[1]张培,葛敏静,冯湘雨,等.住院医师规范化培训政策认知度和执行满意度调查分析及问题探讨[J].医学研究与战创伤救治(原医学研究生学报),2026,39(01):80-83.[doi:10.16571/j.cnki.2097-2768.2026.01.013]
　ZHANG Pei,GE Minjing,FENG Xiangyu,et al.Analysis of resident physicians′ awareness of residency training policies and satisfaction with its implementation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2026,39(01):80-83.[doi:10.16571/j.cnki.2097-2768.2026.01.013]
点击复制

住院医师规范化培训政策认知度和执行满意度调查分析及问题探讨()

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第39卷
期数:
2026年01期
页码:
80-83
栏目:
卫生管理
出版日期:
2026-01-20

文章信息/Info

Title:
Analysis of resident physicians′ awareness of residency training policies and satisfaction with its implementation
作者:
张培; 葛敏静; 冯湘雨; 虞海平
南京医科大学第一附属医院教育处，江苏南京 210029
Author(s):
ZHANG Pei;  GE Minjing;  FENG Xiangyu;  YU Haiping
（Department of Education， the First Affiliated Hospital of Nanjing Medical University， Nanjing 210029， Jiangsu, China）
关键词:
住院医师规范化培训; 政策执行; 认知度; 满意度
Keywords:
standardized residency training;  policy implementation;  awareness;  satisfaction
分类号:
R4
DOI:
10.16571/j.cnki.2097-2768.2026.01.013
文献标志码:
A
摘要:
目的调查分析住院医师对住培政策的认知度与执行满意度，为政策完善与落实提供参考。方法于2023年11月，采用自设电子问卷对南京医科大学第一附属医院在培住院医师的政策认知和执行满意度进行调查，运用描述性统计与非参数检验进行数据分析。结果住院医师对各级培训政策的认知与认可度普遍偏低，但对部分核心胜任力提升认可较高；社会化住院医师和专硕研究生对“两个同等对待”政策的认可程度有显著差异（z=4.60，P<0.001）；不同类别住院医师对激励制度的满意度有显著差异（H=18.189，P<0.001）。结论住培政策对提高住院医师核心胜任力具有积极意义，基地层面需通过开展多维度政策宣传、设计个性化的激励机制、适当提高自筹经费等措施来提高住院医师认知度和满意度，“两个同等对待”的政策衔接性问题也需得到重视。
Abstract:
ObjectiveTo investigate resident physicians′ awareness of standardized residency training policies and their satisfaction with policy implementation, and to provide references for policy improvement and implementation.MethodsIn November 2023, a selfdesigned electronic questionnaire was used to survey resident physicians at the First Affiliated Hospital of Nanjing Medical University regarding their policy awareness and implementation satisfaction. Descriptive statistics and nonparametric tests were used for data analysis.ResultsResident physicians had a low awareness and recognition of the residency training policies at the national, provincial, and base levels, but had a relatively high degree of recognition of the improvement of some core competencies. There was a significant difference in the recognition of the "Two Equal Treatments" policy between socialized resident physicians and professional postgraduate students (z=4.60,P<0.001). There are significant differences in the satisfaction with the incentive system among different types of resident physicians (H=18.189，P<0.001).ConclusionThe residency training policy plays a positive role in enhancing the core competencies of resident physicians. At the base level, it is necessary to carry out multidimensional policy publicity, design personalized incentive mechanisms, and appropriately increase the proportion of selfraised funds to improve the awareness and satisfaction of resident physicians. The coherence of the "Two Equal Treatments" policy also needs to be emphasized.

参考文献/References:

[1]Smith TB.The policy implementation process[J].Policy Sci, 1973, 4(2):197209.[2]李慧利.石家庄市住院医师规范化培训政策执行问题研究[D].石家庄：河北师范大学,2023：5658.[3]李顿晴,王樵砚,孟开,等.住院医师岗位胜任力360度评价问卷研制[J].医学教育管理,2019,5(4):310316.[4]吕晓峰,朱亮,吴云红,等.某医科大学专硕学员对规培制度认知的调查研究[J].中国卫生事业管理,2018,35(2):140143，160.[5]叶晶晶,李跃平,黄江峰,等.福建省住院医师规范化培训满意度研究——基于结构方程模型[J].中国卫生政策研究,2016,9(4):4954.[6]范阳东,朱艳玲,张青,等.广东省住院医师规范化培训学员满意度调查[J].卫生经济研究,2019,36(3):1821.[7]余海燕.基于住院医师满意度评价的安徽省住院医师规范化培训现状及影响因素分析[D].合肥：安徽医科大学,2023：4750.[8]石羽茜,王楚坤,张倩宁,等.住院医师规范化培训宣传体系的构建与策略优化[J].医学研究杂志,2025,54(9):198201.[9]郭海,李爱梅,王江,等.双向反馈机制在麻醉科住院医师规范化培训中的应用[J].麻醉安全与质控,2025,7(1):5154.[10]华小菊,戚龙菊,李民.临床医学专业学位研究生住院医师规范化培训的现实困境及其合理路径[J].卫生职业教育,2024,42(24):128131.[11]蓝妍玲,乡汝浩,王伊晖,等.广东省住院医师满意度及其影响因素研究[J].中国毕业后医学教育,2023,7(4):273276，297.[12]张嵬,马玉琴,段光锋,等.英国NHS体系对我国卫生服务的启示[J].解放军医院管理杂志,2012,19(6):599600.[13]徐晓莉.新时期医学研究生综合素质培养探索与实践[J].医学研究生学报,2022,35(12):12331236.[14]曹二凤,葛文嘉,武泽文,等.住院医师非物质激励现状调查与分析[J].山西医药杂志,2023,52(22):17131716.[15]叶鹏程,潘璐璐,张梦涵,等.可视化综合评价管理在口腔全科住院医师规范化培训中的应用[J].温州医科大学学报,2025,55(2):167172.

相似文献/References:

[1]桑秋菊,王光辉,徐伟才,等.医教协同下临床医学专业学位硕士研究生考核指标体系构建[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):434.[doi:10.3969/j.issn.1672-271X.2016.04.031]

备注/Memo

备注/Memo:
基金项目：江苏省医院协会医院管理创新研究课题（JSYGY32024400）
更新日期/Last Update: 2026-01-20