重庆市住院医师规范化培训现状调查及影响因素分析
发布时间：2018-07-17 20:40
【摘要】：目的:通过问卷调查了解重庆市住院医师规范化培训实施现状,分析其影响因素。为卫生行政管理部门制定具体的规培政策和促进重庆市住院医师规范化培训的同质化发展提供参考依据。方法:1、文献分析法:大量阅读与本课题相关的研究资料及文献,对本课题的研究背景和现实意义有了充分认识,了解住院医师规范化培训的相关概念、观点、理论及研究热点,为本研究提供借鉴。2、小组讨论法\专家访谈法:在课题进行过程中,根据遇到的问题,组织重庆市卫生行政部门科教处的领导及邀请部分重庆市各临床专业专科委员会专家进行小组讨论、深度访谈,从管理者角度了解重庆市住院医师规范化培训在实施过程中遇到的问题及相应的处理办法。3、问卷调查法:采用分层随机抽样的方法对重庆市住院医师规范化培训学员、科教主任及基地秘书等分别进行问卷调查,了解其对住院医师规范化培训的态度和现状。4、统计分析法:利用EXCELL表对问卷数据进行整理和录入,利用SPSS17.0软件对数据进行描述统计、方差分析、logistic回归分析等,以p值≤0.05为差异有统计学意义。结果:1、本次共发放学员学员问卷300份,其中有效问卷286份,问卷有效率98.6%。基地及其管理队伍问卷50份,收回46份,问卷收回率92%,其中有效问卷42份,问卷有效率84%。2、学员的人口学因素对规培政策制度的认知和效果评价差异有统计学意义(p≤0.05),且多数学员赞成规培制度,认为规培是利大于弊的,通过规培帮助他们巩固了理论知识,提升了实践能力和医患沟通水平,并期望基地导师能提升自身的教学水平及对规培的责任心等,大致一半的学员认为规培总体是满意的(51.79%)。3、在学员“环境”信息中,多数学员表示参加规培有一定压力或较大压力,而原因主要在于收入太低导致的经济压力(78.26%)、个人婚恋生育计划难以实施(48.52%)、难以适应高负荷的工作等(39.73%)。4、学员所在基地对规培工作实施现状差异有统计学意义(p≤0.05),大多数医院对规培工作很重视(88.10%),并制定了规培质量控制措施(76.19%),对规培实行导师制(71.42%),为学员配备了统一宿舍(83.33%),但是大多数医院对导师每年培训次数在1—2次(70.73%),多数医院的学员中途退学比例在0-1%之间(52.5%),且大多数学员中途退学是因为编制内就业,而医院基地近年招生情况逐年递增的有16家(40%)。5、重庆市近3年结业考试合格率波动大,规培结业考试合格率与执医考试合格率、能否按计划轮转、是否开展三基训练、出科考核组织情况等指标差异具有统计学意义(P≤0.05)。对策与建议:1.加强思想引导,制定个性化的培训方案。2.关注学员经济压力,完善薪酬待遇实施细则。3.加强人才培养,强化师资队伍建设。4.搭建多方互动平台,学习先进地区经验。5.专人专职,切实落实规培责任制。6.加强科室管理,缓解规培学员工学矛盾。
[Abstract]:Objective: to investigate the status of standardized training of resident doctors in Chongqing and analyze its influencing factors. It provides a reference for health administrative departments to formulate specific policies and promote the homogeneous development of standardized training for resident doctors in Chongqing. Methods: 1. Literature analysis: read a lot of research materials and documents related to this subject, have a full understanding of the research background and practical significance of this subject, understand the relevant concepts, viewpoints, theories and research hot spots of standardized training of resident doctors. To provide reference for this study. 2, group discussion methods / expert interviews: in the course of the project, according to the problems encountered, To organize the leadership of the Science and Education Department of the Chongqing Municipal Health Administration and to invite some experts of the specialized clinical committees of Chongqing to conduct group discussions and in-depth interviews, From the perspective of managers, the problems encountered in the implementation of standardized resident training in Chongqing and the corresponding treatment methods .3. questionnaire survey method: stratified random sampling method of Chongqing resident standardized training students, The director of science and education and the secretary of the base carried on the questionnaire investigation separately, understood its attitude and the present situation to the resident doctor standardized training .4. the statistical analysis method: use the excel table to organize and input the questionnaire data, uses the SPSS 17.0 software to carry on the description statistics to the data, The variance analysis and logistic regression analysis showed that p 鈮，
本文编号：2130871
[Abstract]:Objective: to investigate the status of standardized training of resident doctors in Chongqing and analyze its influencing factors. It provides a reference for health administrative departments to formulate specific policies and promote the homogeneous development of standardized training for resident doctors in Chongqing. Methods: 1. Literature analysis: read a lot of research materials and documents related to this subject, have a full understanding of the research background and practical significance of this subject, understand the relevant concepts, viewpoints, theories and research hot spots of standardized training of resident doctors. To provide reference for this study. 2, group discussion methods / expert interviews: in the course of the project, according to the problems encountered, To organize the leadership of the Science and Education Department of the Chongqing Municipal Health Administration and to invite some experts of the specialized clinical committees of Chongqing to conduct group discussions and in-depth interviews, From the perspective of managers, the problems encountered in the implementation of standardized resident training in Chongqing and the corresponding treatment methods .3. questionnaire survey method: stratified random sampling method of Chongqing resident standardized training students, The director of science and education and the secretary of the base carried on the questionnaire investigation separately, understood its attitude and the present situation to the resident doctor standardized training .4. the statistical analysis method: use the excel table to organize and input the questionnaire data, uses the SPSS 17.0 software to carry on the description statistics to the data, The variance analysis and logistic regression analysis showed that p 鈮，
本文编号：2130871
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