肃省农村基层医师培训模式的循证研究.pdfVIP

实? 践? 与? 交? 流 中国循证医学杂志 2013, 134: 489~493 甘肃省农村基层医师培训模式的循证研究 1,2 1 3 2 2 4 1* 李红敏拜争刚曹晓源丁国武解芝洞王娟红杨克虎 1. 兰州大学循证医学中心 ( 兰州? 730000); 2. 兰州大学公共卫生学院 ( 兰州? 730000); 3. 甘肃省卫生厅科教处 ( 兰州? 730000); 4. 兰州大学基础医学院 ( 兰州? 730000 ) 摘要? 目的 了解甘肃省农村基层医师培训中的问题, 探索适合甘肃省的培训模式。 方法 采用文献分析、 实地调查与访谈相结合的方式对甘肃省基层医师培训模式进行综合分析。 计算机检索 CNKI、 VIP 和 CBM 数据库, 检索时限均从建库至 2011 年 11 月, 并追溯纳入文献的参考文献, 采用自拟质量评价标准评价纳入文献的方法学 质量后, 进行定性分析。 另外, 按照地理位置及经济发展水平对甘肃省农村基层医院分层, 随机整群抽取 10 个乡 镇卫生院, 现场调查近 3 年参加过各类培训的临床医生、 护士、 卫生技术人员和卫生管理人员, 对基层医师培训 时间、 地点、 内容、 形式和效果进行现状调查和访谈。 结果 甘肃省现有培训模式存在层次参差不齐, 内容针对性 不强, 轻视技能训练、 忽视过程管理, 培训过程及效果缺少质量评价等问题。 结论 基层医师培训要有明确的计 划和方案, 应统一组织工作, 有效整合教育资源, 合理安排实施过程, 创新培训内容和方式, 并充分发挥综合性医 院及高等院校的作用, 以做好控制和反馈工作, 促进培训模式整体化、 完善化。 关键词 基层医师; 培训模式; 二次研究; 调查; 访谈 Evidence-Based Research on Rural Primary Physicians Training Modes in Gansu Province 1,2 1 3 2 2 LI Hong-min , BAI Zheng-gang , CAO Xiao-yuan , DING Guo-wu , XIE Zhi-dong , 4 1* WANG Juan-hong , YANG Ke-hu 1. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou 730000, China; 2. School of Public Health, Lanzhou University, Lanzhou 730000, China; 3. Science and Technology Department, Gansu Provincial Bureau of Health, Lanzhou 730000, China; 4. School of Basic Medicine, Lanzhou University, Lanzhou 730000, China Abstract Objective To get known the existing problems in rural primary physicians training in Gansu province, so as to explore an appropriate training mode for Gansu province. Methods This study conducted a comprehensive analysis by combining literature analysis, on-site survey and interview. Such databases as CNKI, VIP and CBM were searched to include literature published before November 2011, and the references of the included literature were also retrieved. The qualitative analysis was performed after assessing the methodological quality of the included literature ac- cording to self-designed criteria. Additionally, the rural primary hospitals in Gansu province were classified according to their geographical posit