全科医生接诊能力评价工具系统综述

李健; 朴慧烘; 刘莹莹; 谢勉; 陈曦; 陈超

doi:10.16766/j.cnki.issn.1674-4152.001931

全科医生接诊能力评价工具系统综述

doi: 10.16766/j.cnki.issn.1674-4152.001931

李健^{1, 2, ,},
朴慧烘¹,
刘莹莹²,
谢勉¹,
陈曦¹,
陈超¹

1.
南方科技大学第一附属医院深圳市人民医院全科医学科，广东深圳 518020
2.
电子科技大学附属医院四川省人民医院全科医学中心，四川成都 610072

详细信息

通讯作者:
李健，E-mail: li.jian@szhospital.com

中图分类号: R192.3 R499
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- 文章访问数: 301
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- PDF下载量: 27
- 被引次数: 0
出版历程
- 收稿日期: 2020-03-28
- 网络出版日期: 2022-02-16

The evaluation instruments of the general practitioner's ability for the patient encounter-A systemic review

1.
Department of General Practice, the First Affiliated Hospital of South University of Science and Technology/Shenzhen People's Hospital, Shenzhen, Guangdong 518020, China

摘要

摘要: 全科医师队伍建设受到党和国家的高度重视，客观评价全科医生接诊能力是一个我国急需解决的科学问题。建立全科医生接诊能力定量评价工具(量表)是解决问题的关键。本文系统综述国内外全科医生接诊能力定量评价工具，为建立我国全科医生接诊能力评价工具提供依据。利用PubMed、FMRS、知网、万方等数据资源，检索自1978年1月—2020年5月有关全科医生接诊能力评价工具相关文献，经浏览和筛选，最终纳入文献进行分析综述。共检索出686篇文献，经摘要浏览，筛选出108篇文献，经全文阅读，筛选出43篇参考文献。执业医师考试接诊能力评价工具，常被借用来评价全科医生接诊能力。专用于全科医生接诊能力评价的工具少见且不完善。英国和美国建立了较先进的执业医师资格考试接诊能力评价工具，量表并未公开，考试方法被借用来评价全科医生接诊能力。公开发表的全科医生接诊能力相关评价工具主要包括莱斯特评估套件、Maas全面评分表和戴维斯观察代码。这些工具都存在不足之处。莱斯特评估套件是国内翻译较多的全科医生评价量表，而其固有的缺陷依然存在。建立一套科学、实用的全科医生接诊能力评价工具，是我国全科医学界的历史任务。
- 全科医学 /
- 全科医生 /
- 接诊能力 /
- 评价 /
- 工具 /
- 量表
Abstract: Objective The development of general practitioners has been highly valued by the state. It is an urgent scientific problem to objectively evaluate the general practitioner's ability for the patient encounter. The key to solve the problem is to establish a quantitative evaluation instrument (scale) for general practitioners' ability for the patient encounter. This article systematically reviews the quantitative evaluation instruments for the general practitioner's ability for the patient encounter at home and abroad, and provides the basis for establishing the Chinese instrument. Methods Using PubMed, FMRS, ChinaNet, Wanfang and other data resources, the relevant literature about the evaluation instruments of the general practitioner's ability for the patient encounter from January 1978 to March 2020 were searched. After browsing and screening, most relevant articles were included for analysis and review. Results A total of 686 papers were retrieved, 108 articles were screened out by browsing abstracts, and 43 references were screened out by reading the full text. The evaluation instrument of the ability for the patient encounter for the medical license examination was often used to evaluate the ability for the patient encounter of general practitioners. There were few and imperfect instruments dedicated to the evaluation of the ability for the patient encounter of general practitioners. The United Kingdom and the United States had established a more advanced evaluation instruments of the ability for the patient encounter in the medical license examination, however, the scales had not been made public, and the examination methods had been used to evaluate the ability of the patient encounter for general practitioners. The published evaluation instruments related to the general practitioner's ability of the patient encounter mainly included Leicester assessment package, MAAS scale and Davis Observation Code. All of these instruments had shortcomings. Leicester assessment package was a widely translated evaluation instrument for general practitioners in China, but its inherent defects still existed. Conclusion It is a historical task for Chinese scholars in general practice to establish a set of scientific and practical evaluation instruments for the ability of the patient encounter for general practitioners.
- General practice /
- General practitioner /
- Ability of patient encounter /
- Evaluation /
- Instrument /
- Scale

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参考文献(43)

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