| 袁华,郗宵,陆宇珩,等.中国康复医师运动康复能力现状及其能力提升需求的调查研究[J].中华物理医学与康复杂志,2026,48(9):806-817 |
| 中国康复医师运动康复能力现状及其能力提升需求的调查研究 |
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| DOI：10.3760/cma.j.cn421666-20260202-00067 |
| 中文关键词: 运动康复 能力 现状 培训需求 |
| 英文关键词: Motor rehabilitation Competence Current status Training need |
| 基金项目:国家卫生健康委能力建设和继续教育中心中国康复医师康复能力建设研究项目（CBCEC-2025728）；中华医学会医学教育分会医学教育研究课题（2023B147） |
| 作者 | 单位 | | 袁华 | 空军军医大学西京医院康复医学科,西安 710032 | | 郗宵 | 空军军医大学西京医院康复医学科,西安 710032 | | 陆宇珩 | 空军军医大学西京医院康复医学科,西安 710032 | | 田飞 | 空军军医大学西京医院康复医学科,西安 710032 | | 魏全 | 四川大学华西医院康复医学中心,成都 610041 | | 王楚怀 | 中山大学第一附属医院康复医学科,广州 510062 | | 林坚 | 浙江医院康复医学中心,杭州 310007 | | 宋振华 | 中南大学湘雅医学院附属海口市人民医院康复医学科,海口 570208 | | 江浩清 | 漳州市医院康复科,漳州 363099 | | 宋海新 | 浙江大学医学院附属邵逸夫医院,杭州 310009 | | 黄峥 | 国家卫生健康委能力建设和继续教育中心（国家卫生健康委党校）,北京 100083 | | 邰骋 | 国家卫生健康委能力建设和继续教育中心（国家卫生健康委党校）,北京 100083 | | 李建华 | 浙江大学医学院附属邵逸夫医院,杭州 310009 |
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| 中文摘要: |
| 目的 全面了解我国康复医师的运动康复能力及其能力提升需求，为制订具有针对性的康复医师能力培训标准提供客观依据。 方法 由专家组讨论设计调查问卷，通过线上调查的方式面向我国大陆范围内各级医院的康复执业医师开展调查，并进行整体、不同区域及不同机构的比较分析。 结果 调研共收集有效问卷1219份，覆盖30个省区市。结果显示，康复医师整体临床核心能力自评良好，其中优秀和良好分别占比15.8%和51.1%。神经系统疾病的评估和治疗掌握度最高，该方面可自主工作的比例分别为55.0%和53.2%。心肺功能评估和运动员专项评估相对较弱。薄弱领域高度集中于复杂病例康复方案制定（61.9%）、新兴康复技术操作（61.3%）和跨学科协作（58.9%）。设备配置呈现地区和机构差异，三级医院和东部地区优势明显。科研能力整体薄弱，多数医师未发表过论文（62.0%）或未接受过系统、规范的科研写作培训（66.7%）。培训需求高度集中在肌肉骨骼和神经康复的实操技能提升，线下实操培训为最受欢迎的继续教育形式。 结论 我国康复医师队伍建设仍存在专业人才不足、资源配置不均、复杂病例处理能力薄弱等问题。建议构建分层分类培养体系，强化跨学科协作与新兴技术培训，推动优质资源下沉，创新培训模式，以建设高质量康复医师队伍，支撑健康中国战略实施。 |
| 英文摘要: |
| Objective To comprehensively the current status of motor rehabilitation competence among rehabilitation physicians in China and identify their training needs, thereby providing an evidence base for developing targeted competency training standards. Methods A questionnaire was designed following expert panel review and administered via an online survey to rehabilitation physicians across hospitals of all levels in mainland China. Data were analyzed to compare differences across regions and institution levels. Results A total of 1,219 valid questionnaires were collected from 30 provincial-level regions. The results indicated that the overall self-assessed clinical core competence of rehabilitation physicians was good, with 15.8% rating themselves as excellent and 51.1% as good. Competence in the assessment and treatment of neurological diseases was the highest, with 55.0% and 53.2% of physicians reporting they could work independently in these areas, respectively. Conversely, assessment of cardiopulmonary function and athlete-specific assessment were relatively weak. Weaknesses were mainly concentrated in formulating rehabilitation plans for complex cases (61.9%), operating emerging rehabilitation technologies (61.3%), and interdisciplinary collaboration (58.9%). Equipment configuration showed regional and institutional disparities, with tertiary hospitals and the eastern region demonstrating significant advantages. Overall research capability was weak; most physicians had not published papers (62.0%) or undertaken research projects (66.7%). Training needs focused primarily on improving practical skills in musculoskeletal and neurological rehabilitation, with offline practical training remaining the most preferred form of continuing education. Conclusions The development of the rehabilitation physician workforce in China still faces challenges such as a shortage of specialized professionals, uneven resource distribution, and weak capabilities in handling complex cases. It is recommended to establish a tiered and categorized training system, strengthen interdisciplinary collaboration and training in emerging technologies, promote the flow of high-quality resources to grassroots levels, and innovate training models. These measures will help build a high-quality rehabilitation physician workforce and support the implementation of the Healthy China strategy. |
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