未参加全科医师转岗培训的基层医务人员培训意愿调查——以新疆乡镇卫生院为例
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摘要
[目的]对新疆乡镇卫生院未参加全科医师转岗培训的医务人员进行调查,了解其未参加培训的原因及下一步参加培训的意愿,为进一步完善乡镇卫生院全科医师转岗培训提供实证参考。[方法]通过文献研究,针对未参加全科医师转岗培训的医务人员设计了问卷调查表,对其基本情况、未参加培训的原因、再次培训的意愿及原因进行调查、分析。[结果] 485名医务人员中,女性占68. 7%,少数民族占74. 2%,大专学历占72. 6%,没有执业(助理)医师资格证的占53. 0%。未参加培训的原因主要是:由于工作紧张离不开(57. 2%)、单位未安排(25. 0%)、不符合条件(8. 0%)。95. 3%的人表示如有机会愿意参加培训,98. 1%的人认为通过培训可以提升业务水平,但仍有4. 7%的人表示不会参加培训,主要原因是家中需要人照顾(78. 3%)。[结论]新疆乡镇卫生院医务人员参加全科医师转岗培训的意愿虽高,但符合乡镇卫生院全科医师转岗培训资格条件的人不多,同时新疆乡镇卫生院在输出人员参加培训时,又普遍存在着工学矛盾。
Objective To survey the medical staff of Xinjiang township hospitals who did not participate in post transfer training of general practitioners,to understand the reason and their intention to attend the training in the next step,in order to provide empirical reference for further improve post transfer training of general practitioners in townships health centers. Methods Through literature research,questionnaire survey was designed for the medical staff who did not participate in post transfer training of general practitioners,investigated and analyzed their basic information,the reason and their intention to attend the training once again. Results Among 485 medical personnel,women accounted for 68. 7%,ethnic minorities was 74. 2%,college degrees was 72. 6%,and those who did not have qualification of practicing(assistant) physicians was53. 0%. Main reasons of did not participate in the training were that due to work stress could not leave(57. 2%),the unit did not arrange(25. 0%),did not meet the conditions(8. 0%). 95. 3% of them said they would like to take part in the training if they had the opportunity,98. 1% believed that they could improve their service level through the training,but 4. 7% still said they would not took part in the training,mainly because they needed to take care family(78. 3%). Conclusions Although the willingness of medical staff of Xinjiang township hospitals to participate in the post transfer training of general practitioners is high,the number of people who meet the qualifications for the post transfer training of general practitioners in township hospitals is not large. At the same time,when Xinjiang township hospitals output personnel to participate in the training,there is the widespread conflict between work and study.
Objective To survey the medical staff of Xinjiang township hospitals who did not participate in post transfer training of general practitioners,to understand the reason and their intention to attend the training in the next step,in order to provide empirical reference for further improve post transfer training of general practitioners in townships health centers. Methods Through literature research,questionnaire survey was designed for the medical staff who did not participate in post transfer training of general practitioners,investigated and analyzed their basic information,the reason and their intention to attend the training once again. Results Among 485 medical personnel,women accounted for 68. 7%,ethnic minorities was 74. 2%,college degrees was 72. 6%,and those who did not have qualification of practicing(assistant) physicians was53. 0%. Main reasons of did not participate in the training were that due to work stress could not leave(57. 2%),the unit did not arrange(25. 0%),did not meet the conditions(8. 0%). 95. 3% of them said they would like to take part in the training if they had the opportunity,98. 1% believed that they could improve their service level through the training,but 4. 7% still said they would not took part in the training,mainly because they needed to take care family(78. 3%). Conclusions Although the willingness of medical staff of Xinjiang township hospitals to participate in the post transfer training of general practitioners is high,the number of people who meet the qualifications for the post transfer training of general practitioners in township hospitals is not large. At the same time,when Xinjiang township hospitals output personnel to participate in the training,there is the widespread conflict between work and study.
引文
[1]郭航远,池菊花.加强全科教育培养高素质全科医师[J].浙江临床医学,2008,10(7):1006-1007.
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[5]侯艳丽,马瑜红,李玲,等.全科医生培训基地内涵式建设探索与研究[J].卫生行政管理,2014,32(5):136-137.
[6]程凌云.社区全科医师培养模式初探[J].继续医学教育,2017,31(1):3-4.
[7]杜雪平,李肖肖.全科医师培养方式探讨[J].全科医学教育,2013,12(5):343-345.
[8]任文,刘颖,邱艳,等.关于全科医师规范化培训中社区实践基地培训的思考[J].全科医学教育,2017,16(11):901-903.
[9]徐国平,牛丽娟,王家骥.对中国全科医师规范化培训基地和培训大纲的研究和建议[J].中国全科医学,2014,17(9):2171-2178.
[10]周新来,刘刚,姬军生,等.全科医师远程继续教育网络平台的建设及实践[J].网络与远程教育,2012,26(3):276-279.
[2]杨克平.浅谈全科医师在社区医疗服务中的重要性[J].新疆医学,2008,35(5):3.
[3]中共中央国务院.关于建立全科医生制度的指导意见[EB/OL].(2011-7-7)[2018-02-10]. http://www. gov. cn/zwgk/2011-/07/content_1901099. htm.
[4]欧阳静,刘金宝,汪海泓,等.新疆全科医师培训的现状及供需分析[J].全科医学临床与教育,2008,6(1):37-40.
[5]侯艳丽,马瑜红,李玲,等.全科医生培训基地内涵式建设探索与研究[J].卫生行政管理,2014,32(5):136-137.
[6]程凌云.社区全科医师培养模式初探[J].继续医学教育,2017,31(1):3-4.
[7]杜雪平,李肖肖.全科医师培养方式探讨[J].全科医学教育,2013,12(5):343-345.
[8]任文,刘颖,邱艳,等.关于全科医师规范化培训中社区实践基地培训的思考[J].全科医学教育,2017,16(11):901-903.
[9]徐国平,牛丽娟,王家骥.对中国全科医师规范化培训基地和培训大纲的研究和建议[J].中国全科医学,2014,17(9):2171-2178.
[10]周新来,刘刚,姬军生,等.全科医师远程继续教育网络平台的建设及实践[J].网络与远程教育,2012,26(3):276-279.