Exploratory Study On The Consultation Competence Of General Practitioners Working In Community Guiyang City

Objective: To understand the appraisal situation of the community health service center in the main urban area of Guiyang city,and to find out the existing problems.On the basis of this.Exploratory Study on the Consultation Competence of General Practitioners Working in Community Guiyang City.It will provide scientific reference for improving the assessment scheme of community health service center and improving the competence of community general practitioner's consultation service.Methods: From 2017 to 2018,the manpower data and service data of community health service centers in six District of Guiyang City were collected,and the current situation of community health service centers was statistically described using absolute numbers and relative numbers.Using the observation method,the performance of all outpatient general practitioners in 36 community health service centers was rated based on the self-compiled score table.According to the self-made scoring table,the behavior performance of the general practitioners in receiving patients was evaluated by the observer.The scoring table reflects the consultation ability of general practitioners by four aspects,just as identifying and addressing present problems,management of continuous problems,preventive care and improving compliance with medical treatment.There are four aspects.All items are 36 and 98 score totally.This paper analyzes the status quo of general practitioners in the community health service center of six District of Guiyang city and evaluates the general practitioners' competence,and find out the problems existing in the examination,and initially explores the present situation of general practitioners' ability.Results:(1)In 2018,a total of 64 community health service centers were put into operation in six proper,in which 16 were contracted by the government,9 were contracted by the public hospitals,20 were contracted by the business hospitals,and 21 by private capital.(2)There are 2430 staff members in 64 community health service centers in six proper of Guiyang,836 doctors and 1101 nurses,in which the total number of general practitioners are 232,the total number of clinicians are 483,and the total number of public health practitioners are 121.(3)There is no appraisal for General Practitioners.No specific general practitioner assessment was conducted within the Centre.(4)The highest scores for these 112 general practitioners in four aspects were 22,8,11 and 6,respectively,and the average scores were 24.31±3.30,5.31±1.30,2.46±2.18 and 1.86±1.41 of 112 general practitioners,the proportions with good level for abilities aspects were 17.86%,16.96%,16.96%,11.61% and 13.39%,respectively;proportions with middle level were 69.64%,60.71%,61.61%,69.64% and 75.00%,respectively;proportions with unsatisfactory level were 12.50%,22.32%,21.43%,18.75% and 19.64%,respectively.Conclusion: The assessment content of Guiyang Community Health Service Center is relatively complete,and the purpose and results of the assessment are more comprehensive;The assessment index system needs to be improved;Considering strengthening the development of general thinking.In practice,full application of Health Files,Recording and All Forms of Compression Force.Training of general practitioners in the organic integration of outpatient medical and public health services.