皖西革命老区全科医师岗位胜任力立体式评价模型的构建研究  

Research on a three-dimensional evaluation model for assessing the competency of generalpractitioners in the revolutionary old areas of western Anhui

作　　者：张均[1] 蒋品[2] 唐欢 张扬[1] 彭想想 陈奉玉 张春明 杨惠[1] 孙良业[1] ZHANG Jun;JIANG Pin;TANG Huan;ZHANG Yang;PENG Xiangxiang;CHEN Fengyu;ZHANG Chunming;YANG Hui;SUN Liangye(Department of General Practice,Lu'an Hospital Affiliated to Anhui Medical University,Lu'an,Anhui 237005,China;不详)

机构地区：[1]安徽医科大学直属附属六安医院全科医学科,安徽六安237005 [2]安徽医科大学第一附属医院全科医学科,安徽合肥230022

出　　处：《中华全科医学》2025年第2期318-322,共5页Chinese Journal of General Practice

基　　金：中国医师协会全科医学教育教学研究课题(A-YXGP20210202-01);安徽省教育厅省级质量工程项目(2020jyxm0915)。

摘　　要：目的 从用人单位、全科医师及患者多角度出发,全方位构建立体式评价皖西革命老区全科医师岗位胜任力评价模型,为皖西地区全科医师的能力提升、成绩考核和评价提供参考依据。方法 2023年2—5月运用文献研究法和问卷调查法构建岗位胜任力条目池及模型初稿。采用目的抽样法,分别从深入全科临床实践、熟悉全科理论教育和从事医院管理3类人群中选取咨询专家13人。2023年5—8月使用专家咨询法发送2轮咨询表,根据专家评分及意见修改皖西地区全科医师岗位胜任力模型。运用层次分析法计算岗位胜任力模型各指标权重。结果 两轮专家咨询问卷的有效回收率分别为100.00%和84.62%,第一轮专家熟悉、判断、权威系数分别为0.88、0.93、0.91,构建皖西革命老区全科医师岗位胜任力立体式评价模型,包括一级指标5个、二级指标12个、三级指标41个。一级指标根据组合权重由高到低的顺序为“基本医疗服务能力”(0.341 0)、“公共卫生服务能力”(0.254 7)、“人文执业能力”(0.164 1)、“沟通协作能力”(0.141 3)、“继续教育和学习能力”(0.099 1)。二级指标中组合权重最高的是“医防融合能力”(0.194 0)。“提供及时、有效、安全的双向转诊”(0.029 2)是权重最高的三级指标。结论 本研究从3个维度立体式构建了皖西革命老区全科医生岗位胜任力模型,该评价体系科学合理,针对性强,可为皖西地区今后的全科医师培养提供参考方向。Objective To provide a reference for improving the abilities,performance assessment,and evaluation of general practitioners in the western Anhui,this study constructs a three-dimensional competency evaluation model from the perspectives of employers,general practitioners,and patients.Methods A job competency item pool and a preliminary model draft were created using literature research and surveys from February to May 2023.A total of 13 consulting experts were picked from three categories:those with experienced clinical practice,those familiar with general theory education,and those engaged in hospital management.From May to August 2023,two rounds of surveys were conducted using the Delphi method,and the competency model for general practitioners in the western Anhui region was modified based on expert feedback.The weights of each indicator in the job competency model were calculated using the Analytic Hierarchy Process.Results The response rates for the two rounds of expert questionnaires were 100.00%and 84.62%,respectively.The professional familiarity,judgment,and authority coefficients in the first round were 0.88,0.93,and 0.91,respectively.The final three-dimensional evaluation model for the competency of general practitioners in the revolutionary old area of western Anhui was established,including 5 first-level indicators,12 second-level indicators,and 41 third-level indicators.The first-level indicators,ranked by combined weight from highest to lowest,are"basic medical service capability"(0.3410),"public service capability"(0.2547),"humanistic practice ability"(0.1641),"communication and collaboration ability"(0.1413),and"continuing education and learning ability"(0.0991).Among the second-level indicator,"medical prevention integration ability"(0.1940)has the highest combined weight."providing timely,effective,and safe two-way referrals"(0.0292)is the third-level indicator with the highest weight.Conclusion The study established a three-dimensional competency evaluation model for general practitioners in th

关 键 词：皖西地区 全科医师 德尔菲法 立体式评价 岗位胜任力 

分 类 号：R192.3[医药卫生—卫生事业管理] R499[医药卫生—公共卫生与预防医学]