全科医生安宁疗护专科规范化培训社区师资准入标准的构建  

Development of a standard for the accreditation of community training teacher in hospice care for general practitioners

作　　者：郑辉超 虞莹 杨华 虞智杰 唐跃中 竺琼 江孙芳 祝墡珠 Zheng Huichao;Yu Ying;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 Center of Xuhui District,Shanghai 200233,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

出　　处：《中华全科医师杂志》2025年第2期169-175,共7页Chinese Journal of General Practitioners

基　　金：上海医学领军人才项目(2019LJ15);2023年徐汇区医学重点学科建设高原学科项目(SHXHZDXK202317)。

摘　　要：目的制定全科医生安宁疗护专科规范化培训社区师资标准。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名进行两轮函询。根据咨询结果制定全科医生安宁疗护专科规范化培训社区师资标准, 并计算各项指标的权重系数。结果 29名专家中男性11名(37.9%), 年龄(52.9±8.9)岁, 工作年限(17.0±7.2)年。两轮专家咨询中专家积极系数分别为100.0%(29/29)和96.6%(28/29), 专家权威系数分别为0.789和0.851, 所有指标重要性专家意见协调系数W分别为0.124和0.131(χ^(2)=123.01、131.71, P<0.05)。最终建立由4个一级指标和30个二级指标组成的全科医生安宁疗护专科规范化培训社区师资标准, 4个一级指标分别为基本素养、临床资格和能力、教学资格和能力、科研能力, 权重系数分别为0.254、0.254、0.252和0.240。结论该研究建立的全科医生安宁疗护专科规范化培训社区师资标准, 可为社区培训基地师资的综合评估提供参考。ObjectiveTo formulate a community teacher standard for the training of general practitioner program(direction in hospice care).MethodsThis was a qualitative study.Twenty-nine experts in general practice and hospice care from various teaching hospitals and community health service centers were invited to participate in two rounds of Delphi consultation from April to August 2022.Based on the results of the consultation,a standard for community faculty training in comprehensive care and end-of-life care for general practitioners was formulated,and the weight coefficients of the indicators were calculated.ResultsOf the 29 experts,11(37.9%)were male,their age was(52.9±8.9)years,and their working life was(17.0±7.2)years.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 0.789 and 0.851,and the expert opinion coordination coefficient W of the importance of all indicators was 0.124 and 0.131,respectively(χ^(2)=123.01,131.71,P<0.05).Finally,a set of community-based teacher standard for general practitioner specialty training(direction in hospice care)was established,which consisted of 4 first-level indicators and 30 second-level indicators.The four first-level indicators were basic literacy,clinical qualification and ability,teaching qualification and ability,and scientific research ability,all with the weight coefficients of 0.254,0.254,0.252 and 0.240,respectively.ConclusionThe standard of teachers in the community base of general practitioner specialty training(direction in hospice care)established in this study is more scientific,which is conducive to the comprehensive evaluation of teachers in the community training base.

关 键 词：全科医学 安宁疗护 社区师资 德尔菲法 

分 类 号：G64[文化科学—高等教育学]