基于岗位胜任力的家庭医生综合能力考评办法开发研究

背景　随着家庭医生岗位越来越受到全科医生的青睐，部分社区卫生服务中心已经采用竞聘上岗的形式选拔优秀的家庭医生。对于社区卫生服务中心的管理者来说，如何科学地评价竞聘者的综合能力以达到知人善任，是目前亟需解决的问题。目的　明确家庭医生综合能力各评价指标的测量方法和计分办法，为家庭医生岗位竞聘提供依据。方法　基于前述构建的“家庭医生岗位胜任力指标体系”，2019年1-5月，通过文献回顾和专题小组会议的方法，利用SMART原则，建立家庭医生综合能力考评办法。结果　家庭医生岗位胜任力指标体系中的63个三级指标对应100个测量指标。根据赋分结果，家庭医生综合能力考评表总分为1 000分。其中，一级指标赋分情况为：基本医疗服务能力（308分）、公共卫生服务能力（86分）、人文执业能力（113分）、人际交往能力（163分）、教育学习能力（153分）及综合管理能力（177分）。结论　本研究构建的家庭医生综合能力考评办法（包括测量方法和计分办法）具有一定的科学性和实用性，提示家庭医生能力培养应着重基本医疗服务能力、综合管理能力及人际交往能力。该考评办法可应用于社区家庭医生岗位竞聘。

Development of a Comprehensive Ability Assessment Method for Family Doctors Based on Post Competency

Background　As the position of family doctors is increasingly favored by general practitioners，some community health service centers have adopted the method of job competition to select outstanding family doctors. Therefore，for managers of community health service centers，how to scientifically evaluate the comprehensive capacity of competitors to appoint the suitable talents is an urgent issue to be solved. Objective　To clarify the measurement methods and scoring methods for the assessment indicators of family doctors' comprehensive capacity，so that to provide evidence for family doctors' job competition in community. Methods　On the basis of the Family Doctors' Competency Indicator System，a comprehensive assessment method for family doctors was established using the SMART principle from January to May in 2019 through the literature review and focus group meeting. Results　The 63 third-level indicators in the Family Doctors' Competency Indicator System had 100 corresponding measurement indicators. According to the results of the assignment，the family doctors' comprehensive ability assessment scale had a total score of 1 000 points. Among them，the first-level indicators were divided into indicators of basic medical service ability（308 points），public health service ability（86 points），humanism practice ability（113 points），interpersonal skills（163 points），education and learning ability（153 points） and comprehensive management ability（177 points）. Conclusion　The assessment method for comprehensive ability of family doctors（including measurement methods and scoring methods） constructed in this study has certain scientific and practical significance. It is suggested that training of family doctors' ability should focus on basic medical service ability，comprehensive management ability and interpersonal skills. The assessment method can be applied to the job competition of community family doctors.