关键词: 社区卫生服务中心, 实训中心, 全科医生, 德尔菲技术

Abstract: Background　Simulation center for GPs，an important platform for fostering and evaluating GPs，has been developed rapidly in the context of the requirement of improving GPs' clinical abilities. So it is urgent to establish a set of criteria for the building of simulation centers for GPs，to provide a reference for the functional configuration of such centers.Objective　To establish a set of scientific，practical and reasonable criteria for the building of a simulation center for GPs in the community health center. Methods　Literature review and practical experience were used to develop a draft content framework of criteria for the building of a simulation center for GPs in the community health center，which was used to formulate a questionnaire after being determined according to group discussion results. From May 28，2019 to July 10，2019，the questionnaire was revised in accordance with two rounds of consultations with 25 invited experts using the Delphi technique after the positive and authoritative coefficients of the experts and Kendall's W of their judgments were assessed as eligible. Based on the above，the final content of the criteria was determined. Results　The average years of working in their own field for the 25 experts were （14.42±6.90） years. The positive coefficients of the experts in the first and second rounds of consultations were 96.2% and 100.0%，respectively. For the hardware，software，and staffing configuration，the authoritative coefficients of the experts in the first round of consultation were 0.83，0.83，0.85，respectively，and were 0.90，0.89，0.89，respectively，in the second round of consultation. The Kendall's W values of the necessity were 0.133，0.498，respectively（P<0.001），and the availability were 0.280，0.390，respectively（P<0.001）. Finally，we established a set of criteria for the establishment of a simulation center for GPs in the community health center，including 3 first-level indicators（hardware，software，and staffing），13 second-level indicators，and 17 third-level indicators. Conclusion　The positive and authoritative coefficients of the experts were relatively high，and Kendall's W of their judgments was good in the consultations，indicating that our criteria are reliable，which can be applied and promoted.

Key words: Community health service center, Simulation center, General practitioner, Delphi technique