摘要
目的构建《便携式智能超声筛查颈动脉斑块的全科医师培训方案》。方法该研究为质性研究。分别于2023年2月和4月通过德尔菲法对《便携式智能超声筛查颈动脉斑块的全科医师培训方案(草案)》(以下简称《方案(草案)》)提出修改意见, 直至意见统一, 最终形成《便携式智能超声筛查颈动脉斑块的全科医师培训方案》(以下简称《方案》), 被咨询人员为上海市公立医院的超声科专家。《方案(草案)》通过焦点小组讨论的方式形成, 小组成员包括超声和全科医学领域的专家。自行设计专家咨询问卷, 采用线上问卷的方式进行专家咨询。通过层次分析法对《方案》中的指标进行权重赋值。结果共进行了2轮专家咨询, 专家为15名来自上海市6家二级及以上公立医院的超声科专家。最终形成的《方案》包含4个一级指标、10个二级指标和47个三级指标。一级指标中"培训对象"权重最低(7.69%), 其余3项指标权重均衡(均为30.77%)。三级指标中组合权重排在前3位的分别为"掌握颈动脉斑块诊断要点"(10.26%)、"掌握使用便携式超声筛查颈动脉斑块"(6.84%)和"基层实践操作培训班"(6.39%)。结论成功构建了《便携式智能超声筛查颈动脉斑块的全科医师培训方案》, 包含4个一级指标、10个二级指标和47个三级指标。
Objective To develop a training program for general practitioners(GPs)on carotid plaque screening using portable intelligent point-of-care ultrasonography(POCUS).Methods A draft training program for GPs on carotid plaque screening using POCUS was initially formulated through focus group discussions involving experts in ultrasonography and general practice.Two rounds of Delphi consultation were conducted with 15 ultrasound experts from 6 secondary and tertiary public hospitals in Shanghai in February and April 2023.The analytic hierarchy process(AHP)was applied to assign weights to the indicators in the final program.Results The final program consisted of 4 first-level indicators,10 second-level indicators,and 47 third-level indicators.Among the first-level indicators,"training objects"had the lowest weight(7.69%),while the other three indicators were equally weighted(30.77%each).The top 3 third-level indicators by combined weight were"mastering key diagnostic points of carotid plaque"(10.26%),"mastering carotid plaque screening using portable POCUS"(6.84%),and"primary care hands-on training sessions"(6.39%).Conclusion A structured training program for GPs has been successfully developed for carotid plaque screening using portable intelligent POCUS,comprising 4 first-level,10 second-level,and 47 third-level indicators.
作者
刘小川
姚思晨
孙培
杨华
潘志刚
Liu Xiaochuan;Yao Sichen;Sun Pei;Yang Hua;Pan Zhigang(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of General Practice,Wujing Community Health Service Center of Minhang District,Shanghai 200241,China;Department of Ultrasonography,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中华全科医师杂志》
2025年第12期1533-1540,共8页
Chinese Journal of General Practitioners
基金
上海市卫生健康系统重点扶持学科建设(全科医学2023ZDFC0401)。
关键词
动脉粥样硬化
颈动脉
培训
全科医师
便携式智能超声
Atherosclerosis
Carotid arteries
Training
General practitioners
Portable intelligent point-of-care ultrasonography
