Status Quo And System Construction Research On Social Psychological Professional Skills Training Among Physicians In Hefei

Background: Since the20th century, with the rapid development of medicaltechnology, the phenomenon of "technology first" has been widely spread in themedical profession. Meanwhile, humanity attainment didn’t get the attentionit deserved, as well as patients’ humanistic care and communication was relativelyneglected by some medical personnel. All these affected the harmonious development ofthe doctor-patient relationship to a certain extent, In order to reverse this situation,in2006, Chinese Medical Doctor Association launched a training system of physiciansocial psychological professional skills and established training bases at medicalschools and medical institutions in lots of provinces and cities. However, so far, we stilllack of a comprehensive and systematic understanding about the attitude of all levels ofmedical institutions and the on-the-job doctors’ towards the training and the problemsexisted in the training process. Therefore, through comprehending and analyzing thetraining status and the training will, it will have a great significance to improve thesocial psychological professional skills training reduce the resistance of physiciansparticipation in the training, and improve the training efficiency.Objective：To find out the status quo of the training and the requirement of physiciansocial psychological professional skill in Hefei medical institutions at all levels, and thesystem construction situation towards the training. On the basis of this, we analyzed theproblems existed in the training and put forward measures to optimize the training.Methods:3tertiary hospital with522doctors and215patients,6second-class hospital with438doctors and193patients,12first-level hospital with225doctors and177patients were extracted and investigated by designed questionnaires from the YaoHaiarea, ShuShan area, LuYang area and BaoHe area in Hefei using stratified randomsampling prorata. One-to-one interviews and self-administered questionnaire surveywere taken. EpiData3.1was used to input the data, and SPSS16.0was used toanalyze the data. Measurement data were expressed by mean±standard deviation, andenumeration data were expressed by ratio or proportion. Methods like descriptivestatistical analysis, chi-square test of consistency and logistic regression were mainlyused, the test level was α=0.05.Results:(1) The valid questionnaires of tertiary hospitals was3, the response rate was100%; The valid doctors’ questionnaires of tertiary hospitals was458,tthe rate was87.7%; The valid patients’ questionnaires of tertiary hospitals was196with the rate91.2%;6valid second-class hospital questionnaire were got, the response rate was100%;392doctors from second-class hospital and89.5%;181patients from tertiaryhospital and93.8%;12valid first-level hospital questionnaire were got, the responserate was100%;198doctors from first-level hospital and88%;165patients from tertiaryhospital and93.2%.(2) In patients’ perception of the doctor-patient relationship, only62.4%thought therelationship wasn’t strained, and it was of no statistical significance between the patientsin different levels of hospitals (χ~2=8.267, p>0.05).However, patients in different levelsof hospitals had different views on the influence factors of doctor-patient relationship,the patients in tertiary hospitals and second-class hospitals considered that the hospitals"service and miscommunications failures"(67.9%,71.8%) was one of the main factors,and the patients in first-level hospitals considered hospital " undesirable clinicaltherapies "(66.1%) was the main factor.(3) In terms of analyzing the doctors’ training status quo, only20.5%of the doctors used to participate in the training, and it was of great statistical significance between thedoctors in different levels of hospitals (χ~2=9.126，p<0.05),the training rate of the doctorsin tertiary hospitals was slightly higher than the doctors in the second-class hospitalsand the first-level hospitals. The training mode was mainly theory teaching and practiceteaching was barely used, and it was of no statistical significance between the doctors’training modes in different levels of hospitals (p>0.05); Speaking of the training effect,only29.3%considered the effect was fine,41.9%stated that the training effect wasn’tremarkable, and it was of no statistical significance between the doctors in differentlevels of hospitals (χ~2=2.991, p>0.05), the main reason which lead to the bad trainingeffect was that the training mode was single, the leadership didn’t pay much attentionand the training time was fast.(4) In terms of analyzing the doctors’ training demand,83.7%of doctors had strongtraining demand intention, and it was of no statistical significance between the doctorsin different levels of hospitals (χ~2=7.551, p>0.05), the logistic regression analysisshowed that the main factors affecting the doctors’ training demand intention wererespectively professional, age, education background and training or not.(5) In building systems government departments and medical institutions both didn’tformed a sound and effective system construction. It need to improved from threeaspects, training base and training teachers’ qualification, training budget and theinvestment of the training effect.Conclusions:(1) From the perspective of the patients in all levels of hospitals, animportant way to alleviate the doctor-patient dispute was to strengthen thecommunication between doctors and patients, and this was more obvious in the secondclass and tertiary hospitals;(2) The awareness and training rate of the social psychologicalprofessional skills training was relatively low. Doctors lack awareness of the importanceof humanistic medicine and the medical institutions itself had an important responsibility for it;(3) There are three main reasons leading to the effect of training farfrom satisfactory, firstly, the training mode was single; secondly, leadership don’t payattention to it; finally, the training time was short and the speed was so quick;(4) Thedoctors in all levels of hospitals had strong training will. The main factors whichinfluenced the training demand was profession age, education background and trainingor not;(5) The builded systems towards the physicians’ social psychologicalprofessional skills training was weak in medical institutions, and it could not play aquite good role of govering and regulating to the leaders and the doctors.Suggestions:(1) Measures at government level:①Increase capital investment in themedical institutions;②Issue relevant documents to enhance the authority andnormative of the training.(2)Measures at medical institutional level:①Hospitalleadership should fully understand the importance of physicians social psychologicalprofessional skills training;②Create a good humane environment and atmosphere bymeans of strengthening the construction of hospital culture.(3) Perfected measures fortraining:①Optimize the training contents and methods;②Set the key cultivationobjects.