中华医学教育杂志

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (2): 291-297.DOI: 10.3760/cma.j.issn.1673-677X.2017.02.030

• 住院医师培训 • 上一篇    下一篇

结构方程模型在全科医生规范化培养需求调查中的应用

宋巨忞, 姜润生, 李伟明, 毛一晴, 周梅, 吴林雄, 田波, 张垚   

  1. 650500 昆明医科大学公共卫生学院2014级社会医学与卫生事业管理专业研究生(宋巨忞、毛一晴),健康研究所(姜润生),云南省全科医学培训中心(李伟明),环境卫生与职业医学教研室(周梅),卫生事业管理与卫生经济教研室(吴林雄),2015级社会医学与卫生事业管理专业研究生(田波、张垚)
  • 出版日期:2017-02-01 发布日期:2020-12-09
  • 通讯作者: 姜润生, Email:jrunsheng@sina.cn
  • 基金资助:
    云南省财政厅和云南省卫生计生委共同委托资助课题(6011319)

The structural equation modeling analysis of the intentional needs of trainees in general standardized training

Song Jumin, Jiang Runsheng, Li Weiming, Mao Yiqing, Zhou Mei, Wu Linxiong, Tian Bo, Zhang Yao   

  1. Grade 2014, Master Degree Candidate, Social Medicine and Health Service Management Major, Public Health College, Kunming Medical University, Kunming 650500, China(Song JM, Mao YQ);
    Health Research Institute, Public Health College, Kunming Medical University, Kunming 650500, China(Jiang RS);
    General Practice Training Center of Yunnan Province, Public Health College, Kunming Medical University, Kunming 650500, China(Li WM);
    Department of Environmental Health and Occupational Medicine, Public Health College, Kunming Medical University, Kunming 650500, China(Zhou M);
    Department of Health Service Management and Health Economics, Public Health College, Kunming Medical University, Kunming 650500, China(Wu LX);
    Grade 2015, Master Degree Candidate, Social Medicine and Health Service Management Major, Public Health College, Kunming Medical University, Kunming 650500, China(Tian B, Zhang Y)
  • Online:2017-02-01 Published:2020-12-09
  • Contact: Jiang Runsheng, Email:jrunsheng@sina.cn

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摘要： 目的 通过对受训医生教学质量评价、学习状态、培训满意度和培训需求及调查来了解云南省全科医生规范化培养医生的受训现状,分析影响医生培训需求的因素。方法 采用自填式调查问卷,对云南省6家全科医生规范化培养基地的225名医生进行现场调查。应用结构方程模型研究医生对教学质量的评价、学习状态、培训满意度与培训需求之间的关系。结果 共发放问卷225份,回收有效问卷219份,有效问卷回收率为97.3%。结构方程模型拟合结果较优,医生对教学质量的评价对学习状态具有负向影响(β=-0.360,t=-3.457,P＜0.05),对满意度具有正向影响(β=0.236,t=2.173,P＜0.05),对培训需求具有正向影响(β=0.287,t=2.796,P＜0.05);医生的学习状态对满意度无显著影响(β=-0.055,t=-0.572,P＞0.05),学习的状态对培训需求具有负向影响(β=-0.301,t=-3.384,P＜0.05);满意度对培训需求具有正向影响(β=0.272,t=3.240,P＜0.05)。 结论 医生的培训需求受其对教学质量的评价、学习状态、满意度的影响。医生对教学质量的评价通过影响学习状态或满意度进而影响医生的培训需求,同时,教学质量亦可直接影响医生的培训需求。教学质量的提高有助于缓解学习倦怠,提高医生对培训的满意度;医生的学习状态直接影响医生的培训需求。学习倦怠程度越严重,医生的培训需求越受抑制;医生对培训的满意度直接影响医生的培训需求。在提高满意度的同时,也会引发出更高的培训需求。

关键词: 全科医生规范化培养, 医生, 培训需求, 结构方程模型

Abstract: Objective To explore the situation of trainees in Yunnan general standardized training through teaching quality, learning state, satisfactory and intentional needs. Then study the influence factors of their intentional needs.Methods A questionnaire survey and group interview were been took to collect data. We collected a cluster sampling of 6 general practitioners clinical training bases with a total of 225 trainees, the structural equation model was used for statistical analysis.Results Of the 225 questionnaires delivered, 219 (97.30%) returned ones were valid. The results of the model fitting goes well. The teaching quality is apparently negatively influencing the learning state (β=-0.360,t=-3.457,P<0.05) but has a noticeably positive influence on the satisfaction (β=0.236,t=2.173,P<0.05) as well as the intentional needs (β=0.287,t=2.796,P<0.05). The learning state obviously indicates a negative influence on the intentional needs (β=-0.301,t=-3.384,P<0.05) while the satisfaction leaves a positive influence on the intentional needs (β=0.272,t=3.240,P<0.05).Conclusions The intentional needs of trainees are interlinked with teaching quality,learning state and satisfaction. Improving teaching quality could facilitate the ease of learning burnout as well as the increase in trainees' satisfaction with training. But if the learning burnout gets severer,the intentional needs in the training would turn to be more constrained. Thus,the intentional needs of students in training could be enhanced. During elevating the satisfaction level,a higher intention of participation would be ignited.

Key words: General practitioners standardized training, Trainees, Intentional needs, Structural equation model