临床医师胜任力评价指标体系的构建

摘要

目的：构建临床医师胜任力评价指标体系，为客观评价上海市三级甲等综合性医院临床医师胜任力提供界定工具。方法：采用目的抽样的方法选取上海市6所三级甲等综合性医院从事临床工作10年以上，具有高级职称的临床医疗专家16名作为函询对象，应用德尔菲法对临床医师胜任力评价指标进行2轮函询。结果：专家对每个指标的权威系数最高为0.91，最低为0.68，3个维度的协调系数分别为0.58、0.25、0.30，P均小于0.001，构建了上海市三级甲等综合性医院临床医师胜任力评价指标包括认知、技能、个性态度及价值观3个一级指标（其权重分别为0.34、0.41和0.25），10个二级指标和54个三级指标。结论：专家的积极性、权威程度及专家意见的集中程度均较高；临床医师评价指标应既体现临床医师的知识及技能，又要体现临床医师的个性态度及价值观，职业素养等理念。%Objective:To construct the competency evaluation system of physicians in tertiary general hospitals in Shanghai.Methods:A Delphi method was used. Sixteen specialists with the professional titles of supervisor physicians or higher and over ten years of clinical experience were consulted in two rounds from six tertiary general hospitals in Shanghai.Results:The specialists were quite active while the Cr of specialists was from 0.68 to 0.91 and the coefficients of coordination were 0.58,0.25 and 0.30(P<0.001),respectively. The competency evaluation indictors for the physicians in tertiary general hospitals in Shanghai consisted of three first-level indictors:cognitive ability, technical ability,attitude and value(the weight was 0.34,0.41 and 0.25),10 second-level indictors and 54 third-level indictors.Conclusion:The specialists’ activity,authority and concentration of their opinions are quite high. The competency evaluation system of physicians in tertiary general hospitals in Shanghai should reflect cognitive ability, technical ability as well as attitude and value.