Object:
Through in-depth interviews and questionnaires, this thesis aims to understand whether there is a difference between the current training orientation of general practice master candidates (hereinafter referred to as general practice master candidates) and the practical needs of medical services in Shihezi, and further analyzes the deficiencies and solutions in the training of general practice master candidates, so as to provide help for better training of general practice master candidates who meet the new trends and requirements of today's medical and health development.
Methods:
Taking residents with experience in community health service centers (stations) in Shihezi City, grassroots medical workers in the community, and teachers from Shihezi University who participate in the teaching of general professional master's degree as research objects, semi-structured interviews were conducted to transcribe the interview recordings and import them into Nvivo 11 for analysis. The results were used as the basis for designing a questionnaire, and methods such as questionnaire surveys were used to investigate the needs/orientations of general professional master's degree training. The data in the questionnaire was imported into SPSS 20 software for statistical analysis, and conclusions were drawn.
Results:
A total of 30 questionnaires were distributed to participating general practice teachers in this survey, and 30 valid questionnaires were recovered, with an effective recovery rate of 100%; 30 questionnaires were distributed to community grassroots medical workers, and the effective recovery rate was 100%; 222 questionnaires were distributed to residents with community health service centers (stations) in Shihezi, and 202 valid questionnaires were recovered, with an effective recovery rate of 90.9%.
(1) The final survey focused on the "seven abilities" of doctor-patient communication and cooperation ability, education and learning ability, basic medical service ability, public health service ability, scientific research ability, comprehensive management ability of community work and professional quality. Among them, the basic medical service ability, public health service ability and professional quality are the necessary abilities for general practitioners. In terms of doctor-patient communication and cooperation ability (accounting for 100%, accounting for 100%), education and learning ability (accounting for 96.67%, accounting for 100%), scientific research ability (accounting for 80%, accounting for 90%), and comprehensive management ability of community work (accounting for 100%, accounting for 100%), the community grass-roots medical workers' demand for general practitioners' ability and the general practitioners' training orientation for general practitioners' ability are basically the same.
(2) In Shihezi City, 47.52% of community residents need TCM diagnosis and treatment, 90% of community grassroots medical workers and 36.67% of general medical teachers believe that general practitioners should have TCM health management ability, 46.67% of community grassroots medical workers and 3.33% of general medical teachers believe that general practitioners should master acupuncture and massage skills, that is, there may be differences between the college training of general practitioners and the actual needs of primary medical services in terms of the cultivation of TCM diagnosis and treatment ability.
(3) In Shihezi City, community grass-roots medical workers pay more attention to the ability of field data collection and analysis of general practitioners (63.33%), scientific literature search ability and organization and coordination ability (56.67%), while there is less demand for scientific research innovation ability (23.33%) and scientific research project design ability (23.33%). In contrast, general medicine teachers not only pay attention to the scientific literature reading ability and scientific literature search ability of general practitioners (accounting for 100%), but also the ability to find and discover scientific problems (accounting for 86.67%) and scientific research project design ability (accounting for 66.67%), but they pay less attention to the on-site data collection and analysis ability (accounting for 60%) than community grassroots medical workers, suggesting that community grassroots medical workers pay more attention to the scientific research practice ability and scientific research application ability of general practitioners.
(4) With regard to the comprehensive management of community work and the ability to integrate regional medical resources of general practitioners, community grassroots medical workers pay more attention to the communication and coordination ability among team members (accounting for 93.33%) and community work planning ability (accounting for 90%); General medicine teachers paid more attention to the ability to use office software (accounting for 100%), while the community work planning ability (accounting for 76.67%) paid less attention. Moreover, community primary health care workers (accounting for 53.33%) and general practice teachers (accounting for 53.33%) paid little attention to the regional medical resource integration ability of general practitioners.
Conclusion:
(1) At present, in Shihezi City, with regard to the "seven abilities" of general practitioners and postgraduates, the training orientation of colleges and universities is basically consistent with the medical service needs of community grass-roots medical workers and community residents.
(2) In order to implement the national "healthy China 2030" plan and cultivate interdisciplinary general practitioners in the new era, at least in Shihezi City, we should strengthen and improve the cultivation of general practitioners' TCM diagnosis and treatment ability, community work planning ability and regional medical resource integration ability.
(3) General practitioners are practical and applied talents. In the cultivation of scientific research ability, general practitioners' teachers should pay more attention to the cultivation of their scientific research practice and application ability.
谷歌
火狐
