Wei Yun, An Yanhua, Cao Qiumei, Feng Wei, Wang Dawei, Zhu Dan
Department of General Practice, Beijing Tongren Hospital CMU, Beijing, China.
Department of General Practice, Beijing Tongren Hospital CMU, Beijing, China
BMJ Open. 2025 Mar 4;15(3):e082736. doi: 10.1136/bmjopen-2023-082736.
At present, the competency of general practitioners (GPs) in tertiary hospitals has not been reported, and there is no suitable competency evaluation tool. This study was conducted to develop a professional competency framework for GPs in tertiary hospitals.
A modified Delphi method was adopted in the study.
Considering the expert authority, a wide range of sources, expert qualification and willingness, 20 eligible experts were invited and 19 experts agreed to participate in this study.
19 experts (the median age of the experts was 51 (49, 57) years and 84.2% were women) participated in both two rounds of Delphi survey. From the literature review, 4 primary indicators, 14 secondary indicators and 48 tertiary indicators were identified. In the first round, all indicators achieved consensus except for the secondary indicator '3.3 Data processing', which did not achieve 70.0% agreement in both of importance (63.2% agreement) and feasibility (63.2% agreement). After the first round of the Delphi survey, the description of 7 secondary indicators and 11 tertiary indicators was modified. Two secondary indicators and two tertiary indicators were merged, respectively. One secondary indicator was deleted due to not achieving consensus level, and seven new tertiary indicators were suggested to be added by more than two experts. After the second round of the Delphi survey, all three levels of indicators achieved consensus in terms of importance and feasibility. Finally, the professional competency framework for GPs in tertiary hospitals in China was constructed including 4 primary indicators, 12 secondary indicators and 54 tertiary indicators.
The professional competency framework for GPs in tertiary hospitals in China was successfully constructed in this study with good scientific soundness and rationality. It is expected to be used in medical education, general practice research, quality improvement and more broadly within the healthcare system to reflect the competency of GPs in tertiary hospital.
目前，三级医院全科医生的胜任力尚未见报道，且尚无合适的胜任力评估工具。本研究旨在构建三级医院全科医生的专业胜任力框架。
本研究采用改良德尔菲法。
综合考虑专家权威性、来源广泛度、专家资质及意愿，邀请了20名符合条件的专家，19名专家同意参与本研究。
19名专家（专家中位年龄为51（49，57）岁，84.2%为女性）参与了两轮德尔菲调查。通过文献回顾，确定了4个一级指标、14个二级指标和48个三级指标。第一轮中，除二级指标“3.3数据处理”外，所有指标均达成共识，该二级指标在重要性（63.2%达成一致）和可行性（63.2%达成一致）方面均未达到70.0%的一致率。第一轮德尔菲调查后，对7个二级指标和11个三级指标的描述进行了修改。分别合并了2个二级指标和2个三级指标。因未达成共识水平删除了1个二级指标，超过两名专家建议增加7个新的三级指标。第二轮德尔菲调查后，所有三个层次的指标在重要性和可行性方面均达成共识。最终，构建了我国三级医院全科医生的专业胜任力框架，包括4个一级指标、12个二级指标和54个三级指标。
本研究成功构建了我国三级医院全科医生的专业胜任力框架，具有良好的科学性和合理性。预计可用于医学教育、全科医学研究、质量改进以及更广泛的医疗体系中，以反映三级医院全科医生的胜任力。
