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

摘要： 背景　我国基层医疗卫生机构医疗卫生人才数量不足且质量有待提升。全科医生是基层医疗卫生机构最主要的医疗卫生人才，以全科医生规范化培训形式为主，建立一支以全科医生为主体的全科医生队伍，是目前有效缓解我国基层卫生人才短缺、提升基层卫生服务水平的重要举措。全科医生规范化培训效果评估指标体系成为提升规范化培训质量的重要工具。目的　以柯氏模型为基础，建立一套全科医生规范化培训效果评估指标体系，为全科医生培训提供参考依据。方法　2017年7月—2018年7月，先通过文献研究法以柯氏模型为基础筛选并建立初步的评估指标体系，再通过德尔菲法进行两轮专家咨询，确定全科医生规范化培训效果评估指标体系，并运用层次分析法计算各指标的权重。结果　构建了4个一级指标、10个二级指标、18个三级指标、28个四级指标的全科医生规范化培训效果评估指标体系。其中4个一级指标包括反应层、学习层、行为层、结果层，权重分别为0.209 0、0.180 5、0.352 2、0.258 3；10个二级指标，按权重排序分别是实践培训（0.164 3）、实践技能（0.140 0）、发展能力（0.133 9）、职业道德与团队协作（0.116 3）、服务对象满意情况（0.116 3）、工作过程（0.102 0）、投诉纠纷情况（0.075 5）、工作计划完成情况（0.066 6）、理论培训（0.044 7）、理论知识（0.040 5）。结论　通过德尔菲法和层次分析法构建的全科医生规范化培训效果评估指标体系具有一定的科学性，但还需要进一步进行信效度分析来验证其可行性。

关键词: 全科医生规范化培训, 指标体系, 柯氏模型