Evidence-Based Research on Rural Primary Physicians Training Modes in Gansu Province_Chinese Journal of Evidence-Based Medicine

Authors：

LI Hongmin ^1,2 , BAI Zhenggang ¹ , CAO Xiaoyuan ³ , DING Guowu ² , XIE Zhidong ² , WANG Juanhong ⁴ ,  YANG Kehu ¹

1. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou 730000, China;2. School of Public Health, Lanzhou University, Lanzhou 730000, China; 3. Science and Technology Department, Gansu Provincial Bureau of Health, Lanzhou 730000, China; 4. School of Basic Medicine, Lanzhou University, Lanzhou 730000, China;

Corresponding author：

YANG Kehu, Email: yangkh2006@163.com

Keywords：

Primary physician; Training mode; Secondary research; Survey; Interview

DOI：

10.7507/1672-2531.20130083

Video：

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Objective 　To get known the existing problems in rural primary physicians training in Gansu province, so as to explore an appropriate training mode for Gansu province.
Methods 　This study conducted a comprehensive analysis by combining literature analysis, on-site survey and interview. Such databases as CNKI, VIP and CBM were searched to include literature published before November 2011, and the references of the included literature were also retrieved. The qualitative analysis was performed after assessing the methodological quality of the included literature according to self-designed criteria. Additionally, the rural primary hospitals in Gansu province were classified according to their geographical position and economic development level, total 10 township hospitals were randomly selected by cluster sampling, and the following stuffs participated various trainings in past 3 years were on-site-investigated: clinical doctors, nurses, medical technicians, and medical administrators, in aspects of training time, place, contents, modes, and effects.
Results 　The existing problems in primary physicians training modes in Gansu were as follows: uneven training levels, lack of targeted contents, neglect of skill training and process management, and absence of quality assessment of training processes and effects.
Conclusion 　The training modes require that: a) specific plans and schemes; b) unified organization to integrate educational resources effectively; c) reasonable arrangement of implementation process, and d) innovation of training methods and contents to fully play the role of general hospitals and universities; and well control and feedback to promote the integration and perfection of training modes.

Citation： LI Hongmin,BAI Zhenggang,CAO Xiaoyuan,DING Guowu,XIE Zhidong,WANG Juanhong,YANG Kehu. Evidence-Based Research on Rural Primary Physicians Training Modes in Gansu Province. Chinese Journal of Evidence-Based Medicine, 2013, 13(4): 489-493. doi: 10.7507/1672-2531.20130083 Copy

1.	袁蓓蓓, 孟庆跃, 贾莉英. 系统综述在卫生政策分析中的应用. 中国卫生政策研究, 2011, 4(8): 11-16.
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4.	余小龙, 李若冰, 邓丽丽, 等. 甘肃省乡村医生现况调查与分析. 中国卫生事业管理, 2011, 6(2): 455-456.
5.	李若冰, 余小龙, 王玉, 等. 关于甘肃省乡村医生培训工作的调查与思考. 社科纵横, 2011, 12(3): 34-36.
6.	陈琦, 梁万年, 孟群. 我国中部地区乡村医生培训现状及存在问题分析. 中国农村卫生事业管理, 2004, 24(1): 21-24.
7.	张美林, 潘先蓉. 我国西部乡村医生培训模式探讨. 四川省卫生管理干部学院学报, 2007, 26(4): 301-303.
8.	任丽平, 王柳行, 金连海, 等. 乡村医生教育现况及培养模式探讨. 社会医学杂志, 2009, 7(22): 4-5.
9.	沈志坤, 钱金方, 叶明泉, 等. 定向农村社区医生培养模式的探索. 社区医学杂志, 2009, 7(1): 1-2.
10.	王新建, 肖楠. 农村基层卫生人员培训模式. 中国卫生人才, 2008, 7(11): 66-67.
11.	尹岭. 建立新型农村医师教育培训模式的探索与实践. 中国医学教育技术, 2008, 22(3): 275-277.
12.	王健生, 叶尔买克, 张明鑫, 等. 单病种协作医疗模式在培养农村全科医生中的作用探讨. 现代医院管理, 2010, 4(5): 21-23.
13.	廖伟华, 李璐琳, 黄军军. 社区卫生服务机构以胜任为基础的在岗医生培训模式研究. 中国全科医学, 2010, 13(19): 2073-2075.
14.	卜保鹏, 黎采青, 顾庆焕, 等. 社区健康管理模式探索. 中国全科医学, 2011, 14(7): 2192.
15.	孙虹, 田勇泉, 曹泽民, 等. 论三位一体的中国乡村和社区医生培训模式. 中国卫生政策研究, 2009, 2(7): 39-42.
16.	高越明, 陈增良, 邹立人, 等. 发展高等医学院校职能培养高素质乡村医生——乡村医生连续统一体培养模式的研究与实践. 中国高等医学教育, 2004, 6(2): 27-30.

1. 袁蓓蓓, 孟庆跃, 贾莉英. 系统综述在卫生政策分析中的应用. 中国卫生政策研究, 2011, 4(8): 11-16.
2. 李若冰, 余小龙, 王玉, 等. 甘肃省乡村医生队伍现况调查分析. 中国社会医学杂志, 2011, 283(12): 208-209.
3. 李若冰, 余小龙, 王玉, 等. 甘肃省乡村医生培训工作的调查与思考. 开发研究, 2011, (2): 158-160.
4. 余小龙, 李若冰, 邓丽丽, 等. 甘肃省乡村医生现况调查与分析. 中国卫生事业管理, 2011, 6(2): 455-456.
5. 李若冰, 余小龙, 王玉, 等. 关于甘肃省乡村医生培训工作的调查与思考. 社科纵横, 2011, 12(3): 34-36.
6. 陈琦, 梁万年, 孟群. 我国中部地区乡村医生培训现状及存在问题分析. 中国农村卫生事业管理, 2004, 24(1): 21-24.
7. 张美林, 潘先蓉. 我国西部乡村医生培训模式探讨. 四川省卫生管理干部学院学报, 2007, 26(4): 301-303.
8. 任丽平, 王柳行, 金连海, 等. 乡村医生教育现况及培养模式探讨. 社会医学杂志, 2009, 7(22): 4-5.
9. 沈志坤, 钱金方, 叶明泉, 等. 定向农村社区医生培养模式的探索. 社区医学杂志, 2009, 7(1): 1-2.
10. 王新建, 肖楠. 农村基层卫生人员培训模式. 中国卫生人才, 2008, 7(11): 66-67.
11. 尹岭. 建立新型农村医师教育培训模式的探索与实践. 中国医学教育技术, 2008, 22(3): 275-277.
12. 王健生, 叶尔买克, 张明鑫, 等. 单病种协作医疗模式在培养农村全科医生中的作用探讨. 现代医院管理, 2010, 4(5): 21-23.
13. 廖伟华, 李璐琳, 黄军军. 社区卫生服务机构以胜任为基础的在岗医生培训模式研究. 中国全科医学, 2010, 13(19): 2073-2075.
14. 卜保鹏, 黎采青, 顾庆焕, 等. 社区健康管理模式探索. 中国全科医学, 2011, 14(7): 2192.
15. 孙虹, 田勇泉, 曹泽民, 等. 论三位一体的中国乡村和社区医生培训模式. 中国卫生政策研究, 2009, 2(7): 39-42.
16. 高越明, 陈增良, 邹立人, 等. 发展高等医学院校职能培养高素质乡村医生——乡村医生连续统一体培养模式的研究与实践. 中国高等医学教育, 2004, 6(2): 27-30.

Chinese Journal of Evidence-Based Medicine

Evidence-Based Research on Rural Primary Physicians Training Modes in Gansu Province

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