北京市助理全科医师规范化培训基层实践基地评估指标体系的构建研究  

Constructing an evaluation index system of primary practice bases for standardized training of assistant general practitioners in Beijing

作　　者：李海瑾 李卉 梁名扬 朱宸立 邵爽 杜娟 Li Haijin;Li Hui;Liang Mingyang;Zhu Chenli;Shao Shuang;Du Juan(School of General Practice and Continuing Education,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学全科医学与继续教育学院,北京100069

出　　处：《中华全科医师杂志》2024年第6期633-640,共8页Chinese Journal of General Practitioners

基　　金：首都医科大学教改重点课题(2023JYZ013)。

摘　　要：目的:构建北京市助理全科医师规范化培训基层实践基地评估指标体系。方法:该研究为定性研究。2023年9—12月,以背景-投入-过程-结果评价模型(CIPP模型)为理论基础初步构建指标体系,遴选北京市从事临床医学教学管理和全科医师规范化培训基地评估专家20名,通过3轮德尔菲专家咨询制定最终的指标体系,并使用层次分析法确定各级指标权重。结果:3轮专家咨询的问卷回收率分别为100.0%、95.0%、95.0%。3轮专家咨询的权威程度均>0.70。第1轮专家函询的指标重要性、可行性协调系数分别为0.123和0.100(均P<0.001),第2轮分别为0.064和0.068(均P>0.05),第3轮分别为0.149和0.221(均P<0.001),专家意见趋于一致。最终构建的北京市助理全科医师规范化培训基层实践基地评估指标包括资质与条件、教学组织与制度、师资队伍、运行管理和质量监控5项一级指标,基本条件、科室设置、教学设施、教学组织、教学制度等11项二级指标和资质、规模、必备科室、条件科室、基本教学设施等25项三级指标。5项一级指标权重由大到小依次为资质与条件(0.333)、教学组织与制度(0.167)、师资队伍(0.167)、运行管理(0.167)、质量监控(0.167);11项二级指标中,权重位于前5位的依次为基本条件(0.163)、科室设置(0.104)、教学组织(0.084)、师资要求(0.084)、基层实践轮转管理(0.084);25项三级指标中,权重位于前5位的依次为资质(0.083)、质量监控过程(0.082)、规模(0.081)、必备科室(0.053)、条件科室(0.051)。结论:该研究构建了北京市助理全科医师规范化培训基层实践基地评估指标体系,具有一定的科学性和必要性。Objective To construct an evaluation index system of primary practice bases for standardized training of assistant general practitioners in Beijing.Methods From September to December 2023,the evaluation index system was initially developed using the Context,Input,Process,and Product Evaluation Model(CIPP model),then 20 experts engaged in clinical teaching management and general practice standardized training base evaluation were invited for three rounds of Delphi expert consultation,and the weights of the indicators at all levels were determined using the Analytic Hierarchy Process.Results The response rates of the three rounds of expert consultation were 100.0%,95.0%,and 95.0%respectively.The degree of authority of the expert consultations was greater than 0.70.The index importance and feasibility coordination coefficients of three rounds of expert consultation were 0.123 and 0.100(P<0.001),0.064 and 0.068(P>0.05),and 0.149 and 0.221(P<0.001),respectively,indicting the convergence of the experts′opinions.The evaluation indexes of the primary practice bases for standardized training of assistant general practitioners in Beijing were finally constructed,including five first-level indexes,including qualification and conditions,teaching organization and system,teaching staff,operation management and quality control;11 second-level indexes,including basic conditions,department setup,teaching facilities,teaching organization and teaching system;and 25 third-level indexes,including qualification,scale,essential departments,conditional departments and basic teaching facilities.The weights of the five first-level indexes were qualification and conditions(0.333),teaching organization and system(0.167),teaching staff(0.167),operation management(0.167),quality control(0.167).Among the 11 second-level indexes,the top five weights were basic conditions(0.163),department setup(0.104),teaching organization(0.084),teacher requirements(0.084),and basic practice rotation management(0.084).Among the 25 third-level indexes,the top

关 键 词：问卷调查 德尔菲技术 在职培训 评价研究 全科医生 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]