东方与西方相遇:对中国医疗专业化库存的多站点有效性研究
Honghe Li1, David A Hirsh2, Xinzhi Song3
1Institute of Health Professions Education Assessment and Reform, School of Medical Humanities, China Medical University, Shenyang, Liaoning, China.
Perspectives on medical education
|September 29, 2025
概括
一个新的工具,中国医疗专业化库存 (CMPI),被开发来衡量医疗专业化在中国. 这份20项清单涉及文化细微差别,为医疗保健专业人员提供了文化相关的评估.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 跨文化心理学 跨文化心理学
背景情况:
- 医疗专业主义 (MP) 在文化上是可变的,当前的评估工具主要反映了西方的观点.
- 中国的医疗保健领导人寻求符合其文化传统和现代理解的MP评估方法.
- 现有的MP框架可能无法充分捕捉中国环境中专业主义的独特方面.
研究的目的:
- 开发和验证一个文化相关的工具来评估中国的医疗专业.
- 创建中国医学专业化库存 (CMPI),将中国的文化价值观和现代MP概念纳入其中.
- 为评估中国医生的医疗专业性提供心理测量上健全的工具.
主要方法:
- 一项系统的文献审查从63个来源确定了1537个专业性项目.
- 两轮专家调查与中国临床主管医生 (n=34,n=76) 进行.
- 为了确定有效性,进行了三项涉及执业的中国医生 (n=360,n=3653,n=955) 的心理测量研究.
主要成果:
- 系统审查和专家的共识导致了项目库的开发.
- 心理测量分析导致了最后的20项中国医疗专业化库存 (CMPI).
- 对于内容,内部结构和与其他变量之间的关系,CMPI展示了有效性证据,包括四个因素:尊重,同情和沟通;诚信;卓越;和责任.
结论:
- 中国医疗专业化库存 (CMPI) 是衡量中国医疗专业性的验证工具.
- CMPI扩展了医疗专业主义的概念化和测量,跨越了各种文化背景.
- 这种工具可以通过对医生专业性的文化敏感评估,为医学教育和实践提供信息.
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