Abstract:

Objective To establish the model of competency of general practitioners in community health service institutions in China. Methods Through analysis of literatures and in-depth interviews of experts, the model of competency of general practitioners containing 16 factors was initially established, and the questionnaire including 16 items of competency was designed. Questionnaire survey (n=55) and empirical research (n=201) on competency of general practitioners were conducted among medical staffs selected from community health service institutions in 7 districts in Zhenjiang of Jiangsu Province. Five-point Likert scale was adopted, and the respondents were asked to determine the importance of each competency by rating from 5 to 1. The data collected from questionnaire survey were processed with exploratory factor analysis and confirmatory factor analysis by SPSS software and LISREL software. Results Exploratory factor analysis revealed that the load factor of each competency was up to 0.5, Cronbach's alpha was up to 0.9, and the explained variance of three factors of human capital, psychologic capital and relational capital was 84.876%, which demonstrated that the scale had a favorable reliability and validity. Confirmatory factor analysis indicated that human capital was the most important competency of general practitioners, among which non-professional knowledge, integrated management capability and analytical skill were more important. Enterprise was the most important competency of the psychological capital. In terms of relational capital, the relation with the signed community inhabitants had the most significant impact on performance of the general practitioners. Conclusion The established model of competency of general practitioners in community health service institution is verified, which has a high degree of fit and stability.

Key words: community health service institution, general practitioner, competency model, factor analysis