Department of General Practice , Zhongshan Hospital of Fudan University, Shanghai, China.
Public Health school, Fudan University, Shanghai, China.
BMC Med Educ. 2022 Mar 23;22(1):201. doi: 10.1186/s12909-022-03227-8.
The aim of the study was to investigate the work competence of general practitioners (GPs) in the community health services (CHSs) of Shanghai, China.
A questionnaire was designed based on a previous capacity evaluation indicator system. We used a stratified and proportional cluster sampling method in this self-assessment and cross-sectional study. We collected data with the questionnaire on GPs' demographic variables and work competence including patient care ability, teaching ability, communication skill and coordination ability. Univariate analyses were performed by Mann-Whitney U test and Kolmogorov-Smirnov test. Multivariate analyses were done with generalized liner model with significant univariate factors.
A total of 2954 GPs were sampled from 116 CHSs in Shanghai. The response rate was 99.9%. The median scores of patient care ability, teaching ability, communication skill and coordination ability were 80[70-88.75], 76[60-80] and 80[70-85] on a scale of 100, respectively. GPs who were 30-39 years old, or worked in urban CHSs, or took GP trainer's training or had teaching experience got higher scores in patient care ability. GPs who worked for 5-19 years in CHSs, or worked in CHSs with GP training program or took GP trainer's training had higher scores in teaching ability. For communication skill and coordination ability, GPs who worked in CHSs with GP standardized training program, or took GP trainer's training or had teaching experience in CHSs got higher scores.
The work competence of GPs in CHSs of Shanghai could mainly cover daily work, but still needed more improvement in teaching ability.
本研究旨在调查中国上海市社区卫生服务中心（CHS）全科医生（GP）的工作能力。
本研究采用分层和比例聚类抽样方法，基于先前的能力评估指标体系设计了一份问卷，对 GP 的人口统计学变量和工作能力（包括患者护理能力、教学能力、沟通技巧和协调能力）进行自我评估和横断面研究。采用 Mann-Whitney U 检验和 Kolmogorov-Smirnov 检验进行单因素分析，采用广义线性模型进行多因素分析。
共从上海市 116 家 CHS 中抽取 2954 名 GP 进行调查，应答率为 99.9%。患者护理能力、教学能力、沟通技巧和协调能力的中位数评分分别为 80[70-88.75]、76[60-80]和 80[70-85]（满分 100）。年龄为 30-39 岁、工作于城镇 CHS、参加过 GP 培训师培训或有教学经验的 GP 患者护理能力评分较高；工作于 CHS 5-19 年、有 GP 培训项目或参加过 GP 培训师培训的 GP 教学能力评分较高；工作于有 GP 标准化培训项目或参加过 GP 培训师培训或有教学经验的 CHS 的 GP 沟通技巧和协调能力评分较高。
上海市 CHS 中 GP 的工作能力基本能满足日常工作需求，但教学能力仍需进一步提高。
