| 李纪宾,魏文强,张立玮.2019年农村上消化道癌早诊早治项目内镜医师专业技术能力及其影响因素分析[J].中国肿瘤,2021,30(6):445-451. |
| 2019年农村上消化道癌早诊早治项目内镜医师专业技术能力及其影响因素分析 |
| Skill Assessment Results and Influencing Factors Among Endoscopists of Upper Gastrointestinal Cancer Screening Program in Rural China |
| 中文关键词 修订日期：2021-03-29 |
| DOI：10.11735/j.issn.1004-0242.2021.06.A007 |
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| 中文关键词: 上消化道癌 筛查 内镜检查 考核 早诊早治 农村地区 中国 |
| 英文关键词:upper gastrointestinal cancer screening endoscopy assessment early diagnosis and early treatment rural areas China |
| 基金项目:国家重点研发计划（2016YFC1302800，2016YFC0901404）；国家重大公共卫生专项 |
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| 中文摘要: |
| 摘 要：［目的］ 探究农村上消化道癌早诊早治项目筛查内镜医师专业技术能力现状及其影响因素。［方法］ 由农村上消化道癌早诊早治项目专家组依据国家现行技术方案和项目实践编写考核试题库，并利用“早诊早治”APP建立考试平台，收集2019年参加农村上消化道癌早诊早治项目的内镜医师基本情况，并对内镜医师技术方案掌握情况和内镜诊疗技术能力进行考核，计算考核优秀率。采用多因素Logistic回归模型分析影响考核优秀率的因素。［结果］共3 207名内镜医师完成考核，考核平均分（72.60±15.07）分，合格率87.25%，优秀率33.80%。内镜医师对“人群筛查数据管理和安全”相关内容答题平均正确率最高，为99.16%，对“人群筛查评价指标”内容答题平均正确率最低，为59.73%。多因素Logistic回归分析提示，性别、年龄、文化程度、职称、参加项目时长、所在地区和对技术方案理解程度与考核优秀率相关，女性、年龄小于40岁、研究生文化程度、主治医师及以上职称、参加项目2年及以上、东中部地区以及完全理解技术方案的内镜医师考核优秀率相对较高（P均<0.05）。［结论］ 我国农村上消化道癌筛查内镜医师基本能够掌握技术方案，但总体优秀率偏低，应针对技术能力水平较低的内镜医师和掌握薄弱的技术环节加强培训。 |
| 英文摘要: |
| Abstract：［Purpose］ To assess the skills of endoscopists in Upper Gastrointestinal Cancer Screening Program in Rural China and to analyze the influencing factors. ［Methods］ The questionnaires for skill assessment were created by the experts of Upper Gastrointestinal Cancer Screening Program in Rural China，and the “Early Diagnosis and Early Treatment” APP was used as the examination platform. The endoscopists participating in the program in 2019 were assessed for endoscopic skill and screening scheme. Multivariate Logistic regression model was used to analyze the potential influencing factors of examination scores. ［Results］ A total of 3 207 endoscopists participated in the assessment. The average score was 72.60，the passing rate was 87.25%，and the excellent rate was 33.80%. Among all items the correct rate of mass screening data management and security was the highest(99.16%)，and the correct rate of mass screening evaluation index was the lowest(59.73%). The multivariate Logistic regression analysis showed that gender，age，education level，professional title，duration of participating in the program，area and understanding of screening scheme were related to the excellent rate. The excellent rate was high for endoscopists，who were female，less than 40 years old，postgraduate degree，attending doctor or above，participating in the program for 2 years or more，working in eastern and central regions and had fully understanding of the screening scheme. ［Conclusion］ The endoscopists basically master the screening scheme in Upper Gastrointestinal Cancer Screening Program in Rural China，but the overall excellent rate is still low. The training should be strengthened for less proficient endoscopists. |
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