云南省全科医生转岗培训远程教育效果研究

摘要

目的：探讨云南省全科医生转岗培训远程教育的效果。方法于2015年5月，采用分层随机整群抽样法，抽取云南省昆明市、玉溪市、普洱市、昭通市、红河州、临沧市6个州市参加2015年云南省全科医生转岗培训的学员作为调查对象。采用自行设计的《云南省全科医生转岗培训远程教育质量评价调查问卷》对学员进行现场调查。问卷内容包括：学员的基本情况、学员对远程教学效果的整体评价及学员对远程教学管理工作的整体评价。共发放问卷300份，回收有效问卷292份，有效回收率为97.3%。结果68.8%（201/292）的学员认为远程培训整体效果好或很好；不同工作单位、文化程度、职称的学员对远程培训效果的整体评价间差异均无统计学意义（ P ﹥0.05）。其中95.2%（278/292）的学员认为理论知识有提高或很大提高，89.7%（262/292）的学员认为临床实践技能有提高或很大提高；不同工作单位的学员对理论知识、临床实践技能的评价间差异均有统计学意义（P ﹤0.05）。学员对全科医疗的临床思维的好评率为95.5%（279/292），而对基层常见心理和精神问题、社区急危重症的识别及处理要点的好评率均为91.8%（268/292）。92.8%（271/292）的学员对远程教学管理整体工作满意或很满意；不同工作单位、文化程度、职称的学员对远程教学管理工作的整体评价间差异均无统计学意义（P ﹥0.05）。结论云南省全科医生转岗培训的远程教育效果较好，但仍需严格学员选拔标准、按需培训、完善网络平台、加强过程管理。%Objective To investigate the effect of distance training on job - tranfer for general practitioners(GPs)in Yunnan Province. Methods In May 2015,the trainees who attended the training on job - tranfer for GPs in Yunnan Province in 2015 from 6 cities and prefectures of Yunnan Province,Kunming,Yuxi,Puer,Zhaotong,Honghe and Lincang were selected as the participants of this study by using the stratified random cluster sampling method. A self - developed Quality Evaluation Questionnaire for Distance Training on Job - tranfer for GPs in Yunnan Province was used to investigate the trainees on the spot, which included the aspects of genera data of the trainee,overall evaluation of the quality and management of distance training on job - tranfer for GPs. A total of 300 questionnaires were issued and 292 valid ones were returned with a response rate of 97. 3% . Results There were 68. 8% (201 / 292)of the trainees who thought the overall effect of the distance training was good or very good. Work unit,degree of education,professional and technical title did not cause the significant difference in the overall evaluation of the effect of distance training between the trainees(P ﹥ 0. 05). Of the trainees,95. 2% (278 / 292)thought that their theoretical knowledge had been improved to a certain extent or greatly,89. 7% (262 / 292) believed that their clinical skills had been improved to a certain extent or substantially. The differences in terms of evaluation of the effect of distance training on theoretical knowledge and clinical skills demonstrated statistical significance between trainees from different work units(P ﹤0. 05). The favorable rate of the effect of distance training on clinical thought,the common psychological and mental problems, and identification and management of acute critical illnesses in communities was 95. 5% (279 / 292),91. 8% (268 / 292), 91. 8% (268 / 292),respectively. There were 92. 8% (271 / 292) of the trainees who were very satisfied or satisfied with the overall management effect of distance training. Work unit,degree of education,professional and technical title did not cause the significant difference in the evaluation of the overall management effect of distance training between the trainees( P ﹥ 0. 05). Conclusion Generally speaking,the distance training on job - tranfer for GPs carried out in Yunnan Province has achieved good effect. However,the selection criteria of trainees need to be stricter,the training should be demand - oriented,the network platform of training needs further improvement and the management of training should be strengthened.