基于层次分析法全科医生规范化培养全科医疗应诊能力评价指标体系权重研究.docVIP

基于层次分析法全科医生规范化培养全科医疗应诊能力评价指标体系权重研究 　　[摘要] 目的 以目前的全科医生规范化培训工作为基础，确定全科医生规范化培养（以下简称“规培”）全科医疗应诊能力评价指标体系权重。 方法 采用层次分析法对10名专家进行确定评价指标体系权重，计算综合评分指数。 结果 8个一级指标中人际关系与交流技能、病史采集与分析、体格检查与基本操作技能、诊断策略、解释与处理患者的问题、个体健康教育、门诊病历书写和职业态度的权重分别为：0.1314、0.1387、0.1325、0.1549、0.1280、0.0928、0.0714、0.1503。各专家给出的判断矩阵结果均满足一致性指标0.10和随机一致性比率0.10，均通过一致性检验。 结论 本研究构建出的客观量化评价规培学员全科医疗应诊能力的标准，有望全面、客观地衡量培训效果。 　　[关键词] 全科医生；应诊能力；评价指标；AHP 　　[中图分类号] R197 [文献标识码] A [文章编号] 1673-7210（2018）03（c）-0172-04 　　[Abstract] Objective To determine the weight of the evaluation index system of consultation competence of standardized training of general practitioners （“compliance training” for short）， it based on the standardized training of general practitioners. Methods The analytic hierarchy process was used to determine the evaluation indexes and their weights for 10 specialists， and calculate the general index. Results Among the 8 first level indicators， the weight of interpersonal and communication skills， medical history taking and analysis， physical examination and basic operation skills， diagnostic strategies， interpretation and treatment of patients problems， individual health education， outpatient medical records and professional attitudes were 0.1314， 0.1387， 0.1325， 0.1549， 0.1280， 0.0928， 0.0714 and 0.1503， respectively. The results of the judgment matrix given by the specialists meet the consistency index 0.10 and random index 0.10， all the indexes were satisfied the consistency check. Conclusion This study is building a set of objective quantitative indexes to evaluate the consultation competence of compliance training of general practitioners， which is expected to measure the training effect comprehensively and objectively. 　　[Key words] General practitioners； Consultation competence； Evaluation indexes； AHP 　　新?t改以来，我国将分级诊疗模式和全科医生制度作为医疗卫生体制改革的方向，但因我国全科医学起步较晚，导致真正合格的全科医生数量较少，制约了基层医疗卫生服务水平提高。全科医生规范化培训作为培养合格全科医生的主要途径[1]，在基层实践培训阶段中全科医疗应诊能力的培养对规范化培养（以下简称“规培”）学员尤其重要。但目前我国尚缺乏针对规培学员应诊能力的评价工具，不能全面、客观地衡量培训效果[