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Clinical undergraduate training and assessment in primary health care: Experiences gained from Crete, Greece

机译：初级卫生保健的临床本科培训和评估：从希腊克里特岛获得的经验

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Background Primary Health Care (PHC) is increasingly being introduced into undergraduate medical education. In Greece, the Faculty of Medicine of the University of Crete was the first to introduce a 4-week long training in primary health care. This paper presents the experiences gained from the initial implementation of the teaching of practice-based primary care in rural Crete and reports on the assessment scale that was developed. Methods 284 students' case write-ups from the 6 primary care units (PCUs) where they were allocated for the period 1990 to 1994 were analysed. The demographic data of the students and patients and the number of home visits were studied. Content analysis of the students' write-ups was carried out, using an assessment scale consisting of 10 dichotomous variables, in order to quantify eight (8) primary qualitative criteria. Results Internal reliability was estimated by the index KR20 = 0.67. Face and content validity was found to conform to the standards set for the course, while logistic linear regression analysis showed that the quality criteria could be used as an assessment scale. The number of home visits carried out varied between the various different PCUs (p Conclusion The primary health care course achieved the objectives of introducing students to comprehensive, community oriented care, although there was variation between the PCUs. The assessment scale that was developed to analyse the case-write ups of the students provided data that can be used to evaluate the course.
机译：背景技术初级卫生保健（PHC）越来越多地引入本科医学教育中。在希腊，克里特大学医学院是第一个引入为期4周的初级卫生保健培训的人。本文介绍了从最初在克里特岛农村地区实施基于实践的初级保健教学所获得的经验，并报告了已开发的评估规模。方法对1990年至1994年期间分配给6个初级保健单位（PCU）的284名学生的案例记录进行分析。研究了学生和患者的人口统计数据以及家庭访问的次数。使用10个二分变量组成的评估量表对学生的论文进行了内容分析，以量化八（8）个主要定性标准。结果内部可靠性由指标KR20 = 0.67估计。发现脸部和内容的有效性符合该课程设定的标准，而逻辑线性回归分析表明，质量标准可以用作评估量表。在不同的PCU之间进行家访的次数有所不同（p结论尽管PCU之间存在差异，但初级保健课程已实现了向学生介绍以社区为导向的综合护理的目标。学生的案例记录提供了可用于评估课程的数据。

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