Volume 23 Issue 11
Nov.  2025
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WANG Minwen, SU Pingqing, YU Zhaoxiang, CUI Jie, FENG Gong. Awareness and diagnosis treatment ability of early health problems among general practice trainees in Shaanxi Province[J]. Chinese Journal of General Practice, 2025, 23(11): 1946-1949. doi: 10.16766/j.cnki.issn.1674-4152.004266
Citation: WANG Minwen, SU Pingqing, YU Zhaoxiang, CUI Jie, FENG Gong. Awareness and diagnosis treatment ability of early health problems among general practice trainees in Shaanxi Province[J]. Chinese Journal of General Practice, 2025, 23(11): 1946-1949. doi: 10.16766/j.cnki.issn.1674-4152.004266

Awareness and diagnosis treatment ability of early health problems among general practice trainees in Shaanxi Province

doi: 10.16766/j.cnki.issn.1674-4152.004266
Funds:

 230724171107236

 SGH23Y2464

 S202311840093

  • Received Date: 2024-04-01
    Available Online: 2026-01-07
  •   Objective  To provide strong evidence for further targeted improvement of general practitioners ' diagnostic and therapeutic abilities by analyzing the cognitive level and influencing factors of early health problems among general practitioners in the western region.  Methods  A total of 98 trainees from 54 districts and counties in Shaanxi Province were selected as survey participants between September 2021 and September 2023. A questionnaire survey was conducted to assess their awareness of early health problems and self-evaluated diagnostic and treatment competencies.  Results  A total of 98 questionnaires were collected in this study, and the survey results showed that the awareness of this type of health problem among senior students of general practitioner residency training (12.94±3.02) was higher than that of junior students (10.40±3.40, P < 0.01), and their self-assessment value of diagnosis and treatment ability (11.71±2.80) was also higher than that of junior students (9.91±3.16, P < 0.05); Other factors such as gender, age, type of training, and years of work experience didn ' t have a statistically significant impact on self-assessment of awareness and diagnostic and treatment abilities. Academic lectures and training courses related to this type of health issue (accounting for 85.2%) were generally considered to be the most helpful in improving diagnosis and treatment abilities, with case sharing, relevant lectures, and small lectures and outpatient mentoring ranking among the top three.  Conclusion  There are certain deficiencies in the awareness and diagnosis and treatment abilities of general practitioners Shaanxi Province regarding early health problems. Different teaching models are adopted for resident physicians of different grades to further improve the clinical teaching and assessment of such health problems, continuously improve the quality of general practitioners, and contribute to the cultivation of excellent grassroots physicians.

     

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  • [1]
    祝墡珠, 于晓松, 路孝琴. 全科医学概论[M]. 北京: 人民卫生出版社, 2018: 135.

    ZHU S Z, YU X S, LU X Q. Introduction to General Practice[M]. Beijing: People's Medical Publishing House, 2018: 135.
    [2]
    中国老年医学学会, 全科未分化疾病专家协作组. 乏力诊治与管理专家共识(2024)[J]. 中华全科医学, 2024, 22(9): 1453-1462. doi: 10.16766/j.cnki.issn.1674-4152.003658

    Chinese Geriatric Society, Expert Collaboration Group for Undifferentiated Diseases in General Practice. Expert Consensus on Diagnosis, Treatment, and Management of Frailty (2024)[J]. Chinese Journal of General Practice, 2024, 22(9): 1453-1462. doi: 10.16766/j.cnki.issn.1674-4152.003658
    [3]
    BAITHA U, DEB K S, RANJAN P, et al. Estimated prevalence of medically unexplained physical symptoms in the medicine outpatient department of a tertiary care hospital in India[J]. Gen Hosp Psychiatry, 2019, 61: 47-52. doi: 10.1016/j.genhosppsych.2019.10.006
    [4]
    AAMLAND A, MALTERUD K, WERNER E L. Patients with persistent medically unexplained physical symptoms: a descriptive study from Norwegian general practice[J]. BMC Fam Pract, 2014, 15: 107. DOI: 10.1186/1471-2296-15-107.
    [5]
    娄铮, 刘颖, 任菁菁. 县级综合医院普通内科门诊未分化疾病就诊情况分析[J]. 中国全科医学, 2023, 26(31): 3945-3950.

    LOU Z, LIU Y, REN J J. Analysis of undifferentiated diseases in general internal medicine clinics of county-level general hospitals[J]. Chinese General Practice, 2023, 26(31): 3945-3950.
    [6]
    邱艳, 任文, 刘颖, 等. 综合性医院全科线上-线下门诊就诊情况分析[J]. 中华医院管理杂志, 2018, 34(7): 552-555.

    QIU Y, REN W, LIU Y, et al. Analysis of online and offline outpatient visits in general hospitals[J]. Chinese Journal of Medical Hospital Management, 2018, 34(7): 552-555.
    [7]
    娄铮, 刘颖, 任菁菁. 浙江省全科医生对未分化疾病诊治的观点研究[J]. 中华全科医学, 2024, 22(2): 321-324. doi: 10.16766/j.cnki.issn.1674-4152.003394

    LOU Z, LIU Y, REN J J. A study of the opinions of general practitioners in Zhejiang Province on the diagnosis and treatment of medically unspecified disease[J]. Chinese Journal Of General Practice, 2024, 22(2): 321-324. doi: 10.16766/j.cnki.issn.1674-4152.003394
    [8]
    陈俊名, 徐皓, 赵盛男, 等. 解读躯体症状-重新认识躯体症状障碍[J]. 医学与哲学, 2018, 39(9): 63-65.

    CHEN J M, XU H, ZHAO S N, et al. Understanding somatic symptoms: rethinking somatic symptom disorder[J]. Medicine and Philosophy, 2018, 39(18): 63-65.
    [9]
    叶康丽, 徐志杰, 杜亚平, 等. 应对未分化疾病: 从过度诊断走向医患共同决策[J]. 中国全科医学, 2020, 23(36): 4541-4547.

    YE K L, XU Z J, DU Y P, et al. Coping with undifferentiated diseases: from overdiagnosis to doctor-patient shared decision making[J]. Chinese General Practice, 2020, 23(36): 4541-4547.
    [10]
    朱铭来, 王恩楠. 医保支付方式改革如何减轻道德风险: 来自医保基金支出的证据[J]. 保险研究, 2021, 42(4): 75-90.

    ZHU M L, WANG E N. How does medicare payment reform mitigate moral hazard? Evidence from health care fund expenditures[J]. Insurance Research, 2021, 42(4): 75-90.
    [11]
    王剑强. 未分化疾病的全科诊疗思维与策略[J]. 中华全科医学, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913

    WANG J Q. General practice thinking and strategy of diagnosis and treatment of undifferentiated diseases[J]. Chinese Journal Of General Practice, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913
    [12]
    苏源. 宁夏引导居民基层就诊的实施困境与仿真策略研究[D]. 济南: 山东大学, 2020.

    SU Y. Research on the implementation dilemma and simulation strategy of guiding residents to seek medical treatment at the basic level in Ningxia[D]. Jinan: Shandong University, 2020.
    [13]
    ABRAHAMSEN C, LINDBAEK M, WERNER E L. Experience with a structured conversation tool: a qualitative study on feasibility in general practice in Norway[J]. Scand J Prime Health Care, 2022, 40(2): 190-196. doi: 10.1080/02813432.2022.2076396
    [14]
    李亚茹, 裘力锋, 张佳, 等. 以岗位胜任力为目标的全科医生门诊教学探讨[J]. 中国毕业后医学教育, 2020, 4(4): 307-310.

    LI Y R, QIU L F, ZHANG J, et al. Out-patient teaching method of general practitioners oriented to post competency[J]. Chinese Journal of Graduate Medical Education, 2020, 4(4): 307-310.
    [15]
    J∅SSANG I H, AAMLAND A, HJÖRLEIFSSON S. Discovering strengths in patients with medically unexplained symptoms: a focus group study with general practitioners[J]. Scand J Prime Health Care, 2022, 40(3): 405-413. doi: 10.1080/02813432.2022.2139345
    [16]
    HENNINGSEN P, GUNDEL H, KOP W J, et al. Persistent physical symptoms as perceptual dysregulation: a neuro psycho behavioral model and its clinical implications[J]. Psychosom Med, 2018, 80(5): 422-431. doi: 10.1097/PSY.0000000000000588
    [17]
    TOBBACK E, MARIMAN A, CLAUWAERT L, et al. Opinion paper: the role of work in the management of medically unexplained physical symptoms[J]. Acta Clinica Belgica, 2019, 74(3): 151-156. doi: 10.1080/17843286.2018.1462754
    [18]
    CHUA I S, GAZIEL YABLOWITZ M, KORACH Z T, et al. Artificial intelligence in oncology: path to implementation[J]. Cancer Med, 2021, 10(12): 4138-4149. doi: 10.1002/cam4.3935
    [19]
    李静尧, 邱阳, 王海东. 人工智能技术在肺癌临床诊疗中的应用与展望[J]. 重庆医学, 2024, 53(7): 961-964, 971.

    LI J Y, QIU Y, WANG H D. Application and prospects of artificial intelligence technology in clinical diagnosis and treatment of lung cancer[J]. Chongqing Medicine, 2024, 53(7): 961-964, 971.
    [20]
    周英达, 卓书雄, 金花, 等. 上海市社区全科医生对未分化疾病认知度和诊疗能力的自我评价研究[J]. 中国全科医学, 2021, 24(31): 3979-3985.

    ZHOU Y D, ZHUO S X, JIN H, et al. Self-rated capability of identifying, diagnosing and treating medically unexplained physical symptoms in shanghai general practitioners in community health centers[J]. Chinese General Practice, 2021, 24(31): 3979-3985.
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