Yang Xiu-Mu, Qi Yu-Long, Shne Zheng-Fu, Han Bu-Xin, Meng Bei
1Key Research Base of Humanities and Social Science in Anhui Universities/Research Center for General Practice Education Development of Bengbu Medical College, 2Department of Nursing Science, Bengbu Medical College, Bengbu 233030, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2015 Apr;35(4):516-21.
To perform theory construction and empirical study of the competency model of rural general practitioners.
Through literature study, job analysis, interviews, and expert team discussion, the questionnaire of rural general practitioners competency was constructed. A total of 1458 rural general practitioners were surveyed by the questionnaire in 6 central provinces. The common factors were constructed using the principal component method of exploratory factor analysis and confirmatory factor analysis. The influence of the competency characteristics on the working performance was analyzed using regression equation analysis.
The Cronbach 's alpha coefficient of the questionnaire was 0.974. The model consisted of 9 dimensions and 59 items. The 9 competency dimensions included basic public health service ability, basic clinical skills, system analysis capability, information management capability, communication and cooperation ability, occupational moral ability, non-medical professional knowledge, personal traits and psychological adaptability. The rate of explained cumulative total variance was 76.855%. The model fitting index were Χ(2)/df 1.88, GFI=0.94, NFI=0.96, NNFI=0.98, PNFI=0.91, RMSEA=0.068, CFI=0.97, IFI=0.97, RFI=0.96, suggesting good model fitting. Regression analysis showed that the competency characteristics had a significant effect on job performance.
The rural general practitioners competency model provides reference for rural doctor training, rural order directional cultivation of medical students, and competency performance management of the rural general practitioners.
构建乡村全科医生胜任力模型并进行实证研究。
通过文献研究、工作分析、访谈以及专家团队讨论，构建乡村全科医生胜任力量表。采用该量表对中部6省的1458名乡村全科医生进行调查。运用探索性因素分析和验证性因素分析的主成分法构建共同因素。采用回归方程分析胜任力特征对工作绩效的影响。
量表的Cronbach's alpha系数为0.974。该模型由9个维度和59个条目组成。9项胜任力维度包括基本公共卫生服务能力、基本临床技能、系统分析能力、信息管理能力、沟通合作能力、职业道德能力、非医学专业知识、个人特质和心理适应能力。累计总方差解释率为76.855%。模型拟合指数为χ(2)/df 1.88，GFI = 0.94，NFI = 0.96，NNFI = 0.98，PNFI = 0.91，RMSEA = 0.068，CFI = 0.97，IFI = 0.97，RFI = 0.96，表明模型拟合良好。回归分析表明，胜任力特征对工作绩效有显著影响。
乡村全科医生胜任力模型为乡村医生培训、农村订单定向医学生培养以及乡村全科医生胜任力绩效管理提供参考。
