目的 构建全科军医岗位胜任力指标体系,明晰基层军医培养方向,实现精准化人才评价。方法 整合文献分析、组内研讨和专家论证意见构建指标框架,采用德尔菲法对18名专家进行2轮咨询,引入层次分析法形成判断矩阵,计算各级指标重要性的权重值,形成评价指标体系。结果 2轮咨询问卷回收率均为100.0%,专家权威系数为0.875,第二轮专家意见协调系数为0.400(P＜0.05),确立含6个一级指标和27个二级指标的全科军医岗位胜任力指标体系。一级指标权重排序为职业素养(0.363)、知识能力(0.260)、救治能力(0.175)、军政素养(0.076)、沟通拓展(0.076)、终身发展(0.050)。结论 研究形成的岗位胜任力指标体系兼具科学性与实用性,明确了全科军医“6大核心胜任力”培养目标,为创新军医培养机制、优化卫勤人才评估体系提供理论支撑,有望推动基层卫勤服务能力升级与可持续发展。
Objective To construct general practice military doctors′ competency evaluation indicator system, clarify the training objectives for grass-roots general practice military doctors under the new situation and facilitate accurate evaluation of their competencies. Methods The evaluation index framework was initially established by literature review, expert consultation and group discussion. The Delphi method was used to determine the index system by two rounds of correspondence to 18 experts. Then combined with Analytic Hierarchy Process to form the judgment matrix, calculate the weight values of the importance of indicators at all levels, and form the evaluation indicators system. Results The recovery rates of questionnaires in both rounds of consultation were 100.0%. The expert authority coefficient was 0.875, and the coordination coefficient of expert opinions in the second round reached 0.400 (P<0.05), leading to the establishment of an evaluation indicator system of general practice military doctors′ competency. This system comprises 6 first-level indicators and 27 second-level indicators. The weight ranking of first-level indicators is as follows: occupational qualities (0.363), knowledge ability (0.260), rescue ability (0.175), military and political literacy (0.076), communication expansion (0.076), and lifelong development (0.050). Conclusions The evaluation indicator system determined by the Delphi method and Analytic Hierarchy Process is scientifically reliable. It clarifies the training objectives of the ″six core competencies″ of general practice military doctors. It is of great significance for establishing and improving the training, education, and evaluation system of general medical doctors guided by job competencies in the military, ensuring the sustainable and high-quality growth of grass-roots military doctors, and promoting the high-quality development of grass-roots health care in the military.
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