Construction of a model for cultivation of medical ethics in public health talents
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摘要:
目的 构建公共卫生人才的医德培育模型,进一步增强公共卫生人才医德培育实效。 方法 对110名公共卫生领域专家进行问卷调查,初步筛选医德培育的主要维度与重要因素,运用层次分析法确定各维度和因素权重并进行一致性检验。 结果 构建的医德培育模型包括8项一级指标、27项二级指标,一致性检验λmax = 8,CR < 0.1,RI = 1.41,符合一致性要求,构建的矩阵比较合理。基于模型计算出各指标权重,其中一级指标位列前3位的分别为医学伦理决策、医学心理契约、医学行为机会,其权重分别为0.2836、0.2382、0.1435。 结论 构建的医德培育模型具有一定的科学性、客观性和实用性,可为进一步完善公共卫生人才医德培育体系提供理论支撑。 Abstract:Objective To construct a model for the cultivation of medical ethics among public health talents for promoting the efficiency in cultivating medical ethics among talents providing public health services. Methods Main dimensions and factors for medical ethics cultivation were initially screened out through a survey among 110 experts having at least ten years professional experience of public health/medical education/health management using a self-designed questionnaire. Then analytic hierarchy process was adopted to determine the weight of each dimension and factor and to conduct consistency testing. Results The constructed medical ethics cultivation model includes 8 first-level indicators and 27 second-level indicators. The results of consistency test indicated that the constructed model met the requirement of consistency, with the values of 8 for λmax, less than 0.1 for consistency index (CI), and 1.41 for random consistency index (RI), indicating a reasonable matrix constructed. Based on the constructed model, the weight for each of the indicators were calculated and the top three first-level indicators are medical ethical decision-making, medical psychological contract, and medical behavior opportunity, with the weights of 0.2836, 0.2382, and 0.1435, respectively. Conclusion A model for the cultivation of medical ethics among public health talents was established and the constructed model could provide a theoretical support for improving system establishment in the medical ethics cultivation. -
表 1 影响公卫人才医德培育质量的因素组合权重
目标层 一级指标 权重 排序 二级指标 权重 组合权重 排序 公共卫生人才医
德培育指标体系文化环境 0.0350 8 校园文化环境 0.0292 0.0010 15 社会文化环境 0.0057 0.0002 25 医学心理契约 0.2382 2 医德教育需求 0.0588 0.0140 4 医德教育满意度 0.1794 0.0427 1 医学伦理决策 0.2836 1 伦理认知 0.1430 0.0406 2 伦理判断 0.1061 0.0301 3 伦理意向 0.0346 0.0098 5 重要联系人 0.0381 7 家长 0.0130 0.0005 19 教师 0.0143 0.0005 18 同学 0.0048 0.0002 26 学长 0.0060 0.0002 23 医学行为机会 0.1435 3 医德准则 0.0545 0.0078 8 行为组织与机构 0.0246 0.0035 10 奖励政策 0.0644 0.0092 6 个体因素 0.0515 6 应对方式 0.0039 0.0002 24 情感 0.0031 0.0002 27 情绪 0.0070 0.0004 22 人格 0.0159 0.0008 16 道德认知 0.0080 0.0004 20 医德观 0.0136 0.0007 17 医德行为实践 0.1258 4 医疗志愿者服务 0.0275 0.0035 11 医疗社会实践 0.0635 0.0080 7 实习期间医德实践 0.0349 0.0044 9 医德行为评估 0.0843 5 自评 0.0048 0.0004 21 他评 0.0208 0.0018 14 在校期间评估 0.0304 0.0026 12 临床实习期评估 0.0283 0.0024 13 -
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