Zhongguo quanke yixue (May 2024)
Construction of Evaluation Index System for Post Competency of Primary Care General Practitioners
Abstract
Background Hierarchical diagnosis and treatment system is crucial for deepening the medical and health system reform and establishing the basic medical and health system with Chinese characteristics. Primary care institutions play an essential role in hierarchical diagnosis and treatment system by assuming the role of "gatekeepers" of residents health. The post competency of general practitioners, who are the core of primary care institutions, significantly influences the service capacity of these institutions. Objective To construct an indicator system for the evaluation of post competency of general practitioners in primary care institutions. Methods From September to December 2022, 13 medical professionals were consulted through two-round Delphi expert consultation method; the hierarchical analysis and entropy method was used to calculate the weights of the indicators. Results The indicator system was optimized and sifted through two rounds of Delphi expert consultation, the evaluation system of primary general practitioners was finally constructed, consisting of 5 primary indicators and 27 secondary indicators. The weights of the indicators at all levels were clarified through the hierarchical analysis combined with the entropy method, in which the basic public health service capacity indicator had the highest weight and was the core indicator. The indicator system was tested for reliability and validity by small samples, and all of them were at an acceptable level. Conclusion An indicator system for evaluation the post competency of general practitioners in primary care institutions was constructed, contributing to the selection and appointment of general practitioners, which will provide an objective reference for the evaluation of post competence of general practitioners in primary care institutions.
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