Construction of the post competency model of rural doctors in Beijing

LI Min; DONG Yu-qi; LI Na; MA Li; WANG Chen; LIU Yan-li; SUN Chen; WANG Fei; WANG Zhong

doi:10.16766/j.cnki.issn.1674-4152.002798

Volume 21 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > Chinese Journal of General Practice > 2023 > 21(1): 1-5

LI Min, DONG Yu-qi, LI Na, MA Li, WANG Chen, LIU Yan-li, SUN Chen, WANG Fei, WANG Zhong. Construction of the post competency model of rural doctors in Beijing[J]. Chinese Journal of General Practice, 2023, 21(1): 1-5. doi: 10.16766/j.cnki.issn.1674-4152.002798

Citation:

LI Min, DONG Yu-qi, LI Na, MA Li, WANG Chen, LIU Yan-li, SUN Chen, WANG Fei, WANG Zhong. Construction of the post competency model of rural doctors in Beijing[J]. Chinese Journal of General Practice, 2023, 21(1): 1-5. doi: 10.16766/j.cnki.issn.1674-4152.002798

Citation:

PDF( 467 KB)

Construction of the post competency model of rural doctors in Beijing

doi: 10.16766/j.cnki.issn.1674-4152.002798

LI Min¹
, DONG Yu-qi²
, LI Na³
, MA Li³
, WANG Chen³
, LIU Yan-li³
, SUN Chen³
, WANG Fei¹
, WANG Zhong^{1
,
,}

1.
General Practice Department of Beijing Tsinghua University Affiliated Chang Gung Hospital, Tsinghua University Clinical School of Medicine, Beijing 102218, China

Funds:

17QK17

首发2016-3-2243

Received Date: 2022-02-16
Available Online: 2023-04-07

Abstract

Abstract

Objective To construct a model of rural doctors' post competency in Beijing, and provide a reference for the improvement of Beijing rural doctors' ability, performance evaluation and training. Methods Competency framework and model draft were build using a literature research method and expert group discussion method. A total of 18 experts who were either engaged in Beijing rural doctor research or directly engaged in rural doctor management were selected. From May to September 2019, the improved Delphi expert consultation method was used to send two rounds of consultation forms via email to score the importance, applicability and operability of the indicators. The post competency model of rural doctors in Beijing was modified according to the scores and expert opinions, and the weight of each indicator of the post competency model was calculated using the analytic hierarchy process. Results After two rounds of Delphi consultation, the positive coefficient of the two rounds was 100%, the expert' s familiarity with the topic was 0.87, their confidence of judgment was 0.91, making the average authority coefficient 0.89. The final establishment included four main areas, clinical medical service ability, public health service ability, medical humanities ability, education and other skills, with eight second-level indicators and 35 third-level indicators. The weight of each indicator was then calculated. In the first-level indicators, the highest scores were in clinical medical service capacity (0.374) and public health service capacity (0.374). Among the second-level indicators, the national basic public health service (0.091) had the highest weight. In the third-level indicators, urgent and severe on-site treatment (0.021) and chronic disease management (0.018) were the highest scoring. Conclusion The post competency model of rural doctors in Beijing is constructed through the improved Delphi method. The positive coefficient and authority coefficient of experts are high, and the selection of evaluation indicators is scientific and reasonable, which can be used as an important reference for evaluating the competency of rural doctors in Beijing. However, the competency model still needs to be constantly revised and improved according to the development of the current situation of rural doctors.
- Beijing rural doctor,
- Post competency,
- Improved Delphi method,
- Analytic hierarchy process

FullText(HTML)

References(15)

References

[1]	朱建华. 乡村医生队伍的现状分析与今后建设的思考[J]. 中华全科医学, 2015, 13(9): 1486-1487, 1490, 1559. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201509039.htm ZHU J H. Current situation and team development of rural doctor in the future[J]. Chinese Journal of General Practice, 2015, 13(9): 1486-1487, 1490, 1559. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201509039.htm
[2]	黄英, 洪春梅. 乡村医生在家庭医生制服务中的现状与建议[J]. 上海医药, 2016, 37(4): 7-9. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201604004.htm HUANG Y, HONG C. Present situation of the rural doctors in the family doctor system service in Shanghai outer suburbs area and the counter-measure[J]. Shanghai Pharmaceuticals, 2016, 37(4): 7-9. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201604004.htm
[3]	贾东梅, 马力, 李娜, 等. 京郊乡村医生服务状况和岗位胜任力调查[J]. 中华全科医师杂志, 2018, 17(2): 104-108. JIA D M, MA L, LI N, et al. A survey on service status of rural doctors in Beijing suburb[J]. Chinese Journal of General Practitioners, 2018, 17(2): 104-108.
[4]	谭绮薇, 张建华. 浅析胜任力模型的构建方法和运用[J]. 现代医院, 2018, 18(12): 1755-1757. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYU201812013.htm TAN Q W, ZHANG J H. Analysis on the Construction Method and Application of Competency Model[J]. Modern Hospital, 2018, 18(12): 1755-1757. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYU201812013.htm
[5]	杨秀木, 齐玉龙, 申正付, 等. 农村全科医生胜任力素质模型的理论构建与实证研究[J]. 南方医科大学学报, 2015, 35(4): 516-521. doi: 10.3969/j.issn.1673-4254.2015.04.010 YANG X M, QI Y L, SHNE Z F, et al. A competency model of rural general practitioners: theory construction and empirical study[J]. Journal of Southern Medical University, 2015, 35(4): 516-521. doi: 10.3969/j.issn.1673-4254.2015.04.010
[6]	刘红, 史卫红, 乔学斌. 江苏省基层全科医生岗位胜任力研究[J]. 中国全科医学, 2017, 20(25): 3088-3093. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201725007.htm LIU H, SHI W H, QIAO X B. Competencies of Grassroots General Practitioners in Jiangsu Province[J]. Chinese General Practice, 2017, 20(25): 3088-3093. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201725007.htm
[7]	王丰, 潘国伟, 任苒, 等. 应用德尔菲法和层次分析法构建丙型肝炎健康教育评价的指标体系[J]. 中国健康教育, 2016, 32(7): 593-596. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201607006.htm WANG F, PAN G W, REN R, et al. Application of Delphi method and analytic hierarchy process in effect evaluation index system for hepatitis C health education[J]. Chinese Journal of Health Education, 2016, 32(7): 593-596. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201607006.htm
[8]	刘晓楚, 顾立, 孙子科技木, 等. 医养结合型养老机构老年人服务需求Kano属性问卷的编制及信效度检验[J]. 中国全科医学, 2020, 23(27): 3449-3456. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202027033.htm LIU X C, GU L, SUNZI K J M, et al. Compilation, Validity and Reliability of Questionnaire on Kano Model-based Service Needs among Older People in Integrated Medical and Nursing Institutions[J]. Chinese General Practice, 2020, 23(27): 3449-3456. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202027033.htm
[9]	屈京楼, 朱亚鑫, 曲波. 德尔菲法在医学教育研究中的应用[J]. 中华医学教育杂志, 2019, 39(3): 227-230. QU J L, ZHU Y X, QU B. The Delphi method and its application in medical education research[J]. Chinese Journal of Medical Education, 2019, 39(3): 227-230.
[10]	孙晨, 路孝琴. 以人为中心的全科医生应诊服务评价指标体系构建研究[J]. 中国全科医学, 2017, 20(7): 773-778. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201707004.htm SUN C, LU Xi Q. Evaluation Index System Construction of Human-centered Consultation Service of General Practitioners[J]. Chinese General Practice, 2017, 20(7): 773-778. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201707004.htm
[11]	孙晔, 王书梅, 陈瑶, 等. 层次分析法在公共卫生专业学生伤害预防核心能力评估指标建立中的应用[J]. 中国学校卫生, 2017, 38(8): 1134-1137. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201708008.htm SUN Y, WANG S M, CHEN Y, et al. Application of analytic hierarchy process in establishing the indices for assessing core competencies of public health students for injury prevention[J]. Chinese Journal of School Health, 2017, 38(8): 1134-1137. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201708008.htm
[12]	邓元慧, 张新庆, 韩跃红. 我国村医队伍发展的现状与问题[J]. 中国卫生事业管理, 2017, 34(2): 120-122, 144. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201702015.htm DENG Y H, ZHANG X Q, HAN H Y. Situation and Challenge of Rural Doctors in Rural in China[J]. Chinese Health Service Management, 2017, 34(2): 120-122, 144. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201702015.htm
[13]	吴堃, 张丽霞, 肖瑞建, 等. 在岗乡村医生执业能力及职业精神探讨[J]. 卫生职业教育, 2018, 36(15): 137-139. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201815075.htm WU K, ZHANGT L X, XIAO R J, et al. Discussion on the practicing ability and professional spirit of on-the-job rural doctors[J]. Health Vocational Education, 2018, 36(15): 137-139. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201815075.htm
[14]	蒋陆娟, 徐爱军, 张倩, 等. 基于结构方程的乡村医生胜任力、医患关系与工作满意度关系模型研究[J]. 中国卫生统计, 2018, 35(4): 538-541, 545. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201804014.htm JIANG L J, XU A J, ZHANG Q, et al. Research on the relationship model of rural doctor' s competence, doctor-patient relationship and job satisfaction based on structural equation[J]. Chinese Journal of Health Statistics, 2018, 35(4): 538-541, 545. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201804014.htm
[15]	段红艳, 徐成阳, 李明艳, 等. 从突发公共卫生事件的应对看全科医学科的职责和定位[J]. 中华全科医学, 2021, 19(5): 705-708. doi: 10.16766/j.cnki.issn.1674-4152.001898 DUAN H Y, XU C Y, LI M Y, et al. The responsibility and orientation of general practice from the response to public health emergencies[J]. Chinese Journal of General Practice, 2021, 19(5): 705-708. doi: 10.16766/j.cnki.issn.1674-4152.001898

Relative Articles

[1]	CAO Yu, MA Li, HE Xufang, ZHAO Yali, WANG Jiaxin. The status and its influencing factors of community rehabilitation treatment for osteoarthritis among general practitioners in Beijing[J]. Chinese Journal of General Practice, 2024, 22(5): 820-823. doi: 10.16766/j.cnki.issn.1674-4152.003511
[2]	HUANG Zhiyang, LI Ran, DAI Manting. Construction of exercise intervention index system for patients with hyperlipidemia[J]. Chinese Journal of General Practice, 2023, 21(9): 1523-1527. doi: 10.16766/j.cnki.issn.1674-4152.003161
[3]	RAO Yashu, WANG Junzhou, YANG Yi, ZHONG Xia, TANG Chunyu, CHEN Rui, YANG Shaoqing, YU Hongmei, XU Jing. Utilization of community residents' family doctor contracted services based on social network analysis[J]. Chinese Journal of General Practice, 2023, 21(4): 632-636. doi: 10.16766/j.cnki.issn.1674-4152.002948
[4]	ZENG Weiming, SHI Jianwei, YU Wenya, CHEN Ning, CHEN Hong, GAO Ya, TAN Shuoyuan, WANG Zhaoxin, WU Zhengyi. Research on the construction of effectiveness evaluation index system for family doctor contract service model[J]. Chinese Journal of General Practice, 2023, 21(5): 721-725. doi: 10.16766/j.cnki.issn.1674-4152.002968
[5]	ZHENG Xia, MOU Jing, LIAO Lei. Construction of VTE nursing training system based on post competence and its application in the prevention of PICC-related venous thrombosis in patients with lung cancer[J]. Chinese Journal of General Practice, 2023, 21(1): 167-171. doi: 10.16766/j.cnki.issn.1674-4152.002837
[6]	Shama·Mulati, CHEN Hong, Delifia·Dilishati, XU Peilan. Survey on the competence of general practitioners in Xinjiang and analysis of influencing factors[J]. Chinese Journal of General Practice, 2023, 21(8): 1351-1355. doi: 10.16766/j.cnki.issn.1674-4152.003121
[7]	YIN De-lu, WANG Xi, YIN Tao. A survey on training needs of basic level children's health service personnel in Beijing based on the common diseases of children[J]. Chinese Journal of General Practice, 2022, 20(7): 1174-1177. doi: 10.16766/j.cnki.issn.1674-4152.002551
[8]	MA Jie, LI Xiu-chuan, ZHOU Ping-hui, CHEN Wei-dong, LEI Ting-ting, ZHANG-YANG Xi-bei, SHAO Yan, HUANG Jun-mei, QIN Ling-wei. Effect evaluation of OSCE teaching based on post competence in nursing practice teaching[J]. Chinese Journal of General Practice, 2022, 20(12): 2131-2133. doi: 10.16766/j.cnki.issn.1674-4152.002786
[9]	XU Duo, JIN Xiao-hui, WU Lei-ruo, WU Ting-ting, XU Xiao-qun, LIN Feng. Application of analytic hierarchy process in refined management of medical equipment in endoscopy center[J]. Chinese Journal of General Practice, 2022, 20(8): 1408-1410. doi: 10.16766/j.cnki.issn.1674-4152.002609
[10]	YANG Ling, DU Xue-ping. Analysis on the length of stay of inpatients with acute coronary syndrome in Xicheng District of Beijing[J]. Chinese Journal of General Practice, 2021, 19(11): 1855-1857. doi: 10.16766/j.cnki.issn.1674-4152.002184
[11]	CHEN Si-yu, MA Li. Analysis on the characteristics of allergic diseases in health examination population of Beijing Medical Center[J]. Chinese Journal of General Practice, 2021, 19(10): 1706-1709. doi: 10.16766/j.cnki.issn.1674-4152.002147
[12]	ZHANG Ye, YUAN Shuo-hui. Effect of root cause analysis on cleaning and sterilization effect of orthopedic implantable instruments and postoperative infection of patients[J]. Chinese Journal of General Practice, 2020, 18(6): 1044-1046,1050. doi: 10.16766/j.cnki.issn.1674-4152.001423
[13]	LI Wei, SUN Yu-mei, SU Li, DING Yan-ming, CHI Chun-hua. Investigation and analysis on the knowledge of novel coronavirus pneumonia among community residents in Beijing[J]. Chinese Journal of General Practice, 2020, 18(12): 2060-2064. doi: 10.16766/j.cnki.issn.1674-4152.001689
[14]	LI Yan-ping, LUO Liang, JIN Feng-juan, NIE Hong-yu, CHEN Hong, GAO Yuan, GAO Jie, LI Tong. Exploration and practice of clinical basic skills simulation training and knowledge intensive education precise course for general practitioners[J]. Chinese Journal of General Practice, 2018, 16(8): 1379-1382. doi: 10.16766/j.cnki.issn.1674-4152.000377
[15]	ZHAO Xue-xue, LU Xiao-qin, LIU Yan-li, WEI Yun, ZHAO Ya-li. Understanding, attitudes and demand on evidence-based medicine among general practitioner in Beijing urban area[J]. Chinese Journal of General Practice, 2018, 16(11): 1773-1776. doi: 10.16766/j.cnki.issn.1674-4152.000482
[16]	LEI E, GUO Ying, GUI Heng, WANG Jun-jie. Application of ABC analysis management model in operating room nursing management[J]. Chinese Journal of General Practice, 2017, 15(2): 343-345. doi: 10.16766/j.cnki.issn.1674-4152.2017.02.048
[18]	WANG Min, ZHAO Jing, ZHAO Jian-gong, ZHANG Xiang-dong. Assessment of current cognitive status in community medical staffs about family doctor service in Beijing[J]. Chinese Journal of General Practice, 2016, 14(8): 1243-1246. doi: 10.16766/j.cnki.issn.1674-4152.2016.08.001
[19]	CHEN Xu-xin, SHU Liu-yi, HAN Zhi-hai, TIAN Guang. Analysis of vital capacity weight index of 1806 elementary school students from Haidian District of Beijing[J]. Chinese Journal of General Practice, 2016, 14(10): 1707-1709,1718. doi: 10.16766/j.cnki.issn.1674-4152.2016.10.032
[20]	XIE Xing-wei, KONG Ling-wei, LIU Hong-jun, LU Yun-tao, YU Xiao-ming. Analysis of 1 811 referral patients with chronic disease in a college of Beijing[J]. Chinese Journal of General Practice, 2016, 14(8): 1332-1334,1421. doi: 10.16766/j.cnki.issn.1674-4152.2016.08.029

Supplements(0)

Cited By

Cited by

Periodical cited type(6)

1.	张均，蒋品，唐欢，张扬，彭想想，陈奉玉，张春明，杨惠，孙良业. 皖西革命老区全科医师岗位胜任力立体式评价模型的构建研究. 中华全科医学. 2025(02): 318-322 . 本站查看
2.	肖琦凡，唐彬，张素巧，朱宇清. 翻转课堂结合Seminar教学法在全科规范化培训中的应用及效果评价. 中国毕业后医学教育. 2024(02): 149-152 .
3.	侯庆梅，杨丽华，张紫嫣，段培蓓，朱春勤，修闽宁. 基于三维结构模型的肿瘤内科标准化护理体系构建. 中华全科医学. 2024(07): 1251-1255 . 本站查看
4.	陈娜，蔡雪玲，邹艳琳，邹燕琴，钱怡. 新形势下临床研究协调员岗位胜任力模型构建研究. 中国新药杂志. 2024(24): 2594-2601 .
5.	午建全，商曼曼，郑桂芳，魏琴，谢贤宇，李跃平. 基于洋葱模型的人体器官捐献协调员岗位胜任力模型构建研究. 器官移植. 2023(05): 714-722 .
6.	彭静，李金秀，谭江红，王浪，田艳珍. 乡村医生岗位胜任力评价量表的研制及信效度检验. 中国农村卫生事业管理. 2023(10): 694-700 .

Other cited types(1)

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (484) PDF downloads(56)

Construction of the post competency model of rural doctors in Beijing

doi: 10.16766/j.cnki.issn.1674-4152.002798