基于CIPP评价模式的全科医师临床能力指标体系的构建研究  

Construction of a clinical competence index system for general practitioners based on CIPP evaluation model

作　　者：蔡姗 韩祁 刘琳[1] 高琪佩 田朝伟[2] Cai Shan;Han Qi;Liu Lin;Gao Qipei;Tian Chaowei(Graduate Education Center,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;Department of General Medicine,The Second Affiliated Hospital of Guangzhou Medical University(West Campus),Guangzhou 510260,China;Department of Research Management,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院毕业后教育中心,广州510260 [2]广州医科大学附属第二医院(西院区)全科医学科,广州510260 [3]广州医科大学附属第二医院科研管理科,广州510260

出　　处：《中华医学教育探索杂志》2025年第3期315-319,共5页Chinese Journal of Medical Education Research

基　　金：广州市卫生健康科技项目(20231A010050);2022年度广州市哲学社会科学发展“十四五”规划课题(2022GZGJ66)。

摘　　要：目的探讨基于CIPP[背景评价(context evaluation)、输入评价(input evaluation)、过程评估(process evaluation)和结果评价(product evaluation)]评价模式的全科医师临床能力指标体系的构建。方法基于CIPP评价模式,成立研究小组并通过查阅文献、筛选并分析整理,初步拟定基于CIPP评价模式的全科医师临床能力指标体系及专家咨询问卷调查表。采用德尔菲专家函询原则最终确定得出基于CIPP评价模式的全科医师临床能力指标体系。结果共纳入来自全国多个省市的三甲医院总共24名专家进行了两轮专家函询。两轮专家咨询问卷有效回收率均为100.00%。两轮专家权威程度分别为0.905和0.912。两轮专家咨询结束后,各级指标的CV均小于0.25。第一轮和第二轮专家咨询对各级指标的Kendall W波动分别为0.769~0.814、0.867~0.905,P值均小于0.001。最终形成基于CIPP评价模式的全科医师临床能力指标体系的一级指标4个、二级指标12个、三级指标42个。结论本研究构建的基于CIPP评价模式的全科医师临床能力指标体系,对进一步研究我国全科医师临床能力的培养考核和评价指标体系具有一定的参考意义,对全科医师临床工作能力的评价工具具有重要的现实意义。Objective To explore the construction of clinical competence index system for general practitioners based on CIPP(context evaluation,input evaluation,process evaluation,product evaluation)evaluation model.Methods Based on the CIPP evaluation model,a research team was established to conduct a literature review.Research articles were retrieved,screened,and analyzed to formulate the primary clinical competence index system for general practitioners based on CIPP evaluation model and the expert consultation questionnaire.The Delphi method was employed to finalize the clinical competence index system for general practitioners based on CIPP evaluation model.Results A total of 24 experts from grade A tertiary hospitals in several provinces and cities in China participated in two rounds of consultation.The effective recovery rate for both rounds was 100.00%.The authority coefficients were 0.905 and 0.912,respectively.After the consultations,the coefficients of variation of indexes at all levels were<0.25.The Kendall's W of all indexes ranged between 0.769 and 0.814 in the first round and between 0.867 and 0.905 in the second round of expert consultation(P<0.001).The final clinical competence index system for general practitioners based on CIPP evaluation model included 4 first-level indexes,12 second-level indexes,and 42 third-level indicators.Conclusions The clinical competence index system for general practitioners based on CIPP evaluation model established in this study has reference significance for further research on the training assessment and evaluation index system of clinical competence for general practitioners in China,and has important practical significance for the evaluation tool of clinical work performance of general practitioners.

关 键 词：CIPP评价模式 全科医师 临床能力 指标体系 

分 类 号：R-05[医药卫生]