›› 2013, Vol. 33 ›› Issue (4): 497-.doi: 10.3969/j.issn.1674-8115.2013.04.025

• 论著(卫生事业管理) • 上一篇    下一篇

医疗联合体内继续医学教育共享平台的建立

谢 冰1, 林 婧1, 蒋 莹2, 马 捷1, 邵 洁2, 杨伟国3   

  1. 上海交通大学医学院附属瑞金医院 1. 对外合作发展部, 2.临床医学院, 3.党委办公室, 上海 200025
  • 出版日期:2013-04-28 发布日期:2013-05-03
  • 通讯作者: 杨伟国, 电子信箱: yang917917@126.com。
  • 作者简介:谢 冰(1976—), 男, 博士, 副教授, 硕士生导师; 电子信箱: bingxie1@gmail.com。

Establishment of shared platform of continuing medical education in multihospital system

XIE Bing1, LIN Jing1, JIANG Ying2, MA Jie1, SHAO Jie2, YANG Wei-guo3   

  1. 1.Department of Public Relation and Hospital Development, 2.School of Clinical Medicine, 3.Secretariat of Party Committee, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2013-04-28 Published:2013-05-03

摘要:

目的 在医疗联合体内建立继续医学教育共享平台以整合区域医学教育资源。方法 通过总结瑞金-卢湾医疗联合体继续教育共享平台建设的经验以及在文献研究和专家讨论的基础上,初步拟定医疗联合体内继续医学教育共享平台的组成框架,列出了7项一级指标(包括教学目标、对象、时长、师资、内容、管理及考核方法)和31项二级指标。在医学教育、医务管理、临床诊疗和医疗改革政策研究领域遴选30名专家,应用改良专家咨询法对以上指标进行两轮咨询,确立医疗联合体内继续医学教育共享平台的最终框架。结果 经过两轮咨询,专家积极度系数为100%;专家权威程度系数为0.931 9;第一轮有80%的协调程度变异系数<0.5(波动范围0.167~0.216),第二轮中变异系数则均<0.5(波动范围0.153~0.192)。最终确立了继续医学教育共享平台建设的框架内容,分别由9项一级指标(教学目标、对象、时长、师资、内容、管理、考核方法、教学方式和项目推广)和35项二级指标构成。结论 建立的继续医学教育共享平台整合了区域内的医学教育资源,医疗联合体内的社区医师能够通过继续医学教育共享平台参加延续性的培训项目,提高自身理论、临床和科研能力。

关键词: 医疗联合体, 继续医学教育, 医学资源整合, 医疗资源整合, 教育共享平台

Abstract:

Objective To establish a shared platform of continuing medical education in regional multihospital system to facilitate the integration of medical education resources. Methods On the basis of practical experience of shared platform of continuing medical education of Ruijin-Luwan Healthcare Alliance, literature review and Modified Delphi Survey, the framework of a sharing platform of continuing medical education in multihospital system was constructed, which included 7 primary indicators (teaching aim, objective, duration, faculty, content, management and evaluation) and 31 secondary indicators. Thirty experts in the fields of medical education, medical affairs administration, clinical practice and policy research on medical reform were screened, two rounds of expert consultation were performed for the above indicators, and the ultimate framework of sharing platform of continuing medical education in multihospital system was established. Results The responding rate was 100% in the two rounds of expert consultation. The experts´ confidence was defined as 0.931 9 based on the self-evaluation. Eighty percent of the coordination coefficients were less than 0.5 in the first round of expert consultation (0.167-0.216), and none of the coordination coefficient was larger than 0.5 in the second round (0.153-0.192). The framework of the sharing platform of continuing medical education was finalized with 9 primary indicators (teaching aim, objective, duration, faculty, content, management, evaluation, module details and promotion) and 35 secondary indicators. Conclusion The established shared platform of continuing medical education consolidates the medical education resources in regional multihospital system, from which community physicians can obtain medical theories, clinical insights and research skills for a sustainable career path.

Key words: multihospital system, continuing medical education, integration of medical resources, shared education platform