初级保健质量提升项目在全科住院医师规范化培训中的实践应用效果  

Effectiveness of primary care quality improvement project in general practice standardized residency training

作　　者：周念历 文晖[1] 姜蕾[1] 刘赟[1] 张蒙 彭雯[1] Zhou Nianli;Wen Hui;Jiang Lei;Liu Yun;Zhang Meng;Peng Wen(Department of General Practice,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院全科医学科,武汉430022

出　　处：《中华全科医师杂志》2024年第1期61-64,共4页Chinese Journal of General Practitioners

摘　　要：2021年11月至2022年4月对华中科技大学同济医学院附属协和医院3个年级的63名全科规范化培训住院医师开展为期6个月的以社区岗位胜任力为基础的初级保健质量提升项目培训,并从自我满意度、客观评估及带教老师评价3个维度,综合评价该项目对全科住院医师岗位胜任力的影响。结果显示全科住院医师参与初级保健质量提升项目培训后总体满意度得分为(3.83±0.67)分,明显高于培训前(3.41±0.63)分,临床诊疗能力测评总分培训后为(78.14±5.24)分高于培训前(73.48±8.04)分,带教老师评估全科医师培训后为(79.27±8.40)分,高于培训前(57.57±11.84)分,差异均有统计学意义(t=3.35,P=0.009;t=3.37,P=0.001;t=30.07,P<0.001)。提示初级保健质量提升项目可以提高全科规范化培训住院医师岗位胜任力,同时也提高了住院医师主动学习和参与培训的满意度,为提高全科住院医师规范化培训质量提供了理论依据。A 6-month primary care quality improvement(QI)project was conducted for 63 general practice residents at Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from November 2021 to April 2022.The effectiveness of the QI project on the post competency of general practice residents was comprehensively assessed by three dimensions:self-satisfaction,objective evaluation and teacher-evaluation.The overall satisfaction score of general practice residents was significantly increased after the implementation of QI project((3.83±0.67)vs.(3.41±0.63),t=3.35,P=0.009).The total score of objective assessment was increased from(73.48±8.04)before the project implementation to(78.14±5.24)after the implementation(t=3.37,P=0.001).The total score of training effectiveness significantly increased from(57.57±11.84)before the project implementation to(79.27±8.40)after the implementation(t=30.07,P<0.001).The results indicate that the primary care QI project can improve the post competency of general practice residents,and also improve the self-satisfaction of residents for active learning and participation in the training.

关 键 词：教育 专业 再培训 全科医师 住院医师规范化培训 初级保健质量提升项目 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]