关键词: 全科医生, 社区卫生服务中心, 儿科门诊, 问卷调查

Abstract: Background　In China，the contradiction between supply and demand of pediatric services is increasingly prominent，and the development of general pediatrics may be the most likely breakthrough to alleviate the shortage of pediatric resources. In Jiading District，community hospitals were incapable to deliver pediatrics services to satisfy residents' needs. To rationally allocate pediatrics resources，and address the issue of too many resources used by common pediatric illnesses and frequently-occurring pediatric diseases in children's hospitals，Jiading District Health and Family Planning Commission（now known as Jiading District Health Commission） has initiated Shanghai's Jiading pediatric clinical competency training program for general practitioners（GPs） in 2017. Objective　To investigate the influence of the implementation of Shanghai's Jiading pediatric clinical competency training program for GPs for the first time on the operation of pediatric clinic in 13 community health centers（CHCs） in this district. Methods　From January to March 2018，we conducted a survey with 14 GPs with an experience of attending Shanghai's Jiading pediatric clinical competency training program for GPs and other GPs without from 13 CHCs. A self-designed 49-item questionnaire was used to collect the general personal data，status of the operation of community pediatric clinic and suggestions for pediatric training. Results　All the 207 cases participating in the survey handed in responsive questionnaires including 14 trained GPs and 193 untrained GPs. Among the trained GPs，50.0%（7/14） reported that they were capable to deliver pediatric outpatient services，78.6%（11/14） reported that they could master the emergency treatment of some common critical pediatric diseases，and 71.4%（10/14） believed that they had mastered the rules in pediatric drug therapies. Compared with untrained GPs，the willingness of trained GPs to carry out pediatric diagnosis and treatment and carry out pediatric outpatient service time were different（P<0.05）. A few months of operating a pediatric clinic showed that the visits for the clinic in most CHCs were less than 5 in half a day. 64.3%（9/14） of the GPs were willing to participate in more pediatric trainings. Conclusion　The trained GPs thought that their competencies for delivering outpatient pediatric services were increased by training，but they had insufficient experience in pediatric consultations. Further improvement will be needed in introducing more pediatric medicines，increasing pediatric laboratory testing programs and promoting more clinical visits.

Key words: General practitioners, Community health center, Pediatric clinic, Questionnaire survey