目的 调查基层医务人员对医疗帮扶的认知情况及继续医学教育需求,为深入开展医疗帮扶提供借鉴。方法 2022年8月,通过在微信群发放调查问卷的方法,收集粤桂地区基层医务人员对医疗帮扶的认知情况和继续医学教育需求。采用χ²检验或Mann-Whitney U 检验对数据进行统计分析。结果 调查对象中,医疗帮扶的派出医院人员为151人,受帮扶医院人员为930人。与派出医院人员相比,更高比例的受帮扶医院人员认为医疗帮扶在医疗技术、人才培养、教学传帮带3个方面的帮助很大[636人(68.4%)比75人(49.7%)、551人(59.2%)比59人(39.1%)、545人(58.6%)比51人(33.8%)],其差异均具有统计学意义(均P<0.001)。对于“临床水平一般”的派出医院医生,派出医院和受帮扶医院人员分别有109人(72.2%)和750人(80.6%)认为其应在“教学指导”方面发挥作用,分别有58人(38.4%)和184人(19.8%)认为“不该派出”此类医生参与医疗帮扶,其差异均具有统计学意义(均P<0.05)。588名工龄>10年的受帮扶医院人员中,有505人(85.9%)对“知识/技能培训”有培训需求,而342名工龄≤10年的人员中有273人(79.8%)有相应需求,其差异具有统计学意义(P<0.05)。结论 派出医院与受帮扶医院人员对医疗帮扶的认知存在差异,不同工龄的受帮扶医院人员其继续医学教育需求存在差异。应当努力增强派出医院人员对继续医学教育的重视程度,针对基层医务人员的教育需求积极开展医学理论知识和技能培训,以进一步提高医疗帮扶的效果。   

Objective This study aims to investigate the awareness of and continuing medical education (CME) needs among primary medical staff involved in medical assistance programs. The findings offer valuable insights for enhancing medical assistance initiatives. Methods Starting from August 2022, we distributed a questionnaire within WeChat groups to collect data on the awareness and requirements of CME among medical staff in the Guangxi and Guangdong regions. The collected data was subjected to statistical analysis using the χ² test or Mann-Whitney U test. Results The survey included 151 respondents from dispatched hospitals and 930 from assisted hospitals participating in the medical assistance program. Significantly higher proportions of individuals from assisted hospitals, compared to those from dispatched hospitals, believed that the medical assistance programs had a substantial impact on medical technology, talent development, and educational mentorship [636(68.4%) vs. 75(49.7%), 551(59.2%) vs. 59(39.1%), and 545(58.6%) vs. 51(33.8%), respectively, all P<0.001]. Regarding the participation of doctors with moderate clinical skills from dispatched hospitals in medical assistance, 109(72.2%) from dispatched hospitals and 750(80.6%) from assisted hospitals believed they should contribute to ″medical education″ (P< 0.05), while 58 (38.4%) from dispatched hospitals and 184(19.8%) from assisted hospitals believed that such doctors ″should not be deployed″ for medical assistance (P<0.05). Among the 588 staff members in assisted hospitals with more than 10 years of service, 505(85.9%) expressed a need for ″knowledge/skills training,″ compared to 273(79.8%) among the 342 staff members with 10 or fewer years of service (P< 0.05). Conclusions There are differences in the cognitions of medical assistance between dispatched hospitals staff and assisted hospitals staff, and there are also differences in CME needs of assisted hospital staff with different lengths of service. Efforts should be made to increase the emphasis placed on CME by the dispatched hospitals staff, and to actively carry out medical theoretical knowledge and skill training based on the educational needs of grassroots medical staff, in order to further improve the effectiveness of medical assistance.