全科医生安宁疗护专科规范化培训临床教学基地标准的构建  

Standard development of hospice care specialized clinical training base for general practitioners

作　　者：虞莹 郑辉超 杨华 虞智杰 唐跃中 竺琼 江孙芳 祝墡珠[1] Yu Ying;Zheng Huichao;Yang Hua;Yu Zhijie;Tang Yuezhong;Zhu Qiong;Jiang Sunfang;Zhu Shanzhu(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Kangjian Community Health Service Center of Xuhui District,Shanghai 200233,China;Health Management Center,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]上海市徐汇区康健社区卫生服务中心,上海200233 [3]复旦大学附属中山医院健康管理中心,上海200032

出　　处：《中华全科医师杂志》2024年第8期862-867,共6页Chinese Journal of General Practitioners

基　　金：上海医学领学人才项目(2019LJ15);2023—2025年徐汇区光启人才行动计划“光启名医”项目。

摘　　要：目的制定全科医生安宁疗护专科规范化培训临床教学基地标准。方法该研究为质性研究。2022年4—8月,采用德尔菲专家咨询法选取全国从事全科医学和安宁疗护工作的专家29名进行2轮函询。根据咨询结果制订全科医生专科培训临床教学基地标准。结果29名咨询专家年龄(52.9±8.9)岁,工作年限(17.0±7.2)年,正高级职称占比69.0%(20/29)。2轮专家咨询中专家积极系数分别为100.0%(29/29)和96.6%(28/29),专家权威系数分别是0.791和0.830,所有指标重要性专家意见协调系数W分别为0.177和0.296(χ^(2)=133.54、223.46,P<0.01)。最终建立了一套由4个一级指标和23个二级指标组成的全科医生专科培训临床教学基地标准,4个一级指标分别为基本条件、教学条件、师资条件和教学管理,权重系数分别为0.250、0.250、0.251和0.253。结论该研究初步建立了全科医生安宁疗护专科规范化培训临床教学基地标准,可为选拔合适的综合性医院成为全科医生安宁疗护专科规范化培训临床教学基地提供参考。Objective:To develop standards of hospice care specialized clinical training base for general practitioners.Methods:Twenty nine experts in fields of general practice and hospice care were invited to participate in two rounds of Delphi expert consultation from April 2022 to August 2022.Based the results of Delphi consultations the standards of clinical training base for general practitioner hospice care specialized training were developed through data analysis,synthesis and process.Results:The age of 29 consulting experts was(52.9±8.9)years old,and their working years were(17.0±7.2)years,69.0%(20/29)of them had senior professional titles.In the two rounds of expert consultation,the expert positive coefficient was 100.0%(29/29)and 96.6%(28/29),the expert authority coefficient was 0.791 and 0.830,and the expert opinion coordination coefficient W of the importance of all indicators was 0.177 and 0.296,respectively(χ^(2)=133.54,223.46;P<0.01).Finally,a set of clinical base standards for general practitioner hospice care specialized training was established,which consisted of 4 first-level indicators and 23 second-level indicators.The 4 first-level indicators were basic conditions,teaching conditions,teacher conditions and teaching management,with the weight coefficients of 0.250,0.250,0.251 and 0.253,respectively.Conclusions:The clinical training base standards of hospice care specialized training for general practitioners have been established in this study,which will be helpful in selecting appropriate hospitals as the specialized clinical training base for general practitioners.

关 键 词：全科医学 安宁疗护 临床教学基地 德尔菲法 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]