Objective To investigate the status of and demand for service ability training on the health workers of community health service centers in Guangdong Province. Methods We selected 275 health workers from 36 community health centers that were registered with the pilot project of family doctor services. Self-designed questionnaire survey was conducted on the subjects,and the content of the survey included general demographic characteristics,the self-appraisal of service ability, training participation,training effect evaluation and training demands. Since 24 subjects didn't return their questionnaires,251 subjects were included in the study in the end. The status of and demand for service ability training were analyzed and compared among health workers of different categories,and the influencing factors for the willingness to participate in training were also investigated. Results (1) In the self-appraisal of service ability,the scores of manners as health workers and the mastery of community health service concepts were(6. 8 ± 1. 9)and(6. 8 ± 1. 8),and the score of the knowledge of the latest general practice progress abroad was(4. 9 ±2. 4). (2)Of the 251 health workers,57. 0%(143/251)had participated in service ability training,95. 6%( 240/251 )thought it necessary to participate in training. Health workers of different categories were significantly different in the number of training times ( P <0. 05 ) and were not significantly different ( P <0. 05 ) in the awareness of the necessity of training,the purpose of future training and the reason for future training. ( 3 ) Of the 143 health workers who had participated in training,92. 3%(132/143)were satisfied with the general effect of training. Health workers of different categories were significantly different in the mastery of the theoretical knowledge of general practice ( P <0. 05 )and were not significantly different(P >0. 05)in general effect,the concept and ability of general practice team service,the concept of community health service,household-based service ability,textbook,teaching methodology,teaching environment and course content. (4) Of the 18 items of self-appraisal,the training wiliness rate reached 50% for 16 items. Health workers of different categories were not significantly different ( P > 0. 05 ) in the training willingness rate of each item. ( 5 ) The univariate analysis showed that health workers with training willingness for different items were significantly different(P<0. 05) in average age,the previous training,the awareness of the necessity of training and the reason for future training;the non-conditional logistic regression analysis showed that age and the reason for future training had significant influence on training willingness(P<0. 05). Conclusion The health workers of community health service centers in Guangdong Province have poor service ability,while their training status is good and the training willingness is at a high level. Age and the reason for future training are influencing factors for training willingness.%目的：了解广东省社区卫生服务中心卫生技术人员的服务能力培训现状与需求。方法于2014年6月，在广东省36个家庭医生式服务能力试点社区卫生服务中心抽取卫生技术人员275名。采用自行设计的问卷对其进行调查，问卷内容包括：一般人口学特征、服务能力自我评价、参加培训情况、培训效果评价及培训需求等。因问卷未被回收剔除24名，最终确定卫生技术人员251名。比较并分析不同工作类别卫生技术人员的服务能力培训现状与培训需求，并探讨卫生技术人员培训意愿的影响因素。结果（1）卫生技术人员服务能力自我评价中，医务人员礼仪和社区卫生服务概念得分分别为（6.8±1.9）、（6.8±1.8）分，国外全科最新进展得分为（4.9 ± 2.4）分。（2）251名卫生技术人员中，有57.0%（143/251）参加过服务能力培训，有95.6%（240/251）认为参加培训有必要。不同工作类别卫生技术人员的参加次数比较，差异有统计学意义（ P<0.05）；参加必要性认识、可能参加目的及可能参加原因比较，差异无统计学意义（P>0.05）。（3）在143名参加过培训的卫生技术人员中，有92.3%（132/143）对培训的总体效果评价为满意。不同工作类别卫生技术人员对全科医学理论知识的评价比较，差异有统计学意义（P <0.05）；对总体效果、全科团队服务理念及能力、社区卫生服务概念、家庭式服务能力、教材、教学方法、教学环境及课程内容的评价比较，差异无统计学意义（ P>0.05）。（4）在自我评价的18个条目中，有16个条目的培训意愿在50%以上。不同工作类别卫生技术人员各条目培训意愿比较，差异无统计学意义（ P>0.05）。（ 5）单因素分析显示，不同培训意愿卫生技术人员年龄、参加培训情况、参加必要性认识及可能参加原因比较，差异有统计学意义（P<0.05）；非条件Logistic回归分析显示，年龄和可能参加原因对社区卫生技术人员培训意愿的影响有统计学意义（ P<0.05）。结论广东省社区卫生服务中心卫生技术人员的服务能力较差，但培训现状较好，且需求意愿较高；年龄和可能参加原因是其培训意愿的影响因素。
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