目的 构建北京市专科学历乡村医生岗位核心能力指标体系。方法 采用德尔菲法,于2021年9至11月通过邮件向专家发放2轮咨询表,应用专家权威系数、积极系数和协调系数进行评价。结果 2轮咨询的专家权威系数均为0.819;专家积极系数均为100.0%;评价指标重要性和可行性的专家协调系数分别为0.31和0.37(均P＜0.001)。构建的指标体系包括3项一级指标、8项二级指标、34项三级指标。结论 专家的积极程度和权威程度较高,专家意见协调性较好,本研究构建的北京市专科学历乡村医生岗位核心能力指标体系结果可信。
Objective To construct the core competence index system for rural doctors at the college level in Beijing. Methods The Delphi method was used to distribute two rounds of consultation forms to experts by email from September to November 2021, the authoritative coefficient, positive coefficient and coordinate coefficient were applied for evaluation. Results The authority coefficient of experts in the two rounds of consultation were both 0.819;the positive coefficient were both 100.0%. The expert coordination coefficients of the importance and feasibility of the evaluation indexes were 0.31 and 0.37 (all P＜0.001),respectively. The indicator system included 3 first-level indicators, 8 second-level indicators and 34 third-level indicators. Consultations Experts have a high degree of enthusiasm and authority. The opinions of experts are in good coordination and the results of the core competence system for rural doctors at college level in Beijing constructed in this study are reliable.
[1] 王丹, 张冀东, 孙贵香, 等. 我国乡村医生发展现状及思考[J].中国农村卫生事业管理,2022,42(3):190-194. DOI: 10.19955/j.cnki.1005-5916.2022.03.008.
[2] 孙小爱, 李丽花, 陈杰, 等. 新时代贫困地区乡村医生培训中存在的问题与对策——“U-G-C”合作视域下的乡村医生培训[J].卫生职业教育,2019,37(19):151-154.
[3] 张莹莹, 张军, 王佳慧, 等. 我国乡村医生现状及培训需求分析[J].卫生职业教育,2019,37(14):148-150.
[4] 聂静, 邵爽, 张超, 等. 北京市乡村医生队伍现状及培养与发展的思考[J].中华医学教育杂志,2022,42(3):197-201. DOI: 10.3760/cma.j.cn115259-20210930-01226.
[5] Hamel G, Prahalad CK. Corporate imagination and expeditionary marketing[J]. Harv Bus Rev, 1991,69(4):81-92.
[6] Wang T. Exploring the mode of entrepreneurship education based on the legal-business compound competency in China[J]. Front Psychol, 2019,10:1055. DOI: 10.3389/fpsyg.2019.01055.
[7] 高山砚, 张相苏, 常青, 等. 辽宁省乡村医生核心能力调查[J].山西医药杂志,2015,44(20):2343-2346.
[8] Niederberger M, Köberich S. Coming to consensus: the Delphi technique[J]. Eur J Cardiovasc Nurs, 2021,20(7):692-695. DOI: 10.1093/eurjcn/zvab059.
[9] 廖琦, 桂金艳. Delphi法在护理专业中的应用进展[J].护理研究,2015(3):269-271. DOI: 10.3969/j.issn.10096493.2015.03.005.
[10] 屈京楼, 朱亚鑫, 曲波. 德尔菲法在医学教育研究中的应用[J].中华医学教育杂志,2019,39(3):227-230. DOI: 10.3760/cma.j.issn.1673-677X.2019.03.017.
[11] 赵金萍, 刘云章, 薛涛, 等. 乡村医生职业精神教育培训初探[J].中国医学伦理学,2017,30(6):750-752. DOI: 10.12026/j.issn.1001-8565.2017.06.20.
[12] 杜望春, 秦建晔, 秦啸龙, 等. 高职临床医学专业毕业生职后培训需求及基层乡医现况调查[J].中国高等医学教育,2018(5):19-20. DOI: 10.3969/j.issn.1002-1701.2018.05.008.
