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背景非洲的政策制定者对是否需要家庭医生来加强地区卫生服务的态度模棱两可。因此有必要找到家庭医生影响力的证据。目的找到一种评估家庭医生对地区卫生服务影响力的工具。方法在南非西开普省,使用混合法开发、验证、试验、测试工具的可靠性。组织一个专家团队验证该工具的内容和结果。由94名调查对象参与试验,评估8个家庭医生。统计Cronbach’sα得分检测工具的可靠性。分析家庭医生在试验研究中的影响力。结果一种工具的雏形成功开发出来,并得到验证,结果是可靠的(信度>0.8)。总评分为:医疗供给者=3.5,顾问=3.4,临床管理领导及支持者=3.4,能力建设者=3.3,临床培训师和监管者=3.2,以社区为导向的初级保健支持者(COPC)=3.1。家庭医生对COPC的影响明显低于对其他角色的影响。结论家庭医生影响力评估工具可以用来测量南非家庭医生的影响力。本实验研究表明,家庭医生对于临床医疗和临床管理方面的影响力最高,对临床培训、能力建设,特别是对COPC的影响力较小。
Background Policy makers in Africa are ambiguous about the need for family doctors to strengthen regional health services. It is therefore necessary to find evidence of family doctor’s influence. Objectives To find a tool to assess the impact of family doctors on regional health services. Methodology In the Western Cape Province of South Africa, a hybrid approach was used to develop, validate, test, and test the reliability of the tool. Organize a team of experts to verify the content and results of the tool. 94 respondents participated in the trial to evaluate 8 family doctors. Statistics Cronbach’sα score detection tool reliability. Analyze the influence of family doctor in experimental study. Results The prototype success of a tool was developed and validated, the result is reliable (confidence> 0.8). The overall score was: Medical Provider = 3.5, Consultant = 3.4, Clinical Management Lead and Supporter = 3.4, Capacity Builder = 3.3, Clinical Trainer and Supervisor = 3.2, Community-Oriented Primary Care Supporter (COPC) = 3.1. The effect of family doctor on COPC is significantly lower than on other roles. Conclusion The Family Doctor Impact Assessment Tool can be used to measure the impact of family doctors in South Africa. The experimental study shows that family doctor has the highest influence on clinical medical treatment and clinical management, and has less influence on clinical training and capacity building, especially on COPC.