西藏三地区基层医生服务现状与培训需求调查研究

doi:10.3760/cma.j.cn115259-20240408-00363

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (7): 537-541.DOI: 10.3760/cma.j.cn115259-20240408-00363

西藏三地区基层医生服务现状与培训需求调查研究

刘亚林¹, 于德华², 占华剑³, 李进红⁴, 白跳⁵, 邱伟⁶, 付强强², 马乐², 普珍⁷, 王雷钧⁸, 杨森²

¹上海市嘉定区嘉定镇街道社区卫生服务中心全科医学科,上海 201899;
²同济大学附属杨浦医院全科医学科上海市全科医学与社区卫生发展研究中心同济大学医学院全科医学研究中心,上海 200090;
³西藏自治区林芝市波密县人民医院组团援藏办公室,林芝 860000;
⁴上海市杨浦区控江医院院长办公室,上海 200093;
⁵西安市第九医院老年病科,西安 710000;
⁶上海市浦东新区人民医院普外科,上海 200120;
⁷日喀则市拉孜县社区卫生服务中心全科医学科,日喀则 858100;
⁸日喀则市定日县社区卫生服务中心组团援藏办公室,日喀则 858100

收稿日期:2024-04-08 出版日期:2025-07-01 发布日期:2025-07-01
通讯作者: 杨森, Email: ysylq2020@126.com
基金资助:
西藏自治区自然科学基金项目[XZZR202402057(W)];2022年上海市“医苑新星”青年医学人才培养资助计划(沪卫人事〔2023〕62号);上海市卫生健康委员会青年课题(20234Y0057)

Investigation on the service status and training needs of primary care physicians in three regions of Tibet

Liu Yalin¹, Yu Dehua², Zhan Huajian³, Li Jinhong⁴, Bai Tiao⁵, Qiu Wei⁶, Fu Qiangqiang², Ma Le², Pu Zhen⁷, Wang Leijun⁸, Yang Sen²

¹Department of General Practice, Community Health Service Center of Jiading Town in Jiading District, Shanghai 201899, China;
²Department of General Practice, Yangpu Hospital, School of Medicine, Tongji University, Shanghai General Practice and Community Health Development Research Center, Research Center for General Practice, School of Medicine, Tongji University, Shanghai 200090, China;
³Office of Group Support for Tibet, Bomi County People′s Hospital, Linzhi 860000, China;
⁴President′s Office of Kongjiang Hospital, Yangpu District, Shanghai 200093, China;
⁵Department of Geriatrics, Xi′an Ninth Hospital, Xi′an 710000, China;
⁶Department of General Surgery, Shanghai Pudong New Area People′s Hospital, Shanghai 200120, China;
⁷Department of General Medicine, Community Health Service Center of Laze County, Shigatse 858100, China;
⁸Office of Group Support for Tibet, Dingri Community Health Service Center, Shigatse 858100, China

Received:2024-04-08 Online:2025-07-01 Published:2025-07-01
Contact: Yang Sen, Email: ysylq2020@126.com
Supported by:
Natural Science Foundation of Tibet Autonomous Region Project ［XZZR202402057(W)］; 2022 Shanghai ″New Star of Medical Park″ Young Medical Talent Training Funding Program (2023-62); Shanghai Municipal Health Commission Youth Project (20234Y0057)

摘要/Abstract

摘要： 目的调查西藏部分地区基层医生的服务现状和培训需求,提升当地基层医疗服务水平。方法采用分层随机抽样方法,2023年3至6月对西藏自治区日喀则市、林芝市和阿里三地区基层医生进行调研。采用描述性统计分析,评估基层医生的人口学特征、服务实施情况和培训需求情况。结果在服务现状方面,高血压、急性感染和关节疼痛为最常见病种。在基本医疗服务方面主要是血压和呼吸脉搏测量、伤口换药和家庭出诊;公共卫生服务则以健康教育、高血压管理和预防接种最为常见。培训需求分析显示,基层医生强烈要求开展实践技能、新技术和急救知识方面的培训,偏好线下培训模式,如实践演示和面授。此外,在院前急救和传染病知识培训方面,急救培训需求位列前3位的是心肺复苏、外伤处理和急性高原反应的救治;传染病知识培训需求方面主要是肺结核、肝炎和包虫病的防治。结论西藏自治区基层医生在实践技能、医疗知识和急救技能方面存在迫切培训需求,面对面培训和现场操作示范效果最佳。特别需要加强心肺复苏、外伤处理和传染病防治等培训,以提升当地医生的理论与实践能力,进一步提高基层医疗服务水平。

关键词: 教育,医学,继续, 培训需求, 基层医疗, 西藏

Abstract: Objective To investigate the service status and training needs of primary care physicians in some areas of Tibet, with the aim of improving the level of local primary medical services. Methods By stratified random sampling, the primary care physicians in Shigatse, Nyingchi and Ngari districts of Tibet were surveyed from March to June 2023. Descriptive statistical analysis was employed to evaluate the demographic characteristics, service implementation and training needs of primary care physicians. Results In terms of service status, hypertension, acute infection and joint pain were the most common diseases. In terms of basic medical services,blood pressure and respiratory rate measurement,wound dressing change and home visits were the main tasks; public health services mainly included health education, hypertension management, and vaccination. The analysis of training needs showed that primary care physicians had a strong demand for training in practical skills, emerging technologies, and first-aid knowledge, and preferred offline training modes, sush as real-operation demonstrations, and face-to-face teaching. In addition, in terms of pre-hospital first-aid and infectious disease knowledge training, the top three first-aid training demands were cardiopulmonary resuscitation,trauma management and acute altitude sickness treatment. In terms of infectious disease training, the primary areas of need included the prevention and control of tuberculosis, hepatitis, and echinococcosis. Conclusions Primary care physicians in Tibet have urgent training needs in practical skills, medical knowledge and first-aid skills, and face-to-face training and on-site operation demonstration have the most favorable effects. In particular, it is necessary to strengthen training in cardiopulmonary resuscitation, trauma management and prevention and treatment of infectious diseases, thereby strengthening the theoretical and practical abilities of primary care physicians and improving the level of primary healthcare.

Key words: Education, medical, continuing, Training needs, Primary health care, Tibet

中图分类号:

R-05

刘亚林, 于德华, 占华剑, 李进红, 白跳, 邱伟, 付强强, 马乐, 普珍, 王雷钧, 杨森. 西藏三地区基层医生服务现状与培训需求调查研究[J]. 中华医学教育杂志, 2025, 45(7): 537-541.

Liu Yalin, Yu Dehua, Zhan Huajian, Li Jinhong, Bai Tiao, Qiu Wei, Fu Qiangqiang, Ma Le, Pu Zhen, Wang Leijun, Yang Sen. Investigation on the service status and training needs of primary care physicians in three regions of Tibet[J]. Chinese Journal of Medical Education, 2025, 45(7): 537-541.

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西藏三地区基层医生服务现状与培训需求调查研究

Investigation on the service status and training needs of primary care physicians in three regions of Tibet

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