欠发达地区全科医生岗位胜任力的评价指标研究

Objective To construct an index system to evaluate the post competency of general practitioners and to provide reference for the training, assessment and evaluation of general practitioners in underdeveloped areas. Methods From January to June of 2021,by purposive sampling method18 consultant experts were selected respectively from the following 3 types of personnel:who were familiar with the frontier theory of general medicine,engaged in general medical practice and administrative management,and helped the general practitioners in underdeveloped areas. The methods of literature research, Delphi and analytic hierarchy process were used to evaluation indexes of general practitioners' post competency and to determine the weight of each index in underdeveloped areas.Results The competency index system of general practitioners in underdeveloped areas has been established, which includes 4 first grade indexes, 20 second grade indexes and 44 third grade indexes.The weights of the first grade indexes including medical service capacitypublic health service capacityorganization management and service coordination abilityand Professionalism were 0.35090.10910.1891 and 0.3509 respectively.The top 4 combined weights of the second grade indexes were professional quality, learning and thinking ability, communication and coordination, diagnosis and treatment of common diseases.The top 4 combined weights of the third grade indexes were civilized communication and friendly exchange, humanistic care, clinical appropriate technology, diagnosis and treatment of common diseases.Conclusion This study constructs the evaluation index of general practitioners' post competency in underdeveloped areas, which can provide scientific basis for the continuous quality improvement of general practitioners' post competency evaluation system in underdeveloped areas.