CAJ | 학술논문

目的：了解湖北省全科医生对全科医学知识技能的掌握情况及培训需求，为该省制定合理有效的全科医生培训项目提供依据。方法采用分层随机抽样方法选取湖北省不同层级的全科医生90名为调查对象。采用德尔菲专家咨询法设计《全科医生培训需求调查表》，进行问卷调查。问卷主要内容包括：全科医生的基本信息、全科医学相关的理论与技能掌握情况、培训需求情况。共发放问卷90份，回收86份，合格84份，有效回收率为93.3%。结果84名全科医生中，男54人（占64.3%），大专及以上学历77人（占91.7%），中初级职称78人（占92.9%）。基本理论及技能掌握率较高的是院前急救基本知识、心肺复苏技术、病史采集和病例书写技能，分别为45.2%（38/84）、52.4%（44/84）、57.1%（48/84）。未掌握率较高的是以个人为中心的整体服务方法、儿童听力视力异常的筛查技术、社区精神疾病患者的管理，分别为16.7%（14/84）、44.0%（37/84）、27.4%（23/84）。培训需求率高的是常见急症的处理原则、急性心脑血管病知识、休克，分别为63.1%（53/84）、61.9%（52/84）、58.3%（49/84）。结论全科医生对突发性疾病和常见性疾病的掌握情况较好，培训需求也较高，而预防、保健、康复和健康管理等全科服务掌握率较低。应培养全科医生的全科医学意识，制定有针对性的培训内容与规划，培养满足基层医疗服务的全科医生队伍。
목적：료해호북성전과의생대전과의학지식기능적장악정황급배훈수구，위해성제정합리유효적전과의생배훈항목제공의거。방법채용분층수궤추양방법선취호북성불동층급적전과의생90명위조사대상。채용덕이비전가자순법설계《전과의생배훈수구조사표》，진행문권조사。문권주요내용포괄：전과의생적기본신식、전과의학상관적이론여기능장악정황、배훈수구정황。공발방문권90빈，회수86빈，합격84빈，유효회수솔위93.3%。결과84명전과의생중，남54인（점64.3%），대전급이상학력77인（점91.7%），중초급직칭78인（점92.9%）。기본이론급기능장악솔교고적시원전급구기본지식、심폐복소기술、병사채집화병례서사기능，분별위45.2%（38/84）、52.4%（44/84）、57.1%（48/84）。미장악솔교고적시이개인위중심적정체복무방법、인동은력시력이상적사사기술、사구정신질병환자적관리，분별위16.7%（14/84）、44.0%（37/84）、27.4%（23/84）。배훈수구솔고적시상견급증적처리원칙、급성심뇌혈관병지식、휴극，분별위63.1%（53/84）、61.9%（52/84）、58.3%（49/84）。결론전과의생대돌발성질병화상견성질병적장악정황교호，배훈수구야교고，이예방、보건、강복화건강관리등전과복무장악솔교저。응배양전과의생적전과의학의식，제정유침대성적배훈내용여규화，배양만족기층의료복무적전과의생대오。
Objective To investigate the mastery status of and training demands for general practice knowledge of GPs in Hubei Province and to provide references for the establishment of a rational and effective GP training program. Methods A total of 90 GPs were selected from medical settings of different levels in Hubei Province using stratified random sampling method. The " GP Training Demand Questionnaire"designed on the basis of the Delphi method was employed on the subjects. The content of the questionnaire included basic information,the mastery status of theories and skills related with general practice and training demands. A total of 90 questionnaires were sent out and 86 were recovered,among which 84 were qualified with an effective recovery rate of 93. 3%. Results Among the 84 subjects,54(64. 3%)were male,77(91. 7%)had associate degree or above,78(92. 9%)had primary or medium professional title. The mastery rates of the basic knowledge and skills of pre-hospital first aid, cardio pulmonary resuscitation, medical history collection, and medical record writing were 45. 2%(38/84),52. 4%(44/84)and 57. 1%(48/84) respectively,higher than the rest. The no mastery rates of individual -centered overall service method,children's hearing and vision abnormality screening technique and community mental patients management were 16. 7%(14/84),44. 0%(37/84)and 27. 4%(23/84),higher than the rest. The demanding rates for the training of the treatment of common emergency,acute cerebrovascular disease and shock were 63. 1%(53/84),61. 9%(52/84)and 58. 3%(49/84)respectively,higher than the rest. Conclusion GPs have a better mastery of emergent and common diseases and have more demand for the relevant training. While the mastery rates of general practice services,such as prevention,health care,rehabilitation and health management are lower. Therefore,it is necessary to promote the awareness of general practice, work out targeted training plans and programs and foster a general practitioner team which could meet the demands for grassroots'primary care.