中文摘要：

目的了解江苏省基层全科医生的岗位胜任力,以为有针对性地提高基层医务人员岗位胜任力提供依据。方法于2015年7—8月,采用立意抽样法在江苏省选取23所乡镇卫生院（社区卫生服务中心）和41所村卫生室（社区卫生服务站）,以其中的630例全科医生为研究对象。采用本课题组自行设计的《江苏省基层全科医生能力自评问卷》对纳入全科医生进行调查,内容包括基本信息和岗位胜任力,其中岗位胜任力涉及基本医疗服务能力、基本公共卫生服务能力、人文执业能力、职业精神与素养、教育学习能力5个方面。共发放问卷630份,回收有效问卷608份（乡镇卫生院497份、村卫生室111份）,问卷有效回收率为96.5%。结果 64.1%（390/608）的全科医生未开展过心理卫生服务,62.8%（382/608）的全科医生开展康复医疗服务的次数≤5次;31.6%（192/608）的全科医生表示对突发卫生事件处理相关预案很/非常熟悉,23.0%（140/608）的全科医生表示对精神障碍患者管理很/非常熟悉。乡镇卫生院全科医生的常见病/多发病处理掌握程度、家庭健康评估服务开展情况优于村卫生室全科医生,康复医疗服务开展次数多于村卫生室全科医生,转诊服务开展情况、上门诊疗服务开展情况差于村卫生室全科医生,差异有统计学意义（P〈0.05）。乡镇卫生院全科医生的精神障碍患者管理熟悉程度、三类人群（孕妇、儿童、老年人）随访情况、适龄青年计生宣教开展情况差于村卫生室全科医生,差异有统计学意义（P〈0.05）。乡镇卫生院全科医生的团队协作情况优于村卫生室全科医生,差异有统计学意义（P〈0.05）。乡镇卫生院全科医生的3年内投诉次数多于村卫生室全科医生,差异有统计学意义（P〈0.05）。乡镇卫生院全科医生有二/三级医院工作经历的比例高于村卫生室全科医生,每周自学时间、2014?

英文摘要：

Objective To investigate the competencies of grassroots general practitioners （GPs） in Jiangsu Province so as to provide an evidence for targeted improvement of the competencies of the primary healthcare providers. Methods From July to August 2015, we purposively sampled 630 GPs from 23 township hospitals （ community health service centers） and 41 village clinics （community health service stations） located in Jiangsu Province, China and surveyed them with a Self - rating Competencies Questionnaire for Grassroots General Practitioners in Jiangsu Province developed by our research team covering the demographic data and competeneies （ability for delivering basic medical service, ability for delivering basic public health services, humanistic caring ability, professional spirit and literacy, and education and learning ability ） . The 608 （497 from township hospitals and 111 from village clinics） returning responsive questionnaires were selected as the final participants, with a response rate of 96.5%. Results Of the participants, 64. 1% （390/608） had never delivered mental health services, 62. 8% （382/608） offered rehabilitation services for 5 or less than 5 times, 31.6% （192/608） were very familiar with/knew well the procedures for dealing with unexpected health emergencies, and 23.0% （ 140/608 ） were very familiar with/knew well the management for mental disorders. GPs from township hospitals were superior to those from village clinics in the level of mastery in management of common diseases/frequently occurring diseases, delivering family health assessment services and delivery times of rehabilitation services, but were inferior to those from village clinics in offering referral services and home - based diagnosis and treatment services （all P 〈 0. 05 ） . Compared with those from village clinics, GPs from township hospitals did inferior in the mastery level of management of mental disorders, providing follow - up services for the three groups （ pregnant women, children a