Abstract: Objective To evaluate the effect of rural doctors' training for health management service technology in some areas of Shanxi Province and to analyze the influencing factors, so as to provide basis for improving the quality of training program. Methods From May to September 2021, a self-made questionnaire was used to investigate 294 rural doctors who participated in the technical training for health management services targeting at major diseases in Taiyuan and Linfen, Shanxi Province in order to understand their general conditions and training effects. Logistic regression was used to analyze the survey results. Results There were 68.7% (202/294) of rural doctors' training achieved good results. There were 74.3% (130/175) of rural doctors who had obtained the qualification of practicing (assistant) doctors had a good training effect, 73.7% (98/133) of rural doctors who had completed standardized training had a good training effect, and 70.7% (195/276) of rural doctors satisfied with previous training had a good training effect. There were statistically significant differences in response layer dimension [16(16, 19) vs. 12(10,12) ] and outcome layer dimension [12(9, 12) vs. 9 (6,9)] between rural doctors with good and poor training effect (all P<0.05). Logistic multivariate regression analysis showed that those who had joined the qualification training for practicing (assistant) physician (OR=0.461, 95%CI: 0.239～0.888, P < 0.05), those who had completed standardized training (OR=0.545, 95%CI: 0.310～0.956, P<0.05), those who were satisfied with previous training (OR=0.140, 95%CI: 0.045～0.435, P<0.05), and those who scored high in outcome dimension (OR=0.124, 95%CI: 0.020～0.768, P<0.05) showed a better training effect. Conclusions The training effect of health management service technology for rural doctors in some areas of Shanxi Province is satisfactory. Fail of obtaining the qualifications of practicing (assistant) physicians, of completing standardized training, negative attitude to previous training and getting low scores in the response dimension outcome dimensions are all the factors that affect the training effect of rural doctors. The training should be re-organized in a specific and scientific way to meet the needs of rural doctors of different levels, so as to improve the training effect.

Key words: Rural doctors, Health management service technology, Training effect, Influencing factors, Kirkpatrick Model, Analyze