摘要
目的 探讨基于医联体的基层全科医生技能培训模式,并进行效果评价。方法 选取2019—2021年参加自贡市中医适宜技术培训的108名基层全科医生为研究对象,其中沿滩区自贡市中医医院医联体成员单位的51名学员为观察组,非医联体成员单位的57名学员为对照组。观察组采用医联体模式,对照组采用培训班模式。1年后,采用柯氏模型从反应层、学习层、行为层、结果层4个层面评价培训效果。结果 在反应层方面,对照组总分为(37.51±3.42)分,观察组为(40.71±3.79)分,观察组高于对照组(t=4.609,P<0.001)。在学习层方面,对照组总分为(67.11±10.28)分,观察组为(72.67±11.69)分,观察组高于对照组(t=2.631,P=0.010)。在行为层方面,对照组总分为(30.63±9.98)分,观察组为(34.16±7.85)分,观察组高于对照组(t=2.024,P=0.045)。在结果层方面,对照组总分为(32.33±4.39)分,观察组为(36.16±8.24)分,观察组高于对照组(t=2.960,P=0.004)。结论 基于医联体的技能培训可以提升基层全科医生中医适宜技术水平,促进其学习和医疗行为,并且具有良好的个人效益、组织效益和辐射效益。
Objective To explore and evaluate the effectiveness of the primary general practitioner technology training model based on a medical consortium.Methods Totally 108 general practitioners from primary hospitals in Zigong were enrolled for traditional Chinese medicine(TCM)training.Among them,51 students from the medical consortium of Zigong Traditional Chinese Medicine Hospital in Yantan District were selected as the observation group,while the remaining 57 students were selected as the control group.The observation group followed the medical consortium model,while the control group followed the traditional training class model.After one year,the evaluation was conducted using Kirkpatrick's four-level model,including reaction,learning,behavior and results.Results In the reaction layer,the observation group demonstrated a higher total score(40.71±3.79)compared to the control group(37.51±3.42),indicating a significant difference(t=4.609,P<0.001).In the learning layer,the observation group also achieved a higher total score(72.67±11.69)compared to the control group(67.11±10.28),which was statistically significant(t=2.631,P=0.010).Similarly,in the behavior layer,the observation group obtained a higher total score(34.16±7.85)compared to the control group(30.63±9.98),showing a significant difference(t=2.024,P=0.045).Finally,in the results layer,the observation group had a higher total score(36.16±8.24)compared to the control group(32.33±4.39),which was statistically significant(t=2.960,P=0.004).Conclusion The technology training based on a medical consortium has been shown to improve the proficiency of traditional Chinese medicine among primary general practitioners,fostering their learning and medical practices.This training approach offers significant individual,organizational,and radiation benefits.
作者
刘建材
郑涵尹
潘卉
叶灵兰
李传芬
LIU Jiancai;ZHENG Hanyin;PAN Hui;YE Linglan;LI Chuanfen(Preventive Treatment Center,Traditional Chinese Medical Hospital of Zigong,Zigong,Sichuan 643000,China)
出处
《中华全科医学》
2024年第1期135-139,共5页
Chinese Journal of General Practice
基金
四川省中医药管理局科研专项课题(2021MS562)
自贡市重点科技计划项目(医科院自有基金引导类,2021ZCYKY07)。
关键词
基层全科医生
技能培训
医联体
中医适宜技术
柯氏模型
Primary general practitioner
Technology training
Medical consortium
Traditional Chinese medicine appropriate technology
Kirkpatrick model
