关键词: 全科医生规范化培训, 指标体系, 柯氏模型

Abstract: Background　In China，the number of medical and health personnel in primary medical and health institutions is small and the quality is poor. General practitioners are the most important medical and health personnel in primary medical and health institutions. To establish a team of general practitioners with general practitioners as the main body is an important measure to effectively alleviate the shortage of grassroots health personnel and improve the level of primary health services in China. Therefore，the establishment of the evaluation index system of the effect of standardized training for GPs will be important in improving the standardized training of GPs. Objective　To establish an evaluation index system for assessing the effectiveness of standardized training of GPs on the base of Kirkpatrick model，in order to provide references for the GP training. Methods　From July 2017 to July 2018，firstly，screening and establishing a preliminary evaluation index system through literature research method. Then，two rounds of expert consultation were conducted by Delphi method to establish an evaluation index system for assessing the effectiveness of standardized training of GPs. And the weight of each index was obtained by analytic hierarchy process. Results　An evaluation index system with 4 first-level indicators，10 second-level indicators，18 third-level indicators and 28 fourth-level indicators were constructed to evaluate the effectiveness of standardized training of GPs. Among them，4 first level indicators included reaction layer，learning layer，behavior layer and result layer，with weights of 0.209 0，0.180 5，0.352 2 and 0.258 3；10 second level indicators were respectively practical training（0.164 3），practical skills（0.140 0），development ability（0.133 9），professional ethics and team cooperation（0.116 3），service object satisfaction（0.116 3），working process（0.102 0），complaints and disputes（0.075 5），work plan completion（0.066 6），theoretical training（0.044 7），and theoretical knowledge（0.040 5）. Conclusion　The evaluation index system of standardized training efficiency of GPs established through two rounds of Delphi method and analytic hierarchy process is scientific to some extent，but further reliability and validity analysis will be needed to verify its feasibility.

Key words: Standardized training for general practitioners, Index system, Kirkpatrick model