关键词: 社区卫生服务, 医联体, 全科医生, 全科医学, 培训需求

Abstract: Background　The evidence is absent to support the trainings for improving professional capabilities of community general practitioners（GPs） working within a medical consortium. Objective　To formulate a demand-oriented training plan for GPs in the community health center（CHC） within a compact medical consortium. Methods　A survey was conducted from November to December 2019 in a cluster sample of 65 GPs working at 9 CHCs within West China Hospital of Sichuan University medical consortium for collecting data about training needs of general practice. A questionnaire was used in the survey，which consists of essential theoretical knowledge，essential and other skills and clinical practice of general practice，with questions presented using 37 10-point Likert items（a higher score indicating a higher demand）. And the priority level of item contents was set later according to the rated score. Results　The items with an average score of≥9 revealed that，the most in-demand essential theoretical knowledge，essential and other skills and clinical practice of general practice were clinical diagnostic and treatment strategies〔47.7%（31/65）〕，general treatment of common respiratory system diseases〔55.4%（36/65）〕，community nutrition guidance〔36.9%（24/65）〕，and performance of oxygen therapy，and use of common inhalers and nebulizers for respiratory diseases〔46.2%（30/65）〕，respectively. According to the priority criteria，contents covered by 8 items，including general diagnostic and treatment strategies，general treatment of common cardiovascular and cerebrovascular diseases，and common respiratory diseases as well as common symptoms and emergencies in the community，first aid techniques，interpretation of common laboratory test results，common image recognition（X-ray and B-mode ultrasound images），interpretation of 12-lead ECG and dynamic ECG were set as the first choice of training content，and the contents covered by 13 items，involving general treatment of common digestive system diseases，were listed as the major alternatives. Conclusion　This study proposed a systematic training program with 8 aspects of first-choice training contents and 13 aspects of major alternatives listed，for community GPs working within a compact medical consortium，which may be used as a reference for medical institutions developing GPs training programs based on their own conditions.

Key words: Community health services, Medical association, General practitioners, General practice, Training needs