A competency model for basic public health professionals in public health emergencies.

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Yujing Cai, Jing Wang, Pinrong Ding
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引用次数: 0

Abstract

Objective: To develop and validate a comprehensive competency model for basic public health professionals to enhance their response to public health emergencies.

Methods: Staff working in basic public health institutions such as the Centre for Disease Control, community health services and township health centres were selected as the study population. Through an integrative literature review, structured questionnaire survey (n = 1310), exploratory factor analysis and confirmatory factor analysis, we developed and validated a competency model. Exploratory factor analysis was utilized to extract common factors, and confirmatory factor analysis was employed to establish the model and ensure its robustness.

Results: Identified competencies by exploratory factor analysis encompass professional and technical skills, medical professionalism, specialized medical knowledge, cognitive and managerial aptitude, public health service competence, emergency response proficiency and physical and mental quality. The model displayed high validity, with a Kaiser-Meyer-Olkin score of 0.933, the χ2 value of Bartlett's test of sphericity was 4169.238 at 889 degrees of freedom (df) (p < 0.001) and the cumulative contribution rate was 60.7%. The confirmatory analysis yielded a final model fit (χ2/df = 2.461) with satisfactory adjusted fit indicators.

Conclusion: This validated competency model provides a robust framework for selecting, training and evaluating basic public health professionals, potentially enhancing overall emergency response capabilities.

突发公共卫生事件中基层公共卫生专业人员的能力模型。
目的为基层公共卫生专业人员开发并验证一个综合能力模型,以提高他们应对突发公共卫生事件的能力:选取疾病控制中心、社区卫生服务机构和乡镇卫生院等基层公共卫生机构的工作人员作为研究对象。通过文献综述、结构化问卷调查(n = 1310)、探索性因素分析和确认性因素分析,我们建立并验证了一个能力模型。探索性因子分析用于提取共性因子,确认性因子分析用于建立模型并确保其稳健性:通过探索性因子分析确定的能力包括专业技术技能、医疗职业精神、专业医学知识、认知和管理能力、公共卫生服务能力、应急反应能力和身心素质。该模型显示出较高的有效性,Kaiser-Meyer-Olkin 得分为 0.933,Bartlett 球形度检验的 χ2 值为 4169.238,自由度(df)为 889(p 2/df = 2.461),调整后的拟合指标令人满意:这个经过验证的能力模型为选拔、培训和评估基础公共卫生专业人员提供了一个强有力的框架,有可能提高整体应急能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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