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希腊全科住院医师培训期间对教育需求覆盖情况的满意度及感知障碍

Satisfaction and Perceived Barriers of General Practice Residents in Relation to Their Educational Needs Coverage During Residency in Greece.

作者信息

Symvoulakis Emmanouil K, Tsapas Apostolos, Smyrnakis Emmanouil, Tatsioni Athina, Drosos Evangelos, Thireos Eleftherios, Doumas Michail, Galanis Spyridon, Perdikaki Pigi, Symeonidis Athanasios, Papanikolaou Nikolaos, Karageorgiou Ioannis, Kokkinakis Stamatios, Maliotis Neofytos, Benos Alexis, Lionis Christos

机构信息

Working Group in General practice, Central Board of Health (ΚεΣΥ, CBH), Ministry of Health, Greece.

School of Medicine, University of Crete, Greece.

出版信息

Maedica (Bucur). 2020 Dec;15(4):445-453. doi: 10.26574/maedica.2020.15.4.445.

Abstract

This study aimed to assess satisfaction and report on perceptions of General Practice (GP) residents during residency in Greece, through an online questionnaire at a national level. A mixed type method study was shaped. Both quantitative analysis and a quasiqualitative approach were used, while information from an open-ended question was processed. The study included answers of GP residents recruited with a national sample pool technique. There were 177 responders from 430 registered residents. Using a grading system from 1 to 10, the median value showing how much satisfied the participants were during their training was 4.48 (95% CI 4.16-4.79), while GP logbook was regarded as useful (median value 6.29, 95% CI 5.84-6.73). The training program was reported as insufficient to prepare residents for their future work as primary health care physicians, with a median rating of 4.09 (95% CI 3.78-4.41). The overall educational gain was regarded as poor compared to residents' expectations, with a median rating of 4.71 (95% CI 4.38-5.07). From free text responses of 83 participants, an organized educational program based on logbook skill acquirement with interaction between coordinator and resident emerged as a priority. Understanding general practitioners' perceptions, satisfaction level and expectations may help to design reform initiatives and cover their educational needs during residency in a holistic manner. Experience from local settings may be useful to offer more comprehensive messages. In a rapidly changing health environment, quickly collecting and analyzing emerging data appears to be a practical way for correcting decisions and avoiding previous errors.

摘要

本研究旨在通过在全国范围内开展的在线问卷调查,评估希腊全科医学(GP)住院医师培训期间的满意度,并报告他们的看法。本研究采用了混合类型的方法。同时运用了定量分析和准定性方法,并对开放式问题的信息进行了处理。该研究纳入了通过全国样本库技术招募的全科医学住院医师的回答。在430名注册住院医师中,有177人做出了回应。使用1至10的评分系统,参与者在培训期间的满意度中位数为4.48(95%置信区间4.16 - 4.79),而全科医学日志被认为是有用的(中位数为6.29,95%置信区间5.84 - 6.73)。据报告,培训计划不足以让住院医师为未来作为初级医疗保健医生的工作做好准备,中位数评分为4.09(95%置信区间3.78 - 4.41)。与住院医师的期望相比,总体教育收获被认为较差,中位数评分为4.71(95%置信区间4.38 - 5.07)。从83名参与者的自由文本回复中可以看出,基于日志技能获取且协调员与住院医师之间有互动的有组织教育计划成为了优先事项。了解全科医生的看法、满意度水平和期望,可能有助于设计改革举措,并全面满足他们在住院医师培训期间的教育需求。来自当地环境的经验可能有助于提供更全面的信息。在快速变化的健康环境中,快速收集和分析新出现的数据似乎是纠正决策和避免以往错误的切实可行方法。

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