西医综合医院住院医师模拟医学培训评价指标体系的构建  

Construction of Evaluation Index System for Resident Simulation Medical Training Center in Western Medicine General Hospital

作　　者：林全生 王滔[1] 袁静[1] 郑翔宇[1] LIN Quansheng;WANG Tao;YUAN Jing;ZHENG Xiangyu(Continuing Education Office,Education Department,Fujian Provincial Hospital/Fuzhou University Affiliated Provincial Hospital,Fuzhou Fujian 350001,China)

机构地区：[1]福建省立医院/福州大学附属省立医院教育处继续教育办公室,福建福州350001

出　　处：《中国继续医学教育》2024年第18期156-161,共6页China Continuing Medical Education

基　　金：2021年福建省卫生健康软科学研究课题资助计划项目(2021RKA001)。

摘　　要：目的构建西医综合医院住院医师模拟医学培训评价指标体系。方法2022年1月—2023年6月,首先通过查阅文献初步构建评价指标,其次运用德尔菲法向17位权威专家进行咨询,最后运用层次分析法、百分权重法计算指标权重,观察指标包括专家权威系数、专家判断依据、专家熟悉程度、条目得分、变异系数和肯德尔系数(W值)、条目组合权重,最终得出符合条件的评价指标。结果进行2轮咨询,各发放17份问卷,第一轮与第二轮各回收17份问卷,回收率100%。第一轮专家共提出14条意见,第二轮共提出4条意见。专家判断依据为0.94,专家熟悉程度为0.89,专家权威系数为0.91。第2轮函询后,6项一级指标重要性评分为4.65~5.00,变异系数为0~0.1;21项二级指标重要性评分为4.12~4.94,变异系数为0.05~0.17;44项三级指标重要性评分为4.12~4.82,变异系数为0.08~0.22。2轮咨询后指标变异系数均小于0.25,专家意见比较一致。肯德尔系数取值范围为0~1,W值与协调程度成正比。第一轮咨询一级指标、二级指标、三级指标专家协调系数W分别为0.151(P>0.01)、0.170(P<0.01)、0.234(P<0.01),第二轮各级指标专家协调系数W分别为0.173(P>0.01)、0.283(P<0.01)、0.184(P<0.01)。结合专家意见,构建出6项一级、21项二级、44项三级评价指标体系。结论本次研究专家资质较好、较为权威、积极性高,构建的指标体系较为可靠。Objective To construct a evaluation index system of simulated medical training for resident doctors in general western medicine hospital.Methods From January 2022 to June 2023,the evaluation indicators were initially proposed by reviewing literature,17 authoritative experts were consulted by the Delphi method,and finally,the index weights were calculated by the analytic hierarchy process and percentage weight method.The observational metrics included the expert authority coefficient,the judgment basis of the indicators and the familiarity with the indicator.The mean scores of the items,along with their standard deviations,coefficients of variation,Kendall's coefficient of concordance(W),and the composite weights of the items were also considered.Finally,the evaluation indicators that met the conditions were obtained.Results A total of 2 rounds of consultations were conducted,with 17 questionnaires distributed in each round.In both the first and second rounds,17 questionnaires were collected,achieving a 100%response rate.The first round of experts yielded 14 opinions,while the second round produced 4 opinions.The expert judgment was based on 0.94,the expert familiarity was 0.89,and the expert authority coefficient was 0.91.After the second round of inquiry,the importance scores of the 6 primary indicators ranged from 4.65 to 5.00,with a coefficient of variation of 0 to 0.1.The importance scores of 21 secondary indicators ranged from 4.12 to 4.94,with a coefficient of variation of 0.05 to 0.17.The importance scores of 44 tertiary indicators ranged from 4.12 to 4.82,with a coefficient of variation of 0.08 to 0.22.After 2 rounds of consultation,the coefficient of variation for the indicators was less than 0.25,indicating relatively consistent expert opinions.The Kendall coefficient ranges from 0 to 1 and W value was directly proportional to the degree of coordination.The first round of consultation yielded expert coordination coefficients W for the first,second,and third level indicators,which were 0.151(P>0.01),0.17

关 键 词：住院医师 模拟医学培训 德尔菲 层次分析法 评价指标 权重 

分 类 号：G642[文化科学—高等教育学]