Practice of a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors

Wang Sisi; You Zhina; Jiang Yechen; Wang Wei; Wang Xiaohao; Li Fubang

doi:10.3760/cma.j.cn116021‐20220501‐01407

您当前的位置：

首页 >

文章列表页 >

Practice of a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors

Educational Research | 更新时间：2023-10-12

- Practice of a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors
- Chinese Journal of Medical Education Research Vol. 22, Issue 9, Pages: 1304-1307(2023)
- 作者机构：
  
  1.浙江大学医学院附属儿童医院医务科，杭州　310052
  2.浙江大学医学院附属儿童医院党政办，杭州　310052
- 作者简介：
  
  Li Fubang, Email: chywk@zju.edu.cn
- 基金信息：
- DOI：10.3760/cma.j.cn116021‐20220501‐01407
  CLC： R72
- Published：20 September 2023，
  
  Received：01 May 2022，
扫描看全文
王思思, 尤芝娜, 蒋烨琛, 等. 基层医师儿科诊疗三阶段标准化培养模式的探索[J]. 中华医学教育探索杂志, 2023, 22(9): 1304-1307.

Wang Sisi, You Zhina, Jiang Yechen, et al. Practice of a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors. [J]. Chinese Journal of Medical Education Research 22(9):1304-1307(2023)
王思思, 尤芝娜, 蒋烨琛, 等. 基层医师儿科诊疗三阶段标准化培养模式的探索[J]. 中华医学教育探索杂志, 2023, 22(9): 1304-1307. DOI： 10.3760/cma.j.cn116021.

Wang Sisi, You Zhina, Jiang Yechen, et al. Practice of a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors. [J]. Chinese Journal of Medical Education Research 22(9):1304-1307(2023) DOI： 10.3760/cma.j.cn116021‐20220501‐01407.

摘要

在全面推行分级诊疗的背景下，基层医院儿科资源不足和诊疗能力落后的问题成为制约儿童疾病分级诊疗制度落实的关键。为解决这一难点，浙江省探索并构建了集培训提升、继续教育、实践输出为一体的基层医师儿科诊疗三阶段标准化培养模式。在培训提升阶段，包括基层医师培训、理论考核和浙江省儿科联盟认证。在继续教育阶段，包括移动端教学资源库和线上定期答疑。在实践输出阶段，包括儿童疾病分级诊疗和公益科普讲座。自2018年至2021年，共开展7期培训班，培训学员1 418人，通过考核327人，最终53人完成浙江省儿科联盟认证并被纳入浙江省儿童疾病分级诊疗体系。联盟新成员将分级诊疗覆盖范围从24个区县32个机构扩充至38个区县73个医疗机构。联盟成员完成科普讲座40场，观众累计13 233人次。基层医师儿科诊疗三阶段标准化培养模式通过多形式、标准化、延续性的方式持续同质化，提升了基层医师的综合能力，也为各地基层医师培养和分级诊疗建设提供了参考。

Abstract

The shortage of pediatric resources and inadequate diagnosis and treatment capacity in primary hospitals are key problems for implementing hierarchic care system of children's diseases. To solve this difficulty

Zhejiang province has constructed a three-stage standardized pattern for pediatric diagnosis and treatment ability training for primary doctors

which integrates training promotion

continuing education and practice output. Training promotion includes the training courses

theoretical examination

and the certification of Zhejiang Pediatric Alliance. Continuing education includes mobile teaching resource library and online regular Q&A. Practical output includes graded diagnosis and treatment of children's diseases and public lectures. From 2018 to 2021

a total of 1 418 trainees participated in 7 training sessions

327 of whom passed the examination. Finally

53 participants completed the certification of Zhejiang Pediatric Alliance and were included in the hierarchical diagnosis and treatment system for children in Zhejiang Province

expanding the coverage of hierarchical diagnosis and treatment from 32 institutions in 24 districts to 73 medical institutions in 38 districts. Members of the alliance completed 40 public lectures

with a total audience of 13 233. The three-stage standardized pattern continuously improves the comprehensive ability of primary doctors by means of multi-forms

standardization and continuity. We hope our experience can provide a reference for the training of primary doctors and the construction of hierarchical diagnosis and treatment system in various regions.

关键词

标准化培养模式规范化培养儿科联盟分级诊疗

Keywords

Standardized pattern for trainingStandardized trainingPediatric allianceHierarchical diagnosis and treatment

references

国务院办公厅. 国务院办公厅关于推进分级诊疗制度建设的指导意见[EB/OL]. （2015-09-08）[2022-03-20]. http://www.gov.cn/zhengce/content/2015-09/11/content_10158.htmhttp://www.gov.cn/zhengce/content/2015-09/11/content_10158.htm.

陈竺. “健康中国2020战略”研究报告[J]. 山东卫生， 2010（8）： 4-5.

郑蕾. 提高基层医疗服务能力是推动分级诊疗的关键[J]. 中国卫生经济， 2016， 35（9）： 67-69. DOI: 10.7664/CHE20160919http://dx.doi.org/10.7664/CHE20160919.

朱玉峰，祁明. 分级诊疗背景下的基层医生培养对策研究[J]. 中国继续医学教育， 2020， 12（12）： 5-7. DOI: 10.3969/j.issn.1674-9308.2020.12.003http://dx.doi.org/10.3969/j.issn.1674-9308.2020.12.003.

陆妹娟. 以医疗联盟为载体构建分级诊疗模式的实践与探索[J]. 交通医学， 2020， 34（5）： 540-542. DOI: 10.19767/j.cnki.32-1412.2020.05.033http://dx.doi.org/10.19767/j.cnki.32-1412.2020.05.033.

邢宝玲，金月玲. 基层医生继续教育的特点与对策[J]. 继续医学教育， 2021， 35（6）： 1-2. DOI: 10.3969/j.issn.1004-6763.2021.06.001http://dx.doi.org/10.3969/j.issn.1004-6763.2021.06.001.

文成，高畅，董音茵，等. 区域专科联盟内儿科医师培养模式的探讨[J]. 江苏卫生事业管理， 2021， 32（9）： 1160-1162. DOI: 10.3969/j.issn.1005-7803.2021.09.009http://dx.doi.org/10.3969/j.issn.1005-7803.2021.09.009.

罗金莲，李青，詹廷西，等. 重庆市输血医学专科联盟建设与实践探索[J]. 中国医药科学， 2020， 10（18）： 239-242. DOI: 10.3969/j.issn.2095-0616.2020.18.064http://dx.doi.org/10.3969/j.issn.2095-0616.2020.18.064.

温芬，乔冠浩，边德志，等. 分级诊疗与全科医师培养衔接的研究[J]. 中国继续医学教育， 2022， 14（16）： 148-151. DOI：10.3969/j.issn.1674-9308.2022.16.037http://dx.doi.org/10.3969/j.issn.1674-9308.2022.16.037.

李红兵，袁明霞. 有效利用三级医院资源促进基层医生继续教育[J]. 中国临床医生杂志， 2016， 44（11）： 99-101. DOI: 10.3969/j.issn.2095-8552.2016.11.038http://dx.doi.org/10.3969/j.issn.2095-8552.2016.11.038.

朱静，何莹，张虹，等. 基层儿科医师专业能力层级式提升培训模式的探索与实践[J]. 中华医学教育探索杂志， 2023， 22（4）： 602-605. DOI: 10.3760/cma.j.cn116021-20201122-01256http://dx.doi.org/10.3760/cma.j.cn116021-20201122-01256.

彭博，王博文. 紧密型县域医共体建设中分级诊疗实施效果的主导作用分析[J]. 中国卫生经济， 2022， 41（12）： 89-93.

陈晨，郑梦，高一瑞，等. 分级诊疗背景下基于CHNS数据的我国居民就医行为影响因素分析[J]. 中国医院， 2022， 26（6）：19-22. DOI: 10.19660/j.issn.1671-0592.2022.6.06http://dx.doi.org/10.19660/j.issn.1671-0592.2022.6.06.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Analysis of the training effect and influencing factors of primary health workers in Pukou District, Nanjing City based on the Kirkpatrick's four-level model of evaluation

Related Author

Wu Rong

Lu Tingting

Hu Dan

Zhu Jing

Related Institution

Department of Science and Technology, Nanjing First Hospital, Nanjing Medical University

Institute of Healthy Jiangsu Development, Nanjing Medical University

Medical Affairs Department, The Affiliated Jiangning Hospital of Nanjing Medical University

⁰