| 摘要: |
| 目的 了解社区医生慢性病的诊疗知识水平，并对基于常见慢性病诊疗实践的交互式小组培训模式的效果进行评
价。方法 2013年7 月～2014年6月，对义乌市13家社区卫生服务中心的194名社区卫生服务中心一线工作人员及社区卫生服务站的责任医师进行慢性病诊疗知识问卷调查，并实施小班化互动式“二组二段式”新型培训模式，对培训效果进行评价。结果 （1）社区医生慢性病综合防治及社区管理能力水平较低，接受新型培训模式的医生慢性病危险因素知识及社区综合管理知识的平均答对率由31.8%提高到59. 0%（P＜0.01）。（2）接受新型培训模式的医生对高血压病、糖尿病和冠心病规范化诊疗水平、康复知识及社区管理知识的平均总分在培训前后均显著提高（P＜0.01）。结论 “以问题为中心，以病例为引导”的“二组二段式”小班化互动式新型社区医生慢性病规范化诊疗知识的培训模式简单实用，明显提高社区医师对慢性病的诊疗水平，可在社区医院或基层培训机构全面推广。 |
| 关键词: 慢性病 诊疗知识 继续医学教育 培训效果 |
| DOI： |
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| Interactive group training for community doctors based on clinical practice of chronic diseases |
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LIU Xiaoling,ZHU Miao,SHANG Qunxian,WANG Wenjuan,NI Weizi,DING Mingxing
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Yiwu Medical Continuing Education School
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| Abstract: |
| Objective To evaluate the interactive group training model for community doctors based on clinical practice of chronic diseases. Methods Total 194 community doctors from 13 Community Health Centers in Yiwu city received interactive group training during July 2013 and June 2014. The questionnaire survey on the knowledge of diagnosis and treatment of chronic diseases was conducted before and after training. Results The correct rate of knowledge of chronic disease risk factors and comprehensive community management was increased from 31.8% to 59.0%(P＜0.01) after training. The average scores of
knowledge and clinical skills on hypertension, coronary disease, diabetes mellitus and COPD were significantly improved (P＜0.01). Conclusion The interactive group training mode, based on case study and problem solving ability of chronic disease, is proved to be effective for training of community doctors. |
| Key words: Chronic diseases Diagnosis knowledge Continued medical education(CME) Training effect |
