中国甘肃省全科医生住院医师规范化培训的调查与分析。
Investigation and analysis of standardized training for residents of general practitioners of Gansu Province in China.
机构信息
Department of Medical Affairs, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Department of Discipline Construction Management, Gansu Provincial Hospital, Lanzhou, Gansu, China.
出版信息
BMC Fam Pract. 2020 Jun 19;21(1):112. doi: 10.1186/s12875-020-01185-y.
BACKGROUND
China's standardized training for residents of General Practitioners (GPs) is aimed at providing the postgraduate training for family doctors who will serve the primary health care institutions. The aim of this paper is to investigate the standardized training situation, satisfaction with standardized training, work situation, intention, satisfaction and attitude of GPs who have finished standardized training.
METHODS
This study was undertaken in 6 training hospitals in Gansu province using a questionnaire with 45 questions.
RESULTS
Approximately 275 residents of GPs were enrolled. Finally, 263 residents completed the questionnaire (95.64% response rate), including 133 females (50.57%) and 130 males (49.43%) with an average age of 28 years (standard deviation, 1.93 years; range, 25-36 years). Additionally, 56.65% were single and 43.35% were married. Of all subjects, 92.40% residents had obtained certification of standardized training for residents of GPs and only 39.54% residents were satisfied with monthly income during training. There were 171 oriented rural medical graduates, of whom, only 42.69% expressed the willing to continue working in the primary health care institutions after the serve time (6 years) expired. Around 86.31% of residents of GPs who had finished standardized training got jobs with more than half serving in the primary health care institutions. For medical institutions and sanitary bureau were clear about general medicine policies, only 29.96% subjects registered as GPs. Among the residents in general practice department, 68.42% were engaged in the diagnosis and treatment of common disease and frequently-occurring diseases as well as referral of patients. The percentage of residents who were satisfied with the job and income were 30.40 and 14.98%, respectively.
CONCLUSION
Standardized training for residents of GPs in China is gradually improving. In order to cultivate more GPs and increase their willing to serve in the primary health care institutions, it is necessary to formulate and execute better policy of GPs, publize general medicine and improve the training quality.
背景
中国的全科医生规范化培训旨在为服务基层医疗卫生机构的家庭医生提供研究生培训。本文旨在调查已完成规范化培训的全科医生的规范化培训情况、规范化培训满意度、工作情况、意愿、满意度和态度。
方法
本研究在甘肃省 6 家培训医院进行，采用包含 45 个问题的问卷进行调查。
结果
共纳入约 275 名全科住院医师。最终，263 名住院医师完成了问卷调查（应答率 95.64%），其中女性 133 名（50.57%），男性 130 名（49.43%），平均年龄 28 岁（标准差 1.93 岁；范围 25-36 岁）。此外，56.65%的住院医师为单身，43.35%的住院医师已婚。所有受试者中，92.40%的住院医师获得了全科医生规范化培训认证，只有 39.54%的住院医师对培训期间的月收入表示满意。在定向农村医学毕业生中，只有 42.69%的人表示愿意在服务期满（6 年）后继续在基层医疗卫生机构工作。约 86.31%的已完成规范化培训的全科住院医师找到了工作，其中一半以上在基层医疗卫生机构工作。对于医疗机构和卫生局明确全科医学政策，只有 29.96%的受试者注册为全科医生。在全科医学科的住院医师中，68.42%的人从事常见病、多发病的诊治和患者转诊工作。对工作和收入满意的住院医师比例分别为 30.40%和 14.98%。
结论
中国的全科医生规范化培训正在逐步完善。为了培养更多的全科医生并提高他们在基层医疗卫生机构工作的意愿，有必要制定和执行更好的全科医生政策，宣传全科医学，提高培训质量。
Zotero 插件