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| 农村全科医生胜任力素质模型的理论构建与实证研究 | |
| 引用本文： | 杨秀木,齐玉龙,申正付,韩布新,孟贝.农村全科医生胜任力素质模型的理论构建与实证研究[J].南方医科大学学报,2015,35(4):516-521. |
| 作者姓名： | 杨秀木 齐玉龙 申正付 韩布新 孟贝 |
| 作者单位： | 1. 安徽省高校人文社科重点研究基地//蚌埠医学院全科医学教育发展研究中心; 蚌埠医学院护理学系，安徽 蚌埠 233030 2. 安徽省高校人文社科重点研究基地//蚌埠医学院全科医学教育发展研究中心 3. 安徽省高校人文社科重点研究基地//蚌埠医学院全科医学教育发展研究中心; 蚌埠医学院思政部，安徽 蚌埠 233030 4. 中国科学院心理研究所健康与遗传心理学研究室,北京,100101 5. 蚌埠医学院护理学系,安徽 蚌埠,233030 |
| 基金项目： | 教育部人文社会科学研究规划基金(12YJAZH111);安徽省教育厅人文社会科学研究重点项目(SK2013A111&SK2013A112);安徽省科技厅软科学重点研究项目(1402052051);教育部大学生创新创业实践项目(201310367010) |
| 摘 要： | 目的理论建构和实证研究农村全科医生胜任力素质模型。方法通过文献研究、岗位分析、访谈和专家小组讨论，编制农 村全科医生胜任力素质问卷，对中部六省1400名农村全科医生进行问卷调查。采用主成分法进行探索性因素分析提取公因 素，并进行结构方程模型验证。采用回归方程分析胜任力特质对工作绩效的影响。结果问卷的Cronbach’s α系数为0.975，农 村全科医生胜任力模型包含9项胜任特征，分别为基本公共卫生服务能力、临床基本能力、系统分析能力、信息管理能力、沟通与 合作能力、职业道德能力、非医学专业知识、个人特质、心理适应性，对总方差的累积解释率为76.855%。模型拟合指数分别为： x2/df 为1.88，GFI=0.94，NFI=0.96，NNFI=0.98，PNFI=0.91，RMSEA=0.068，CFI=0.97，IFI=0.97，RFI=0.96，模型拟合较理想。回 归分析表明，胜任力素质特征对工作绩效有显著影响。结论构建的农村全科医生胜任力模型可以为乡村医生转岗培训、农村 订单定向医学生培养、农村全科医生绩效管理等提供参考依据。 |
| 关 键 词： | 农村全科医生 胜任力素质模型 探索性因子分析 结构方程模型 |
A competency model of rural general practitioners:theory construction and empirical study |
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| YANG Xiumu , QI Yulong , SHNE Zhengfu , HAN Buxin , MENG Bei.A competency model of rural general practitioners:theory construction and empirical study[J].Journal of Southern Medical University,2015,35(4):516-521. | |
| Authors: | YANG Xiumu QI Yulong SHNE Zhengfu HAN Buxin MENG Bei |
| Institution: | YANG Xiumu;QI Yulong;SHNE Zhengfu;HAN Buxin;MENG Bei;Key Research Base of Humanities and Social Science in Anhui Universities/Research Center for General Practice Education Development of Bengbu Medical College, Bengbu Medical College;Department of Nursing Science,Bengbu Medical College;Key Research Base of Humanities and Social Science in Anhui Universities/Research Center for General Practice Education Development of Bengbu Medical College,Bengbu Medical College;Department of Ideology and Politics, Bengbu Medical College;Department of Health and Genetic Psychology, Institute of Psychology, Chinese Academy of Sciences; |
| Abstract: | Objective To perform theory construction and empirical study of the competency model of rural general practitioners. Methods Through literature study, job analysis, interviews, and expert team discussion, the questionnaire of rural general practitioners competency was constructed. A total of 1458 rural general practitioners were surveyed by the questionnaire in 6 central provinces. The common factors were constructed using the principal component method of exploratory factor analysis and confirmatory factor analysis. The influence of the competency characteristics on the working performance was analyzed using regression equation analysis. Results The Cronbach ’s alpha coefficient of the questionnaire was 0.974. The model consisted of 9 dimensions and 59 items. The 9 competency dimensions included basic public health service ability, basic clinical skills, system analysis capability, information management capability, communication and cooperation ability, occupational moral ability, non-medical professional knowledge, personal traits and psychological adaptability. The rate of explained cumulative total variance was 76.855%. The model fitting index were X2/df 1.88, GFI=0.94, NFI=0.96, NNFI=0.98, PNFI=0.91, RMSEA=0.068, CFI=0.97, IFI=0.97, RFI=0.96, suggesting good model fitting. Regression analysis showed that the competency characteristics had a significant effect on job performance. Conclusion The rural general practitioners competency model provides reference for rural doctor training, rural order directional cultivation of medical students, and competency performance management of the rural general practitioners. |
| Keywords: | rural general practitioners competency model exploratory factor analysis structural equation model |
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