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.
Liao Kang
,
Feng Mei
,
Wang Xiaoxu
,
Wei Rongrong
,
Bai Xueting
,
LI Liqi
. The effect of rural doctors' training for technology applied in health management and influencing factors[J]. Chinese Journal of Medical Education, 2022
, 42(8)
: 748
-752
.
DOI: 10.3760/cma.j.cn115259-20211214-01527
[1] Zhou M, Wang H, Zhu J, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013[J]. Lancet, 2016,387(10015):251-272. DOI: 10.1016/S0140-6736(15)00551-6.
[2] 丁海峰, 罗娟. 不同职业人群的居民慢性病患病状况及影响因素分析[J].中国医疗管理科学,2019,9(6):59-63. DOI: 10.3969/j.issn.2095-7432.2019.06.013.
[3] 李艳伟, 刘娜, 崔巍, 等. 慢病管理教学模式在全科住培中的应用研究[J].中国继续医学教育,2021,13(14):80-84. DOI: 10.3969/j.issn.1674-9308.2021.14.022.
[4] 胡翠波. 农村地区慢性病流行现状及控制管理对策分析[J].中国社区医师,2020,36(1):168-169. DOI: 10.3969/j.issn.1007-614x.2020.01.102.
[5] 徐婷, 刘兰秋, 李进. 基层治理视角下乡村医生疫情防控职责的实证研究[J].中国全科医学,2022,25(11):1387-1392.
[6] 米术斌, 王经纬, 马超, 等. 河北省乡村医生公共卫生服务情况及影响因素[J].中国公共卫生,2019,35(6):689-692. DOI: 10.11847/zgggws1118159.
[7] 郭志旺,张振斌. 河北省乡村医生培训需求及培训效果分析[J]. 中国农村卫生事业管理,2022,42(5):338-342,346. DOI:10.19955/j.cnki.1005-5916.2022.05.006.
[8] 李从阳. 基于柯氏模型的医务人员培训评估体系设计[J].经济师,2013(6):225-226.
[9] 高峻, 许春娟, 祝红梅, 等. 柯氏评估模型与清单化结合的护士核心能力培养评价体系应用效果研究[J].护理研究,2022,36(6):1016-1021. DOI: 10.12102/j.issn.1009-6493.2022.06.013.
[10] Smidt A, Balandin S, Sigafoos J, et al. The Kirkpatrick model: a useful tool for evaluating training outcomes[J]. J Intellect Dev Disabil, 2009,34(3):266-274. DOI: 10.1080/13668250903093125.
[11] 赵盼盼, 王屹亭, 林振平, 等. 农村家庭医生签约服务质量评价量表的编制和信效度检验[J].中国全科医学,2021,24(7):812-817. DOI: 10.12114/j.issn.1007-9572.2021.00.122.
[12] 李洁, 杨丽, 刘霞, 等. 护士卫生应急素养测评量表的编制及信效度检验[J].护理学杂志,2022,37(9):57-61.
[13] 廖康, 王娜萌, 冯玫, 等. 乡村医生健康管理服务技术培训评价量表的编制与信效度检验[J].中国全科医学,2022,25(7):882-887. DOI: 10.12114/j.issn.1007-9572.2022.00.003.
[14] 孙欣然, 万和平. 基于基层常见病诊疗知识在线培训的全科医生继续教育培训开展现状及建议研究[J].中国全科医学,2021,24(7):875-880,885. DOI: 10.12114/j.issn.1007-9572.2021.00.023.
[15] 程进, 谢瑞瑾, 魏锁, 等. 安徽省乡村医生继续教育现状研究[J].赣南医学院学报,2021,41(4):349-353,358. DOI: 10.3969/j.issn.1001-5779.2021.04.005.
[16] 王滢, 杨练, 李胜, 等. 四川省乡村医生培训效果影响因素研究[J].重庆医学,2015(19):2709-2711,2712. DOI: 10.3969/j.issn.1671-8348.2015.19.047.
[17] 吴堃. 基于执业医师法的乡村医生执业现状分析[J].黑龙江省政法管理干部学院学报,2018(5):18-20.
[18] 朱丽丽, 尹文强, 唐梦琦, 等. 基于结构方程的乡村医生在岗培训行为意向模型研究[J].中国卫生统计,2016,33(4):628-630.