安哥拉全科与家庭医学专业培训：一项横断面研究。
Training in the speciality of General and Family Medicine in Angola: A cross-sectional study.
作者信息
Da Silva Fernandes Clara T L, Da Mata Ferreira Isabel N, Dos Santos Manuel F D, Santos Paulo
机构信息
Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto.
出版信息
Afr J Prim Health Care Fam Med. 2025 Jun 20;17(1):e1-e8. doi: 10.4102/phcfm.v17i1.4812.
BACKGROUND
Primary healthcare plays a crucial role in health system, acting as the first line of assistance in preventing, treating and caring for diseases. In Angola, primary healthcare is a recent and developing reality.
AIM
To evaluate the strengths and weaknesses of the Angolan General and Family Medicine speciality training programme, identifying areas for improvement and promotion of medical education quality.
SETTING
Primary healthcare doctors in Angola, including General and Family Medicine specialists and residents in training.
METHODS
A cross-sectional study was conducted from April 2024 to June 2024 using an online structured questionnaire. The survey was distributed via email and messaging platforms to all primary care doctors practising in Angola. Participants were asked about their opinions regarding the education process and training conditions. Two open-ended questions complemented the data collection.
RESULTS
A total of 584 doctors responded (61.1% females), with a mean age of 40.6 years. The most positively evaluated dimensions were faculty and mentoring, supervision, resident guidance, and programme evaluation. Conversely, the quality of infrastructure and access to educational resources were identified as major weaknesses in the training process.
CONCLUSION
Despite limitations in teaching materials and infrastructure, the overall perception of General and Family Medicine training in Angola is positive. There is a recognised opportunity to expand and strengthen the programme nationally.Contribution: These findings reflect the perspectives of primary care doctors in Angola and provide valuable insights for policymakers and medical institutions to reinforce a speciality essential to national health system development and population health outcomes.
背景
初级医疗保健在卫生系统中发挥着关键作用，是疾病预防、治疗和护理的第一道防线。在安哥拉，初级医疗保健是一个新兴且不断发展的领域。
目的
评估安哥拉全科与家庭医学专业培训项目的优势与不足，确定改进领域并提升医学教育质量。
背景
安哥拉的初级医疗保健医生，包括全科与家庭医学专家以及正在接受培训的住院医师。
方法
于2024年4月至2024年6月开展一项横断面研究，使用在线结构化问卷。通过电子邮件和信息平台向所有在安哥拉执业的初级保健医生发放调查问卷。询问参与者对教育过程和培训条件的看法。两个开放式问题补充了数据收集。
结果
共有584名医生回复（61.1%为女性），平均年龄40.6岁。评价最为积极的方面是师资与指导、监督、住院医师指导以及项目评估。相反，基础设施质量和获取教育资源的机会被确定为培训过程中的主要不足。
结论
尽管教材和基础设施存在局限性，但安哥拉对全科与家庭医学培训的总体看法是积极的。在全国范围内扩大和加强该项目存在公认的机会。贡献：这些发现反映了安哥拉初级保健医生的观点，为政策制定者和医疗机构提供了宝贵见解，以加强对国家卫生系统发展和人群健康结果至关重要的一个专业。
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