A competency model of rural general practitioners:theory construction and empirical study
- VernacularTitle:农村全科医生胜任力素质模型的理论构建与实证研究
- Author:
Xiumu YANG
1
,
2
;
Yulong QI
;
Zhengfu SHNE
;
Buxin HAN
;
Bei MENG
Author Information
1. 安徽省高校人文社科重点研究基地//蚌埠医学院全科医学教育发展研究中心
2. 蚌埠医学院护理学系
- Keywords:
rural general practitioners;
competency model;
exploratory factor analysis;
structural equation model
- From:
Journal of Southern Medical University
2015;(4):516-521
- CountryChina
- Language:Chinese
-
Abstract:
Objective To perform theory construction and empirical study of the competency model of rural general practitioners. Methods Through literature study, job analysis, interviews, and expert team discussion, the questionnaire of rural general practitioners competency was constructed. A total of 1458 rural general practitioners were surveyed by the questionnaire in 6 central provinces. The common factors were constructed using the principal component method of exploratory factor analysis and confirmatory factor analysis. The influence of the competency characteristics on the working performance was analyzed using regression equation analysis. Results The Cronbach 's alpha coefficient of the questionnaire was 0.974. The model consisted of 9 dimensions and 59 items. The 9 competency dimensions included basic public health service ability, basic clinical skills, system analysis capability, information management capability, communication and cooperation ability, occupational moral ability, non- medical professional knowledge, personal traits and psychological adaptability. The rate of explained cumulative total variance was 76.855%. The model fitting index were X2/df 1.88, GFI=0.94, NFI=0.96, NNFI=0.98, PNFI=0.91, RMSEA=0.068, CFI=0.97, IFI=0.97, RFI=0.96, suggesting good model fitting. Regression analysis showed that the competency characteristics had a significant effect on job performance. Conclusion The rural general practitioners competency model provides reference for rural doctor training, rural order directional cultivation of medical students, and competency performance management of the rural general practitioners.