目的 探讨全国中医药经典能力等级考试(简称考试)满意度影响因素及其相互之间的关系,为考试改革与中医药人才培养提供参考与建议。方法 本研究采用问卷调查法,于2022年8月,对全国40所医学院校参加考试的3 369名学生进行问卷调查,内容包括对考试4个维度(知识、实践、价值观、考核)和满意度共19个条目的评价。并对调查结果进行描述性统计分析和结构方程模型构建。结果 学生对考试知识维度评分为(15.66±3.64)分,实践维度评分为(15.69±3.63)分,价值观维度评分为(20.61±4.45)分,考核维度评分为(11.25±2.50)分,满意度评分为(11.99±2.57)分(满分15分)。学生对实践、价值观、考核维度与满意度评分呈正相关(β=0.353、0.432、0.190,均P＜0.001);学生对实践与价值观、考核维度评分呈正相关(β=0.470、0.732,P＜0.001);学生对考核与价值观维度评分呈正相关(β=0.420,P＜0.001);学生对知识与实践维度评分呈正相关(β=0.979,P＜0.001)。结论 学生对考试满意度较高。学生对实践和考核维度评价越高,对于考试的满意度越高。建议分阶段培养学生的能力,并持续完善全国中医药经典能力等级考试建设,提升考试质量。

Objective To explore the influencing factors of the satisfaction of the national traditional Chinese medicine (TCM) classics proficiency level examination and the internal relationships among them, so as to inform the examination reform and the training of TCM practitioners. Methods In this study, the questionnaire method was used and a self-designed questionnaire with 19 entries in 4 dimensions (knowledge, practice, values, appraisal) and satisfaction was used. The questionnaire was administered to 3 369 students who took the examination in 40 medical schools across the country in august 2022, and the results were analyzed with descriptive statistics and structural equation modeling. Results Students scored (15.66±3.64) points for students' knowledge dimension, (15.69±3.63) points for practice dimension, (20.61±4.45) points for value dimension, and (11.25±2.50) points for appraisal dimension. The satisfaction score was (11.99±2.57). The score of practice, value and appraisal dimension had positive effects on satisfaction score (β=0.353, 0.432, 0.190, P<0.001). The score of practice dimension had positive effects on the value dimension and test paper quality dimension (β=0.470, 0.732, P<0.001). “appraisal” dimension score had positive effects on students' value dimension scores (β=0.420, P<0.001). The score of students' knowledge dimension had a positive effect on the score of practice dimension (β=0.979, P<0.001). Conclusions Students have high satisfaction with exams. The stronger the students' practical ability and the higher their evaluation of the examination, the higher their satisfaction with the examination. It is recommended to cultivate students' ability in stages and continuously improve the construction of the national traditional Chinese medicine classics proficiency level examination to enhance the quality of the examination.