwork.The recognition scores on the second level index were 4.18-4.61,and the proportion of recognition scores greater than 4 was over 80%.There were significant differences in the recognition scores of the index system among assistant physicians with different working years,educational background,professional title and work unit(F/H=6.41,14.83,12.45,7.53,P<0.01).Educational background(associate degree:B=0.091,P=0.015;bachelor degree and above:B=0.196,P<0.001)and professional title(intermediate professional title and above:B=-0.234,P<0.001)were the independent factors influencing the recognition degree of the index system for rural general practice assistant physicians.Conclusions The post competency index system is generally recognized by rural general practice assistant physician,and academic qualifications and professional title status may influence its recognition.

关 键 词：全科医师 乡村全科执业助理医师 指标体系 认可度 

分 类 号：R197.1[医药卫生—卫生事业管理]