摘要
目的探讨乡村全科医生岗位胜任力特征。方法该研究为质性研究。采用文献研究法提取乡村全科医生岗位胜任力特征,并对全国范围内的18名乡村全科医生进行行为事件访谈,访谈于2019年1—4月进行。根据访谈结果对胜任力特征条目进行修改和完善,并在此基础上提取乡村全科医生鉴别胜任力和基准胜任力。结果共获得约4.6万秒的访谈录音和约17.5万字的访谈文本,提取得到“敬业精神”“利他主义和奉献精神”“具有爱心和同情心”“出诊服务”“良好关系的建立”“成就导向”“有自己的专长”“主动了解社区人口动态及健康状况”8项鉴别胜任力,以及“常见病多发病的诊断处理”“基本医疗操作技能”“学习意识和学习能力”“中医诊疗能力”“社区合理用药”“转诊服务”“常见慢性非传染性疾病管理和评价”“社区重点人群保健”“了解医疗卫生体制及相关政策”“急诊急救处理能力”10项基准胜任力。结论该研究初步得到了乡村全科医生岗位的8项鉴别胜任力和10项基准胜任力。
ObjectiveTo survey the competency characteristics of rural general practitioners using behavioral event interview.MethodsThe competency characteristics of rural general practitioners were extracted by literature research method,and the behavior event interviews were conducted with 18 rural general practitioners nationwide from January to April 2019.According to the interview results,the items were modified and refined.On this basis,the benchmark competencies and excellent competencies of rural general practitioners were extracted.ResultsA total of 45885-second audio recordings and 174523-word transcripts were obtained from the interviews.Eight identification competencies and 10 benchmark competencies were extracted.Identification competencies included"professionalism,altruism and dedication,love and compassion,visiting a patient at home,establishing good relationships,achievement-oriented,having expertise,and mastering community population dynamics and health status actively".Benchmark competencies included"diagnosis and treatment of common diseases,basic medical skills,learning consciousness and ability,solving medical problems with traditional Chinese medicine,health care for focal groups,rational administration of drug,referral services,managing chronic non communicable diseases,understanding health care system and related policies,and emergency treatment ability".ConclusionsThis study preliminarily obtains the identification competencies and benchmark competencies of rural general practitioners.Managers can improve the service quality of rural general practitioners according to these elements.
作者
张鑫岩
李一萱
宫雪
张旭
于晓松
Zhang Xinyan;Li Yixuan;Gong Xue;Zhang Xu;Yu Xiaosong(Department of General Practice,First Affiliated Hospital of China Medical University,Shenyang 110001,China;School of Public Health,Jinzhou Medical University,Jinzhou 121001,China;Library of China Medical University,Shenyang 110122,China;Chaoyang Central Hospital,Chaoyang 122000,China)
出处
《中华全科医师杂志》
2023年第10期1025-1031,共7页
Chinese Journal of General Practitioners
基金
国家医学考试中心项目(222-2100019002)。
关键词
全科医师
农村地区
行为事件访谈
岗位胜任力
General practitioner
Rural area
Behavioral event interview
Post competency
