Development of the Onion Model-based Competency Assessment System for Community General Practitioners

Background As healthcare gatekeepers, the competency of community general practitioners (GPs) will directly determine the quality of their services. However, the requirements for the competency of community GPs are still unclear and relevant applied research is scarce. Objective To construct a competency assessment system for community GPs. Methods An item pool of the first draft of the Onion Model-based Competency Assessment System for Community General Practitioners (OMCASCGP) was created by use of literature review in January 2021, then items in which were screened and improved in accordance with the results of two rounds of email-based expert consultation conducted with a purposive sample of 52 experts in general medicine and general medical management from February to March 2021. The weight of each index was determined by using the Analytic Hierarchy Process. Results The response rate, authority coefficient, judgment coefficient and the degree of familiarity with the index for both rounds of consultation