在城乡基本公共卫生服务体系中，民办医院的医生是其主要的服务队伍之一，因 此，对城乡居民所享受的公共卫生医疗服务的整体质量产生了巨大影响。就当前的学 术研究来看，针对国内民办医院医生的论述基本上停留在文化分析、职称分析，以及 职业资格分析等外部条件的讨论之上，针对民办医院医生职业能力培养尚且没有进行 深入研究。本文希望通过对胜任力理论进行分析，来全面阐述城乡民办医院的医生职 业能力培养的现状和需求。 本文在写作的过程中，首先，通过线上知网、万方、维普等主流文献平台以及线 下城市、校园图书馆的查阅，收集整理有关民办医院、医生、职业能力提升等方面的 理论文献，结合人力资本理论、学习型组织理论以及胜任力理论，探究国内研究的侧 重点以及不足之处。其次，选择W县民办医院、医院的医生以及医生的职业能力为 研究对象，对医生职业能力发展规划的不足之处进行分析，找出薄弱环节，提出针对 性完善策略。然后，建立健全对应的评价指标体系，结合前人理论研究经验，以及W 县民办医院的实际运营情况，制定出评价指标体系。之后通过发放调研问卷的形式， 收集整理一线数据，对指标体系进行完善，并确定各项关键指标的权重排序。通过这 种方式探究W县民办医院医生的职业能力差异，立足基本医疗服务、公共卫生服务 以及持续教育等层面，探究W县民办医院医生的职业能力发展路径与策略。最后， 对全文进行总结。 关键词：人力资本；职业能力；评价指标 W县民办医院医生职业能力培养研究 II ABSTRACT Intheurbanandruralbasicpublichealthservicesystem,doctorsinprivatehospitalsare oneofthemainserviceteams.Therefore,ithasahugeimpactontheoverallqualityofpublic healthservicesenjoyedbyurbanandruralresidents.Intermsofthecurrentacademic research,thediscussionofdoctorsinprivatehospitalsinChinabasicallystaysonthe discussionofexternalconditionssuchasculturalanalysis,professionaltitleanalysis,and professionalqualificationanalysis,andthereisnoin-depthresearchonthecultivationof doctors'professionalabilityinprivatehospitals.Thispaperhopestoanalyzethecompetency theorytocomprehensivelyelaboratethecurrentsituationandneedsoftheprofessional abilitytrainingofdoctorsinurbanandruralprivatehospitals. Intheprocessofwriting,firstofall,throughtheonlineHowNet,Wanfang,VIPand othermainstreamliteratureplatforms,aswellasofflinecityandcampuslibraries,thispaper collectsandcollatesthetheoreticalliteratureonprivatehospitals,doctors,professional abilitypromotionandotheraspects,combinedwithhumancapitaltheory,learning organizationtheoryandcompetencytheory,Toexplorethefocusofdomesticresearchand deficiencies.Secondly,selectwCountyprivatehospitals,doctorsanddoctors'professional abilityastheresearchobject,analyzethedeficienciesofdoctors'professionalability developmentplanning,findouttheweaklinks,andputforwardtargetedimprovement strategies.Then,establishandimprovethecorrespondingevaluationindexsystem, combinedwithprevioustheoreticalresearchexperience,aswellastheactualoperationof privatehospitalsinWCounty,formulatetheevaluationindexsystem.Afterthat,throughthe formofquestionnaire,collectthefront-linedata,improvetheindexsystem,anddetermine theweightofthekeyindicators.Throughthiswaytoexplorethedifferenceofprofessional abilityofdoctorsinprivatehospitalsinWCounty,basedonbasicmedicalservices,public healthservicesandcontinuingeducation,toexplorethedevelopmentpathandstrategyof professionalabilityofdoctorsinprivatehospitalsinWcounty.Finally,thepaper summarizesthewholepaper. KEYWORDS:humancapital;Professionalability;evaluatingindicator 河北地质大学硕士学位论文 III 目录 摘要.................................................................................................................................I ABSTRACT...............................................................................................................................II 第1章绪论.........................................................................................................................1 1.1研究背景.................................................................................................................1 1.2研究意义.................................................................................................................2 1.3国内外研究现状.....................................................................................................2 1.3.1国外研究现状.............................................................................................2 1.3.2国内研究现状.............................................................................................3 1.3.3国内外研究现状评述.................................................................................4 1.4研究内容及研究方法.............................................................................................5 1.4.1研究内容.....................................................................................................5 1.4.2研究方法.....................................................................................................5 1.4.3创新点.........................................................................................................6 第2章相关概念及基础理论...............................................................................................7 2.1相关概念.................................................................................................................7 2.1.1医生.............................................................................................................7 2.1.2职业能力.....................................................................................................7 2.1.3人才培养.....................................................................................................8 2.1.4民办医院.....................................................................................................8 2.2相关理论.................................................................................................................9 2.2.1人力资本理论.............................................................................................9 2.2.2学习型组织理论.........................................................................................9 2.3胜任力模型...........................................................................................................10 2.3.1McClelland的冰山模型..........................................................................10 2.3.2Boyatzis的“洋葱模型”......................................................................11 W县民办医院医生职业能力培养研究 IV 2.3.3Spencer&Spencer的新冰山模型............................................................11 2.4本章小结...............................................................................................................12 第3章W县民办医院医生职业能力评价指标体系的构建..............................................13 3.1筛选医生职业胜任力的指标体系........................................................................13 3.1.1研究对象...................................................................................................14 3.1.2专家咨询问卷构成...................................................................................15 3.1.3德尔菲法的评价指标................................................................................15 3.2医生职业胜任力指标体系的确定.......................................................................17 3.2.1指标的筛选标准.......................................................................................17 3.2.2专家意见的可靠性...................................................................................17 3.2.3德尔菲法统计结果...................................................................................17 3.3职业能力评价指标体系权重确定.......................................................................20 3.3.1研究方法....................................................................................................20 3.3.2计算特征向量（权重）和最大特征根....................................................21 3.3.3一致性检验................................................................................................21 3.3.4权重及组合权重结果...............................................................................