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Table 1 Key elements for the evaluation of family physician service competence under the background of Internet Plus

From: Development of competency model for family physicians against the background of ‘internet plus healthcare’ in China: a mixed methods study

Dimensions Elements Definition
1. Service skills 1a. General medical service Basic general clinical medical expertise and skills in diagnosis and treatment
1b. Health management service for special population Healthcare knowledge and skills in health management and holistic health services for children, women, the elderly, and patients with chronic diseases in the community
1c. Health education service Education skills with knowledge of disease prevention and health promotion
1d. Management of infectious patients Skills in managing people with infectious diseases such as tuberculosis and AIDS in the community
1e. Rehabilitation service Skills in developing the rehabilitation medical plan and providing rehabilitation knowledge for patients with physical impairments in the community
1f. Disease surveillance Ability to continuously monitor the high-risk population for specific diseases (e.g. hypertension/diabetes/asthma/influenza) in the community
1g. Referral coordination Coordinated ability to make accurate referrals to level 2 and 3 hospitals based on the patient’s condition and the expertise of the superior hospital specialist
1h. Using telemedicine system Skills in handling equipment such as telemedicine
1i. Using two-way referral information system Proficiency in the use of a two-way referral information system
1j. Online health education Skills in educating patients and their families through information technology tools such as apps
1k. Online health promotion Skills in helping patients manage their own health using information technology tools such as apps
1l. Online health guide Skills in providing health guidance for patients and their caregivers using the Internet
1m. Online information exchange Ability to use the Internet to exchange information
1n. Understanding and implementation of primary healthcare regulations Achieve in their efforts to ensure that they are aware of and take steps to comply with relevant laws, policies, and regulations
2. Professionalism 2a. Frontier understanding of industry dynamic Accurate and timely understanding of the latest developments of and concepts related to Internet Plus family doctor
2b. Professional interest and recognition Have a strong interest and enthusiasm in the work of family physicians and be proud of this work
2c. Industry self-discipline Standardize and regulate your own behaviour and do not violate industry or work rules and regulations
2d. Pursuit of progress and development Work hard, do not be satisfied with the status quo, and actively learn new knowledge and skills to help yourself improve and develop
2e. Spirit of service Have the will and determination to serve patients in the community and protect the health of residents
2f. Respect the patient’s right to know and privacy Protect patient privacy and respects the right of patients and their families to know about their conditions
2g. Collect and process nformation Have the ability to collect work-related information (the health problems of the local community and other community-based resources and services) promptly and to accurately analyse and process the information
2h. Work under stress Effectively relieve stress and handle work when facing external pressures and setbacks
2i. Time management Have the ability to rationally allocate and utilize your time to effectively achieve the goals
3.Interpersonal communication and teamwork skills 3a. Communicate with patients Fully communicate with patients to understand their personal, family, community, and social background
  3b. Doctor-patient decision-making Promote and encourage patients’ motivation and initiative and empower patients and their families to participate in and develop treatment plans for self-health needs
3c. Meet the needs of patients Have the ability to discover the psychological state and needs of patients and residents
3d. Team communication and collaboration Communicate with, understand, and support team members to serve the team’s goals together
3e. Actively seek help Seek help and promptly solve problems that cannot be solved independently at work
3f. Organizational and coordination capabilities Have the ability to allocate resources according to work tasks, and control and coordinate normal operation of activities
4. Personal traits 4a. Patience Patiently respond to the questions and requirements from patients and residents, and resolve them actively
4b. Empathy Understand the feelings of others, think and deal with the problems from the perspective of patients and residents, and be willing to take the time to care for and understand the patients
4c. Grittiness The family physician has perseverance and passion for long-term goals
4d. Influence Have the ability to use professional knowledge and facts to persuade others and influence their views or decisions
4e. Responsibility Have a sense of responsibility
4f. Decisiveness Quickly make judgments and make correct decisions about what happens at work