全科住院医师规范化培训质量评价体系构建研究——以WONCA 6大核心能力为框架  

Research on the Construction of Quality Evaluation System for Standardised Training of General Residents Using the WONCA 6 Core Competencies as a Framework

作　　者：王孟 高圆圆 金沈樱 任天成[1] 史卫红 Wang Meng;Gao Yuanyuan;Jin Shenying;Ren Tiancheng(Nanjing Jiangning Hospital,Nanjing,Jiangsu,210000,China;不详)

机构地区：[1]南京市江宁医院,江苏南京210000 [2]江苏医药职业学院医学院,江苏盐城224005

出　　处：《中国医院管理》2024年第8期72-76,共5页Chinese Hospital Management

基　　金：江苏基层卫生发展与全科医学教育研究中心开放课题(2022B07)。

摘　　要：目的探讨以世界家庭医生组织(WONCA)6大核心能力为框架的全科住院医师规范化培训(住培)质量评价体系。方法以WONCA 6大核心能力为框架,通过文献筛选法并结合开放式问卷调查形式收集质性数据,经过两轮专家咨询确定指标体系,基于现象学的Colaizzi 7步分析法选取了评价住培培训质量的指标,运用层次分析法算出各指标权重进而制定全科住培培训质量评价指标体系。结果确定了住培医生相关情况、培训相关内容了解情况、培训医院基本情况等10个方面的33个指标以构建全科住培培训质量评价指标体系;最终通过层次分析法确定各指标权重,其中学员收入(0.082)、上级重视(0.081)和结业总考核(0.113)权重最高。结论研究结果显示在评估全科住培培训质量体系应重点关注住培医生相关情况、培训相关内容了解情况、培训医院基本情况等10个方面中权重最高的指标,尤其是学员收入、上级重视和结业总考核3个方面,以完善评估系统。Objective To explore quality evaluation system for standardized training of general residents based on the six core competencies of World Organization of Family Doctors(WONCA).Methods The literatures meeting the requirements were selected by literature screening method under the framework of WONCA's six core competencies.The qualitative data were collected in the form of open questionnaires,and the indicator system was determined after two rounds of consultation.The evaluation indexes for residents training quality were selected by Colaizzi 7-step analysis method based on phenomenology.The weights of all indexes were calculated by analytic hierarchy process(AHP)to formulate quality evaluation system.Results 33 indexes in the 10 dimensions(information about residents,understanding about training content,basic information about the training hospital,et al.)were determined to construct quality evaluation system for standardized training of general residents.The weights of all indexes were determined by AHP.In all the indexes,weights of trainees'income(0.082),superiors attention(0.081)and the total completion assessment(0.113)were the highest.Conclusion The research results show that in the evaluation of quality system for standardized training of general residents,it is necessary to pay close attentions to the indexes with the highest weights in the 10 dimensions(information about residents,understanding about training content,basic information about the training hospital,et al.),especially for trainees'income,superiors attention and the total completion assessment to improve the evaluation system.

关 键 词：世界家庭医生组织 全科医师 住院医师规范化培训 评价体系 

分 类 号：R197.323.6[医药卫生—卫生事业管理]