Recent Developments in General Practitioners' Competence Evaluation

doi:10.12114/j.issn.1007-9572.2020.00.314

Abstract

Abstract: The evaluation of general practitioners'（GPs'） ability is a systematic project，which plays an important role in the development of general medicine，the construction of GPs team and the progress of community health in China.This paper systematically reviews the similarities and differences of GPs' competence assessment in the United States，the United Kingdom，Australia and Canada，as well as the advantages and disadvantages of the main assessment methods for GPs' competence in China，such as institutional self-assessment，physician performance assessment，professional title assessment and appointment，and regular physician performance assessment，and the research progress in competency assessment，comprehensive ability assessment and clinical ability assessment in China. On this basis，this paper puts forward suggestions for the evaluation of GPs' ability in China：unifying the evaluation standards，standardizing the assessment process；setting reasonable indicators，focusing on empirical research；conducting normal management，dynamic assessment，and scientific assessment. In addition，this paper introduces the TSH（theory-skill-humanity） competence evaluation model proposed by Shanghai Shanggang Community Health Center，which will be an important method for GPs' competence evaluation in line with the general medicine development of China.

Key words: General practitioners, Employee performance appraisal, Educational measurement, Community health services, Review

摘要： 全科医生能力评价是一项系统工程，对我国全科医学发展、全科医生队伍建设及社区卫生事业进步具有重要作用。本文系统梳理了美国、英国、澳大利亚、加拿大全科医生考核的异同点，以及我国全科医生能力评价主要方式（机构自行考核、医师绩效考核、职称评聘、医师定期考核）的优缺点和在胜任力评价、综合能力评价、临床能力评价方面的研究进展。在此基础上，提出了针对我国全科医生能力评价的建议：统一评价标准，规范考核流程；设定合理指标，注重实证研究；常态管理，动态考核，科学评价。另外，本文介绍了由上海市上钢社区卫生服务中心提出的TSH（理论知识-theory、操作技能-skill、人文关怀-humanity）全科医生能力评价模型，认为其将是符合我国全科医学发展的全科医生能力评价方法。

关键词: 全科医生, 雇员能力评价, 教育考核, 社区卫生服务, 综述

LIU Pingyang,WANG Haitang,DU Zhaohui. Recent Developments in General Practitioners' Competence Evaluation　[J]. Chinese General Practice, 2020, 23(25): 3220-3225. DOI: 10.12114/j.issn.1007-9572.2020.00.314.
刘平阳,王海棠,杜兆辉. 全科医生能力评价研究进展[J]. 中国全科医学, 2020, 23(25): 3220-3225. DOI: 10.12114/j.issn.1007-9572.2020.00.314.

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