Study on impact of policy instruments on continuing education in H county of Beijing rural area
Dong Yi, Wang Chen, Li Na, Jiang Yue, Ma Li, Liu Lanqiu, Peng Yingchun, Jia Dongmei, Qi Shaohan
Published 2018-02-01
Cite as Chin J Med Edu, 2018, 38(1): 113-118. DOI: 10.3760/cma.j.issn.1673-677X.2018.01.026
Abstract
ObjectiveIt is important to understand the status quo of continuing medical education in Beijing rural area and specific influences of policy instruments on it.
MethodsAccording to the geographical position, economic level, historical and cultural factors, from July to August, 2016, the investigation group selected the J, C and B township of H county in Beijing as well as its 21 administrative villages as research field to conduct field observation and individual in-depth interviews. The sample included 21 township hospital doctors, 21 village doctors, 42 villagers as total of 84 people. Interview questions include: personal basic information, basic medical and public services, continuing medical education method, class hours, content, and effect.
ResultsThe status quo of continuing medical education in H County presented the following condition: township medical staffs were willing to accept continuing medical education, diverse forms and lessons’ contents were affirmed, the effect was overall better. At village level, village doctors accepting continuing medical education power was weak, education form combined with network teaching system conducted ineffectively, there was a gap between training content and actual demand, the effect was overall general.
ConclusionsRegulation and directly provision of direct policy tools had some drawbacks in terms of lack of flexibility and competition mechanism gave rise to negative action of continuing medical education. It was necessary to adjust contents and improve incentive mechanism for enhancing learning autonomy of township doctors.
Key words:
Policy instruments; Continuing education; Township and village; Influencing factor
Contributor Information
Dong Yi
Hospital Office, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
Wang Chen
General Practice Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
Li Na
Hospital Office, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
Jiang Yue
Medical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
Ma Li
General Practice Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
Liu Lanqiu
Health Law Department of School of Health Administration and Education, Capital Medical University, Beijing 100069, China
Peng Yingchun
Medical Humanities Department of School of Health Administration and Education, Capital Medical University, Beijing 100069, China
Jia Dongmei
Master̓s Graduate Student in 2015, General Practice Major, School of General Practice and Continuing Education, Capital Medical University, Beijing 100050, China
Qi Shaohan
Master̓s Graduate Student in 2015, Social Medicine and Health Administration Major, School of Health Administration and Education, Capital Medical University, Beijing 100069, China
