为中国的全科医生制定一个能力模型:一种混合方法的研究
Xue Gong1, Xu Zhang2, Xinyan Zhang3
1Library of China Medical University, Shenyang, China.
Human resources for health
|May 27, 2024
概括
为中国的全科医生 (GPs) 制定了一种新的能力模型,确定了6个领域的60个核心能力. 该框架支持全科医生教育,培训和评估,增强初级医疗保健提供.
科学领域:
- 医疗保健政策 医疗保健政策
- 医学教育 医学教育
- 一般的做法一般的做法
背景情况:
- 中国政府正在加强全科医生 (GP) 作为初级医疗保健守门员的角色.
- 正在实施政策和GP培训计划以支持这一目标.
研究的目的:
- 探索中国全科医生的核心能力.
- 制定一个适合中国特定医疗保健背景的能力框架.
- 为GP教育,培训和评估提供科学基础.
主要方法:
- 文学分析和行为事件采访被用来创建一个能力词典和初始模型.
- 通过两轮的德尔菲方法,在最终模型上达成共识.
- 在10个省份进行的一项全国性调查收集了1917个有效的答案,并使用探索性和确认性因子分析 (EFA和CFA) 分析数据以评估可靠性和有效性.
主要成果:
- 开发了107项能力项的综合词典,通过专家共识,通过6个领域精细化为60个能力.
- 全国调查证实了该模型的高度可靠性 (克朗巴赫的α=0.984) 和有效性 (AVE>0.5,CR>0.7).
- 因子分析支持了6个域结构,解释了68.16%的差异,并证明了可接受的模型匹配指数.
结论:
- 一个专门为中国设计的全科医生 (GPs) 强大的能力模型已经成功开发出来.
- 这种经过验证的模型为中国的全科医生未来的教育,培训和医疗执照考试提供了关键的指导.
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