中华全科医学2024,Vol.22Issue(1) :135-139.DOI:10.16766/j.cnki.issn.1674-4152.003349

基于医联体的基层全科医生中医适宜技术培训与实践效果分析

Analysis of training and practical effectiveness of traditional Chinese medicine(TCM)appropriate technology for primary general practitioners within a medical consortium

刘建材 郑涵尹 潘卉 叶灵兰 李传芬
中华全科医学2024,Vol.22Issue(1) :135-139.DOI:10.16766/j.cnki.issn.1674-4152.003349

基于医联体的基层全科医生中医适宜技术培训与实践效果分析

Analysis of training and practical effectiveness of traditional Chinese medicine(TCM)appropriate technology for primary general practitioners within a medical consortium

刘建材 1郑涵尹 1潘卉 1叶灵兰 1李传芬1
扫码查看

作者信息

  • 1. 自贡市中医医院治未病中心,四川 自贡 643000
  • 折叠

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.

Abstract

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 remai-ning 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 Kirk-patrick's four-level model,including reaction,learning,behavior and results.ResultsIn the reaction layer,the obser-vation 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)com-pared to the control group(30.63±9.98),showing a significant difference(t=2.024,P=0.045).Finally,in the re-sults 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 con-sortium 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 ra-diation benefits.

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

Key words

Primary general practitioner/Technology training/Medical consortium/Traditional Chinese medicine appro-priate technology/Kirkpatrick model

引用本文复制引用

基金项目

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(医科院自有基金引导类)(2021ZCYKY07)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
被引量1
参考文献量20
段落导航相关论文