培养大批合格的全科医生是深化医疗卫生体制改革、实现人人享有基本医疗的重要保证。全科医生的培养在我国处于探索阶段，综合性教学医院在全科医生的培养中扮演着重要的角色。近年来，四川大学华西医院在全科医生培养方面做了一些积极尝试与探索，现就其培养现状、成效及存在的问题逐一进行阐述剖析，以期与同行共同探索大型教学医院开展全科医师培养的有效途径。
【摘要】 目的 调查四川大学医院管理MBA项目的学员满意度，分析其影响因素，寻求相关启示，为现代医院管理者决策提供参考依据。 方法 以2006年-2010年四川大学医院管理MBA项目学员为研究对象，采用自制的调查问卷，对参与培训的336名学员进行统一的问卷调查，对结果采用logistic回归分析。 结果 发放问卷336份，回收有效问卷320份，有效回收率95%。86.2%的学员表示对培训项目的效果满意。课程内容的实践性、培训组织管理模式、是否有丰富的个案分析等因素与学员满意度有关（Plt;0.05）。 结论 要做好医院管理MBA的培训项目，需要关注影响学员满意度的因素，需在课程内容设计、培训模式改进、案例资料库的甄选等方面努力，从而设计更符合现代医院管理需要的MBA培训课程。【Abstract】 Objective To investigate the satisfaction degree of students in the MBA programs of Sichuan university, analyze the influential factors for the satisfaction degree. Methods Self-made questionnaire was applied in the investigation on 336 students who attended the MBA program of Sichuan University from 2006 to 2010. The investigation results were collected and analyzed by using logistic regression analysis. Results A total of 320 (89.65%) valid questionnaires were retrieved among all the 336 questionnaires assigned. In all the students, 86.2% were contented with the current situation of scientific training program. The content of the course practice, management of training mode and whether there was a rich case analysis were influential factors for students′ satisfaction degree (Plt;0.05). Conclusions The influential factors for students’ satisfaction degree should be taken into consideration in order to better carry out the MBA hospital management training program. More emphasis should be paid on the course design, training mode adjustment and selection of cases, in order to cater for modern hospital managers.
ObjectiveTo construct the general practice tutors’ ability system in community training bases under the background of hospital-community integrated teaching of general practice.Methods From January to April 2021, literature analysis, expert group consultation, in-depth interview and questionnaire survey were conducted to construct the grass-roots general practice tutors’ ability system, and exploratory factor analysis method was applied, using main component analysis to extract the competency elements. Results There were 4 first level indicators and 20 second level indicators in the system, among which the first level indicators were personal characteristics and professionalism, teaching and research ability, basic level clinical practice ability, and base organization management ability. Conclusion This research enriches the indicators and connotations of the general practice tutors in community training base of general practice, and provides empirical research basis for the selection, ability training and performance evaluation of tutors in community practice bases of general practice medicine.
目的 研究环氧合酶-2抑制剂药物的应用状况和发展趋势，为临床合理、有效、经济地选用药物提供科学依据。 方法 采用金额排序和用药频度（DDDs）、日均费用（DDC）方法，对四川大学华西医院2008年－2010年环氧合酶-2抑制剂药物的临床应用情况进行统计分析。 结果 2008年－2010年间，该院环氧合酶-2抑制剂药物的应用数量和销售金额呈逐年上升趋势，其中选择性环氧合酶-2抑制剂药物的用量增幅较大，非选择性环氧合酶-2抑制剂药物用量呈下降趋势。 结论 该院环氧合酶-2抑制剂药物临床应用合理，选择性环氧合酶-2占主导地位，有较好的发展前景。