Department of General Practice, School of General Practice and Continuing Education.
Department of General Practice, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Fam Pract. 2021 Jun 17;38(3):346-352. doi: 10.1093/fampra/cmaa109.
There is a shortage of rural general practitioners (GPs) in China. Training programs have been initiated to meet the needs of GP workforce in the rural areas; however, there is an absence of validated tool to assess their competencies.
This study aimed to develop a competency model for rural general practitioner (CMRGP) after training in China and to examine its validity and reliability.
A multistage process was adopted to develop the CMRGP comprised literature review, panel discussion and expert consultation, and the initial version of CMRGP was reduced from 10 domains and 77 items to 7 domains and 54 items. A pilot study was conducted among 202 rural GPs for the psychometric evaluation and application of the initial version of CMRGP, in which a questionnaire on the importance of items and self-evaluation was completed by the GPs.
In the pilot study, 132 completed questionnaires (65.3%) were returned. Acceptability and face validity of the CMRGP were supported by high importance scores of the items, in which 52 out of 54 items achieved score higher than 4.00 (possible score from 0 to 5). Factor analysis supported the construct validity. After the modification, the final version of CMRGP contained 6 domains and 47 items. Good reliability was supported by internal consistency reliability (Cronbach's α was 0.98) and split-half reliability (Spearman-Brown coefficient was 0.99).
The CMRGP demonstrated good reliability and validity. Pilot study showed its potential for application in the rural general practice and training program.
中国农村地区缺乏全科医生（GP）。为满足农村地区 GP 劳动力的需求，已启动培训计划；然而，缺乏经过验证的工具来评估他们的能力。
本研究旨在制定中国农村全科医生能力模型（CMRGP），并检验其有效性和可靠性。
采用多阶段方法制定 CMRGP，包括文献回顾、小组讨论和专家咨询，将 CMRGP 的初始版本从 10 个领域和 77 项减少到 7 个领域和 54 项。对 202 名农村全科医生进行了试点研究，以进行心理测量评估和初始 CMRGP 的应用，其中全科医生完成了关于项目重要性和自我评估的问卷。
在试点研究中，有 132 份完成的问卷（65.3%）被收回。项目的重要性得分较高，表明 CMRGP 具有可接受性和表面有效性，其中 52 项中的 54 项得分高于 4.00（0 至 5 分的可能得分）。因子分析支持构念效度。经过修改，CMRGP 的最终版本包含 6 个领域和 47 个项目。内部一致性信度（Cronbach's α 为 0.98）和半分信度（Spearman-Brown 系数为 0.99）支持了良好的可靠性。
CMRGP 具有良好的可靠性和有效性。试点研究表明其在农村全科医学和培训计划中的应用潜力。
