■与其他医学科学相比,中医在疾病预防和慢性病诊断方面具有专业优势。中医医师的培养值得探讨。本研究的重点是如何使用结构方程模型(SEM)来分析中医(TCM)从业人员的能力,以帮助培训合格的中医医生并为中医医院选择合适的人员。
■在分析中医能力因素之前,我们开发了秤,包括文献综述,专家咨询,提议的胜任力模型的项目池,项目池的试点测试,并最终确定规模项目。我们对杭州市400名中医从业人员的问卷调查进行了分析,广州,武汉,然后进行探索性因素分析(EFA)和验证性因素分析(CFA),提取中医有价值的项目。最后,SEM被用来开发能力结构。
■本研究问卷共有21个项目与中医执业者的能力密切相关,通过主成分分析将其进一步分为五类:(I)专业价值观;(II)基本医学知识;(III)沟通技巧;(IV)临床技能;(V)信息管理。随后的分析表明,临床技能是中医从业者最重要的能力指标;此外,医学基础知识和沟通技巧在理论和实践中的中介作用不容忽视。
■本研究提出了评估中医执业能力的初步方法,并为医院提供了培训和寻找中医执业医师的标准理论参考。
UNASSIGNED: Compared with other medical sciences, Chinese medicine provides professional advantages in disease prevention and the diagnosis of chronic diseases. The training of Chinese medicine practitioners is worthy of investigation. The present study focused on how structural equation modelling (SEM) can be used to analyze the competencies of traditional Chinese medicine (TCM) practitioners to help training an eligible TCM doctor and select suitable staff for TCM hospital.
UNASSIGNED: Before the analysis of competence factors for TCM, we developed the scale, including literature review, expert consultation, item pool for the proposed competency model, pilot test of the item pool, and finalization of the scale items. We analyzed questionnaires from 400 TCM practitioners in Hangzhou, Guangzhou, and Wuhan, and then performed an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) to extract the valuable items for TCM practitioners. Finally, SEM was employed to develop a competency structure.
UNASSIGNED: A total of 21 items in this study\'s questionnaire were identified as being closely related to the competencies of TCM practitioners, which were further categorized by principal component analysis into five categories: (I) professional values; (II) basic medical knowledge; (III) communication skills; (IV) clinical skills; and (V) information management. Subsequent analyzes showed that clinical skills were the most important competency metric for TCM practitioners; additionally, the mediating role of basic medical knowledge and communication skills could not be ignored in both theory and practice.
UNASSIGNED: This research presents a preliminary methodology for evaluating the competence of TCM practitioners and provides hospitals with criteria theoretical reference for training and finding TCM practitioners.