我国全科医生继续医学教育政策执行的制约因素及优化路径研究

吴爽; 席彪

doi:10.16766/j.cnki.issn.1674-4152.003275

我国全科医生继续医学教育政策执行的制约因素及优化路径研究

doi: 10.16766/j.cnki.issn.1674-4152.003275

吴爽¹,
席彪^{1, 2, ,}

1.
河北医科大学公共卫生学院，河北石家庄 050017
2.
河北省环境与人群健康重点实验室，河北石家庄 050017

基金项目:

河北省高等学校人文社会科学研究项目 SD201013

河北省高等学校人文社会科学重点研究基地“华北理工大学卫生健康政策与管理研究中心”项目 WG202303

详细信息

通讯作者:
席彪，E-mail: 13931984969@163.com

中图分类号: R192.3 R499
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- 文章访问数: 223
- HTML全文浏览量: 64
- PDF下载量: 34
- 被引次数: 0
出版历程
- 收稿日期: 2023-08-07
- 网络出版日期: 2024-01-29

The restrictive factors and optimization of continuing medical education policy for general practitioners in China

WU Shuang¹,
XI Biao^{1, 2
, ,}

1.
School of Public Health, Hebei Medical University, Shijiazhuang, Hebei 050017, China

摘要

摘要: 继续医学教育是医学教育体系的重要组成部分，全科医生继续医学教育对提升全科医生岗位胜任力、提高基层医疗服务水平发挥着日益重要的作用。当前我国全科医生继续教育处于探索完善阶段，全科医生继续医学教育仍面临诸多问题，其中执行难和执行效果存在偏差是深入推进全科医生继续医学教育的制约因素。本研究在了解全科医生继续医学教育政策发展历程和推行现状的基础上，以史密斯模型的理论框架为指导，从政策本身、政策执行机构、政策目标群体及政策执行环境多角度对全科医生继续医学教育政策执行困境予以分析。研究发现，我国全科医生继续医学教育政策系统性不足、政策方案与需求脱节；执行机构间协同管理不畅，执行过程监督考核缺乏，全科师资的数量质量不足；全科医生的培训需求存在差异，参与积极性不足以及各地区经济差异、居民认可度低和全科医生职业认同感不高的经济、社会政策环境等方面均为阻滞政策执行的重要因素。基于此，建议从完善政策框架设计、明确执行机构职责和加强执行能力、提升目标群体参与认同感与积极性、优化全科继续医学教育政策的执行环境等主要方面着手突破继续医学教育政策执行的制约因素，探索我国全科医生继续医学教育可持续发展的优化路径。
- 全科医生继续医学教育 /
- 政策执行 /
- 史密斯模型
Abstract: Postgraduate medical education is an important part of the medical education system, and it plays an increasingly important role in enhancing the postgraduate competence of general practitioners (GP) and improving the level of grassroots medical services. At present, GP training in China is in the stage of exploration and improvement, and GP training still faces many problems. Among them, the difficulty of implementation and the discrepancy in the effectiveness of implementation are the limiting factors for the further promoting of GP training. Based on the understanding of the development process and implementation status of continuing medical education the GP training policy, this study takes the theoretical framework of Smith ' s policy implementation model as a guide to analyze the difficulties in implementing the GP training policy from multiple perspectives: the policy itself, the policy implementing agencies, the policy target groups, and policy implementation environment. Research has found that the policy of continuing medical education for general practitioners in China is not systematic enough, and the policy plan is disconnected from the needs; Poor collaborative management among executing agencies, lack of supervision and assessment during the implementation process, and insufficient quantity and quality of general faculty; There are differences in the training needs of general practitioners, insufficient participation enthusiasm, regional economic differences, low resident recognition, and low professional identity of general practitioners in terms of economic and social policy environment, which are important factors hindering policy implementation. Based on this, it is suggested that the main aspects to break through the Restrictive factors for the implementation of China ' s continuing medical education policy include improving the design of policy frameworks, clarifying the responsibilities of implementing agencies and strengthening the implementation capabilities, enhancing the enthusiasm of target groups to participate, and perfecting the implementation environment of the policy on continuing medical education in general practice. This will explore the optimization path for the sustainable development of continuing medical education for general practitioners in China.
- Continuing medical education for general practitioners /
- Policy implementation /
- Smith policy implementation model

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图 1 史密斯模型

Figure 1. Smith policy implementation model

下载: 全尺寸图片幻灯片

图 2 全科医生继续医学教育政策执行的优化路径

Figure 2. Pathway optimization for implementing the continuing medical education policy for general practitioners

下载: 全尺寸图片幻灯片

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