摘要
背景“社区医疗新世界-社区卫生及基层医疗管理培训计划”项目作为国家大力推进的全科医生重点培训项目,该项目通过香港师资运用列斯特评估量表(LAP)评估套件对北京社区的8名全科医生进行集中培训,其培训效果如何对未来同类项目的开展具有重要的指导意义。目的了解社区全科医生对LAP的看法,为后续该评估套件在社区临床实践中的运用提供参考依据。方法2018年13月选取“社区医疗新世界-社区卫生及基层医疗管理培训计划”项目中的8名全科医生为访谈对象。采用焦点小组访谈法对其进行访谈。结果通过对8名全科医生的访谈,在LAP培训反馈方面提炼出5个主题,包括对培训项目的赞同感、培训内容的实用性、培训形式的多样性、带教师资的影响性及培训项目的推广性;在培训带来的改变方面提炼出2个主题,分别为观念的改变、临床应诊及带教方式的转变。结论LAP作为临床实践中全科医生考评体系的评估套件,其实用性、多样性得到了学员的一致认可,可以继续推广及运用。
Background The“New World of Community Health-Community Health and Primary Care Management Training Program”is a key training program for general practitioners(GPs)promoted by the country.The program provides centralized training for 8 GPs in Beijing community through the use of the assessment kit of the Leicester Assessment Scal(e LAP)by Hong Kong teachers.It's training effectiveness has important guiding significance for the development of similar programs in the future.Objective To understand the views of GPs in community on LAP,and to provide a reference for the subsequent use of this assessment package in clinical practice.Methods Eight GPs who had participated in the program were interviewed by the focus group interview method from January to March in 2018.Results Five themes were extracted regarding the training feedback,including the approval of training program,the practicality of training content,the diversity of training forms,the influence of training teachers,and the promotion of training program.Regarding the change brought by the training program,two themes were extracted,including the change of concept and the transformation of clinical consultation and teaching methods.Conclusion As an evaluation package in the evaluation system of GPs in clinical practice,LAP has been unanimously recognized by the participants for its practicability and diversity,and can be further promoted and applied in practice.
作者
郝立晓
贾建国
陈丽芬
王婷
HAO Lixiao;JIA Jianguo;CHEN Lifen;WANG Ting(Department of Geriatrics,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Education,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of General Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;School of General Practice and Continuing Education,Capital Medical University,Beijing 100069,China)
出处
《中国全科医学》
CAS
北大核心
2020年第3期344-347,共4页
Chinese General Practice
关键词
社区卫生服务
全科医生
列斯特评估量表
质性研究
Community health services
General practitioners
Leicester Assessment Package
Qualitative study1.
