中国公共卫生医师规范化培训试点基地建设实证研究  

Empirical study on the construction of pilot bases for public health physicians standardized training program in China

作　　者：刘梦冉 马静[1] 廖凯举[1] 项春[2] 陈慕磊[1] 刘学通[1] 戴政[3] 李全乐 LIU Mengran;MA Jing;LIAO Kaiju;XIANG Chun;CHEN Mulei;LIU Xuetong;DAI Zheng;LI Quanle(Department of Education and Training(Graduate School),Chinese Center for Disease Control and Prevention,Beijing 102206,China;不详)

机构地区：[1]中国疾病预防控制中心教育培训处(研究生院),北京102206 [2]中国疾病预防控制中心党委办公室 [3]中国疾病预防控制中心公共卫生管理处 [4]中华预防医学会

出　　处：《中国预防医学杂志》2024年第9期1172-1177,共6页Chinese Preventive Medicine

基　　金：国家疾病预防控制局2022年委托中华预防医学会研究项目;中国疾病预防控制中心专业公共卫生人才培养及人才工程建设。

摘　　要：目的了解我国公共卫生医师规范化培训试点基地的基本情况、工作进展、存在问题及对策。方法本研究对19个公共卫生医师规范化培训试点基地开展线上问卷调查,分析基地的基本情况、基础办学条件、师资情况、学员招收与毕业情况、培训方式与考核、基地管理部门与人员配置、制度建设、基地需求、自我评价等。结果19个基地中,省级基地16个,副省级基地3个;19个基地配备满足要求的教室和设施设备,14个基地提供住宿;不同试点批次、地域、学员容量基地的师资,在职称(χ^(2)=7.99、13.15、64.43,P=0.018、0.001、<0.01)、学历(χ^(2)=32.07、36.95、6.96,P<0.01、<0.01、0.031)方面差异有统计学意义。东南部地域学员自愿报名基地7个(77.78%),其他地域2个(20.00%),差异有统计学意义(P=0.023);首批试点有12个(92.31%)基地完整培养出2年毕业学员,高于后续加入基地2个(33.33%),差异有统计学意义(P=0.017)。学员容量≥30人的基地中,给予师资职称晋升保障和倾斜5个(55.56%),高于学员容量<30人的基地,差异有统计学意义(P=0.011),东南部地域基地与其他地域在有无培训经费使用及管理制度上的分布差异有统计学意义(P=0.033)。结论需加强激励政策和保障制度建设、改善基地管理、提高招生吸引力,提升师资队伍质量、精细化培训设计与实施等,提升培训质量。Objective To understand the basic situation,work progress,existing problems,and countermeasures of the pilot bases for standardized training of public health physicians in China.Methods An online questionnaire survey was conducted across 19 pilot bases,analyzing their basic conditions,infrastructure,faculty qualifications,student enrollment and graduation status,training methods and assessments,management departments and staffing,institutional development,base needs,and self-evaluation.Results Among the19 bases,16 are provincial-level,and 3 are sub-provincial-level.All bases are equipped with adequate classrooms and facilities,with 14 providing accommodation.There are significant differences in the composition ratio of professional titles(χ^(2)=7.99,13.15,64.43,P=0.018,0.001,<0.01)and educational level(χ^(2)=32.07,36.95,6.96,P<0.01,<0.01,0.031)among teachers from different pilot batches,regions,and student capacity bases.The southeastern region had seven bases(77.78%)with student resources,significantly higher than two bases(20.00%)in other regions(P=0.023).Among the first batch of pilot bases,12(92.31%)successfully graduated students,significantly higher than 2(33.33%)from later batches(P=0.017).In bases with a capacity of≥30 students,five(55.56%)provided faculty title promotion guarantees,significantly more than those with<30 students(P=0.011).There were also statistically significant differences in the distribution of training funding usage and management systems between bases in the southeastern region and other regions(P=0.033).Conclusions There is a need to further strengthen the construction of incentive policies and support systems,improve base management,enhance the attractiveness of enrollment,enhance faculty quality,and refine training design and implementation to enhance the quality of training.

关 键 词：公共卫生医师 规范化培训 基地建设 

分 类 号：R197.1[医药卫生—卫生事业管理]