文章摘要
广西基层中医全科医师队伍建设现状及其规范化培训内容需求影响因素研究
Study on the Current Situation of Grassroots Traditional Chinese Medicine General Practitioners Team Construction in Guangxi and the Influencing Factors of Standardized Training Content Demand
投稿时间:2024-11-30  修订日期:2024-11-30
DOI:
中文关键词: 广西  基层  中医全科医师  队伍建设  规范化培训  内容需求  影响因素
英文关键词: Guangxi  Grassroots  Traditional Chinese medicine general practitioners  Team construction  Standardized training  Content demand  Influencing factors
基金项目:广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20230124)
作者单位邮编
吴汉周* 广西中医药大学附属瑞康医院 530011
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中文摘要:
      目的:了解广西基层中医全科医师队伍建设现状,并探讨其规范化培训内容需求的影响因素。方法:于2024年1月-2024年6月采用简单随机抽样法选取448例广西基层中医全科医生作为研究对象,对广西基层中医全科医师进行问卷调查,调查共回收有效问卷430份,有效回收率为95.98%。分析广西基层中医全科医师基本情况、岗位胜任力现状,并调查广西基层中医全科医师对规范化培训的反馈及满意度情况。采用多重线性回归分析广西基层中医全科医师对规范化培训内容需求的影响因素。结果:广西基层中医全科医师队伍建设现状呈正常水平。广西基层中医全科医师岗位胜任力得分项目中,人文执业能力得分最高,基本医疗卫生服务能力得分最低。对规范化培训的反馈结果显示,194例(45.12%)认为规范化培训非常有必要,172例(40.00%)认为规范化培训有必要,63例(14.65%)认为规范化培训一般,1例(0.23%)认为规范化培训没必要。421例(97.91%)表示愿意推荐规范化培训,8例(1.86%)表示不确定是否愿意推荐规范化培训,1例(0.23%)表示不推荐规范化培训。满意度分析结果显示,广西基层中医全科医师对规范化培训各项目的满意度较高。单因素分析结果显示,不同文化程度、任职方式、执业级别的中医全科医师的培训内容需求分值组间比较差异具有统计学意义(P<0.05)。多重线性回归分析结果显示,文化程度、任职方式以及执业级别均为广西基层中医全科医师培训内容需求的影响因素(P<0.05)。结论:广西基层中医全科医师队伍建设现状较为科学,绝大多数医师认为规范化培训非常有必要,并对培训内容较为满意,显示出对现有规范化培训项目的积极反馈。文化程度、任职方式和执业级别是影响广西基层中医全科医师培训内容需求的主要因素。
英文摘要:
      Objective:To understand the current situation of grassroots traditional Chinese medicine general practitioners team construction in Guangxi, and to explore the influencing factors of their standardized training content demand.Methods:448 grassroots traditional Chinese medicine general practitioners in Guangxi from January 2024 to June 2024 were selected as the research objects by simple random sampling method, a questionnaire survey was conducted among grassroots general practitioners of traditional Chinese medicine in Guangxi, 430 valid questionnaires were collected, with an effective recovery rate of 95.98%. The basic situation and post competency status of grassroots traditional Chinese medicine general practitioners in Guangxi were analyzed, and the feedback and satisfaction of grassroots traditional Chinese medicine general practitioners in Guangxi on standardized training were investigated. The influencing factors of standardized training content demand of grassroots traditional Chinese medicine general practitioners in Guangxi were analyzed by multiple linear regression. Results:The current situation of grassroots traditional Chinese medicine general practitioners team construction in Guangxi was at a normal level. Among the post competency scores of grassroots traditional Chinese medicine general practitioners in Guangxi, the scores of humanistic practice ability was the highest, and the scores of basic medical and health service ability was the lowest. The feedback results of standardized training showed that, 194 cases (45.12%) thought that standardized training was very necessary, 172 cases (40.00%) thought that standardized training was necessary, 63 cases (14.65%) thought that standardized training was general, and 1 case (0.23%) thought that standardized training was not necessary. 421 cases (97.91%) were willing to recommend standardized training, 8 cases (1.86%) were uncertain whether they were willing to recommend standardized training, and 1 case (0.23%) was not recommended standardized training. The results of satisfaction analysis showed that, grassroots traditional Chinese medicine general practitioners in Guangxi were highly satisfied with the various items of standardized training. The results of univariate analysis showed that, there were statistically significant differences in the scores of training content requirements among grassroots traditional Chinese medicine general practitioners with different educational levels, employment modes and practice levels (P<0.05). The results of multiple linear regression analysis showed that, educational levels, employment modes and practice levels were the influencing factors of the training content demand of grassroots traditional Chinese medicine general practitioners in Guangxi (P<0.05). Conclusion:The current situation of grassroots traditional Chinese medicine general practitioners team construction in Guangxi is relatively scientific, the vast majority of physicians believe that standardized training is very necessary, and they are satisfied with the training content, showing positive feedback on the existing standardized training programs. Educational levels, employment modes and practice levels are the main factors affecting the training content needs of grassroots traditional Chinese medicine general practitioners in Guangxi.
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