西藏日喀则地区基层医疗机构全科医生培训需求分析

doi:10.3760/cma.j.cn115259-20220617-00795

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (5): 381-385.DOI: 10.3760/cma.j.cn115259-20220617-00795

西藏日喀则地区基层医疗机构全科医生培训需求分析

杨森¹, 王俊鹏², 张含之¹, 葛许华¹, 马乐¹, 加参³, 洛桑仁增⁴, 石建军¹, 于德华⁵

¹同济大学附属杨浦医院全科医学科同济大学医学院全科医学研究中心,上海 200090;
²同济大学附属杨浦医院门诊部,上海 200090;
³日喀则市拉孜县人民医院医教科,日喀则 858100;
⁴日喀则市拉孜县人民医院院长办公室,日喀则 858100;
⁵上海市全科医学与社区卫生发展研究中心,上海 200090

收稿日期:2022-06-17 出版日期:2023-05-01 发布日期:2023-05-05
通讯作者: 于德华, Email: shgprc@yeah.net
基金资助:
上海市青年科技英才扬帆计划(20YF1444900);上海市领军人才(YDH-20170627);2021年同济大学附属杨浦医院院级课题(Se1201924);2021年同济大学研究生医学教育管理专项项目(2021YXGL14)

Analysis of training needs of general practitioners in primary care facilities in Shigatse, Tibet

Yang Sen¹, Wang Junpeng², Zhang Hanzhi¹, Ge Xuhua¹, Ma Le¹, Jia Can³, Luosangrenzeng⁴, Shi Jianjun¹, Yu Dehua⁵

¹Department of General Practice & Research Center for General Practice, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China;
²Department of Outpatient, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China;
³Department of Medical Education, Lazi County People's Hospital, Xigatse 858100, China;
⁴Hospital President's office, Lazi County People's Hospital, Xigatse 858100, China;
⁵Shanghai General Practice and Community Health Development Research Center, Shanghai 200090,China

Received:2022-06-17 Online:2023-05-01 Published:2023-05-05
Contact: Yu Dehua, Email: shgprc@yeah.net
Supported by:
Shanghai Sailing Program (20YF1444900); Shanghai Leading Talents (YDH-20170627); 2021 Hospital-level Project of Yangpu Hospital, Tongji University (Se1201924); 2021 Tongji University Postgraduate Medical Education Management Special Project (2021YXGL14)

摘要/Abstract

摘要： 目的调查西藏日喀则地区基层医疗机构全科医生培训的需求情况。方法 2022年3至6月,对西藏自治区日喀则市204家基层医疗机构进行网上调研,内容包括基本信息、临床技能培训需求以及社区慢病管理技能培训需求等8个类别。采用χ²检验分析不同特征全科医生的培训需求差异。结果回收的275份有效问卷中,分别有195人(70.9%)、186人(67.6%)、216人(78.6%)对“清创、缝合、骨折固定等操作”“全科临床诊疗思维”“高血压慢病管理”有较高培训需求。不同工作年限全科医生的“穿刺、导尿、留置胃管等培训需求”差异有统计学意义(小于5年103人,5年及以上62人,P=0.001),不同学历医生的中(藏)医中(藏)药技术培训需求差异有统计学意义(本科以下25人,本科及以上138人,P=0.046),而不同执业类别全科医生的慢性肾脏病管理等需求差异有统计学意义(执业医师108人,执业助理医师31人,P=0.001)。结论西藏日喀则地区基层全科医生培训需求较大且不同特征医生的需求各异,应结合高原地区特点和医生工作年限、学历、执业类别因素,开展有针对性的培训。

关键词: 医师,家庭, 西藏自治区, 基层医疗机构, 培训需求

Abstract: Objective To investigate the needs for general practitioner (GP) training in primary care institutions in Shigatse, Tibet. Methods From March to June 2022, an online survey was conducted in 204 primary care institutions in Shigatse, Tibet Autonomous Region, covering eight categories, including basic information, clinical skills training needs, and community chronic disease management skills training needs and so on. The χ² test was used to analyze the differences in training needs of GPs with different characteristics. Results Among the 275 valid questionnaires collected, 195 (70.9%), 186 (67.6%) and 216 (78.6%) had higher training needs for ″debridement, suturing, fracture fixation, etc.″ , ″clinical thought in general practice″ and ″hypertension management″. There were statistically significant differences in training needs for puncture, catheterization, and indwelling gastric tube among GPs with different working years (103 GPs with less than 5 years, 62 GPs with 5 years and above, P=0.001), and statistically significant differences in training needs for Chinese (Tibetan) medicine (TCM) techniques among GPs with different education levels (25 less than bachelor's degree, 138 bachelor's degree and above, P=0.046).And the difference in needs such as chronic kidney disease management among GPs in different practice categories was statistically significant (108 practicing physicians and 31 practicing assistant physicians, P=0.001). Conclusions In the Shigatse prefecture of Tibet, GPs have extensive and diverse training demands due to a variety of factors. A targeted training program should be implemented in accordance with the features of the plateau region and the GPs' practice categories, working years, and educational background.

Key words: General practitioners, Tibet autonomous region, Primary care facilities, Training needs

中图分类号:

R-05

杨森, 王俊鹏, 张含之, 葛许华, 马乐, 加参, 洛桑仁增, 石建军, 于德华. 西藏日喀则地区基层医疗机构全科医生培训需求分析[J]. 中华医学教育杂志, 2023, 43(5): 381-385.

Yang Sen, Wang Junpeng, Zhang Hanzhi, Ge Xuhua, Ma Le, Jia Can, Luosangrenzeng, Shi Jianjun, Yu Dehua. Analysis of training needs of general practitioners in primary care facilities in Shigatse, Tibet[J]. Chinese Journal of Medical Education, 2023, 43(5): 381-385.

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西藏日喀则地区基层医疗机构全科医生培训需求分析

Analysis of training needs of general practitioners in primary care facilities in Shigatse, Tibet

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