Volume 24 Issue 1
Jan.  2026
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(1): 131-135
PENG Houxuan, SHEN Ying, ZHAO Can, WEI Genggui, XI Qian, CHEN Peimeng. A study on knowledge of multimorbidity diagnosis and treatment and need for relevant trainings of rural licensed physicians in Guangxi[J]. Chinese Journal of General Practice, 2026, 24(1): 131-135. doi: 10.16766/j.cnki.issn.1674-4152.004346
Citation: PENG Houxuan, SHEN Ying, ZHAO Can, WEI Genggui, XI Qian, CHEN Peimeng. A study on knowledge of multimorbidity diagnosis and treatment and need for relevant trainings of rural licensed physicians in Guangxi[J]. Chinese Journal of General Practice, 2026, 24(1): 131-135. doi: 10.16766/j.cnki.issn.1674-4152.004346
shu

A study on knowledge of multimorbidity diagnosis and treatment and need for relevant trainings of rural licensed physicians in Guangxi

doi: 10.16766/j.cnki.issn.1674-4152.004346
  • 1.

    Department of General Practice, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China

Funds:

 2023B132

  • Received Date: 2025-04-22
    Available Online: 2026-04-01
    Abstract
  •   Objective  This study aims to investigate knowledge of multimorbidity diagnosis and treatment and the need for relevant training of rural licensed physicians in Guangxi, and to offer guidance on effective implementation of relevant education and training.  Methods  From February to Aug 2024, 2 county general hospitals and 32 township health centers in Guangxi were sampled using a combination of stratified and cluster sampling, and a self-designed questionnaire was sent via the national online platform "Wenjuanxing" to all licensed physicians working in all the above organizations. The licensed physicians working in the township health centers were assigned to the group of primary health care organization, and those in the county hospitals to the group of non-primary health care organization. Chi-square test was employed to analyze knowledge of multimorbidity diagnosis and treatment, and the need for relevant training of rural licensed physicians.  Results  A total of 1 200 questionnaires were sent out, and eventually 994 verified copies were back, accounting for 82.8%. The majority of rural licensed physicians chose "know some" or " know less" or "never know" on items related to screening, assessment, management, referral, and clinical guidelines, and only a few picked up "know" or "know well". The group of primary health care organization demonstrated better knowledge on some items than the group of non-primary health care organization (P < 0.05). Rural licensed physicians showed an urge for training in multimorbidity and preferred it to be carried out in a way characterized by a mixture of online and offline patterns, a combination of theory and practice, and low to middle frequency.  Conclusion  The rural licensed physicians in Guangxi feel that their knowledge about multimorbidity diagnosis and treatment is limited, especially regarding screening, assessment, management, and clinical guidelines. It is suggested to adopt the model with a mixture of online and offline patterns and inclusion of theory and practice to enhance relevant training, to effectively promote competence of rural licensed physicians on multimorbidity diagnosis and treatment.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    CHOWDHURY S R, CHANDRA DAS D, SUNNA T C, et al. Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis[J]. EClinical Medicine, 2023, 63(1): 22. DOI: 10.1016/j.eclinm.2023.101860.
    [2]
    ANSAH J P, CHIU C T. Projecting the chronic disease burden among the adult population in the United States using a multi-state population model[J]. Front Public Health, 2023, 10: 1082183. DOI: 10.3389/fpubh.2022.1082183.
    [3]
    HEAD A, BIRKETT M, FLEMING K, et al. Socioeconomic inequalities in accumulation of multimorbidity in England from 2019 to 2049: a microsimulation projection study[J]. Lancet Public Health, 2024, 9(4): e231-e239. doi: 10.1016/S2468-2667(24)00028-8
    [4]
    ZHONG Y, QIN G, XI H, et al. Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China[J]. BMC Public Health, 2023, 23(1): 1-9.
    [5]
    周珊, 刘艳丽, 李娜, 等. 老年多病共存患者健康相关生命质量及影响因素研究[J]. 中华全科医学, 2024, 22(5): 721-724. doi: 10.16766/j.cnki.issn.1674-4152.003488

    ZHOU S, LIU Y L, LI N, et al. Analyzing the health-related quality of life among the elderly with multiple chronic conditions[J]. Chinese Journal of General Practice, 2024, 22(5): 721-724. doi: 10.16766/j.cnki.issn.1674-4152.003488
    [6]
    郑晓, 田峰, 陈一鸣, 等. 2002-2022年我国多重慢病领域研究热点及演进趋势分析[J]. 中国全科医学, 2023, 26(21): 2567-2573.

    ZHENG X, TIAN F, CHEN Y M, et al. Research Hotspots and Evolutionary Trends on Multimorbidity in China from 2002 to 2022[J]. Chinese General Practice, 2023, 26(21): 2567-2573.
    [7]
    奚谦, 申颖, 赵璨, 等. 广西乡镇卫生院住院患者多重慢病共患模式、住院服务利用及相关影响因素的研究[J/OL]. 中国全科医学, 1-11. [2025-03-30]. http://cnki.wenx.top/kcms/detail/13.1222.R.20241231.1459.032.html.

    XI Q, SHEN Y, ZHAO C, et al. Multimorbidity Patterns, Inpatient Care Utility, and Associated Factors in Inpatients with Multimorbidity in Township Health Centers of Guangxi[J/OL]. Chinese General Practice, 1-11. [2025-03-30]. http://cnki.wenx.top/kcms/detail/13.1222.R.20241231.1459.032.html.
    [8]
    赵璨, 申颖, 奚谦, 等. 广西壮族自治区乡镇卫生院多重慢病患者的住院费用及影响因素研究[J]. 中国全科医学, 2025, 28(16): 2039-2049.

    ZHAO C, SHEN Y, XI Q, et al. The hospitalization spending and associated factors in inpatients with multimorbidity in township health centers in Guangxi[J]. Chinese General Practice, 2025, 28(16): 2039-2049.
    [9]
    金花, 于德华, 石建伟, 等. 全科医生对多病共存诊疗认知度调查研究[J]. 中国初级卫生保健, 2020, 34(11): 38-41.

    JIN H, YU D H, SHI J W, et al. A survey on general practitioners'recognition to the diagnosis and treatment of multimorbidity[J]. Chinese Primary Health Care, 2020, 34(11): 38-41.
    [10]
    楼春蓉, 刘佩华, 倪自暖. 全科医师对多病共存诊疗认知度和需求调查[J]. 中医药管理杂志, 2021, 29(20): 48-49.

    LOU C R, LIU P H, NI Z N. A survey on general practitioners' awareness and needs regarding the diagnosis and treatment of multimorbidity[J]. Journal of Traditional Chinese Medicine Management, 2021, 29(20): 48-49.
    [11]
    广西壮族自治区统计局. 广西统计年鉴2023[EB/OL]. (2023-01-01)[2024-11-21]. http://tjj.gxzf.gov.cn//tjsj/tjnj/material/tjnj20200415/2023/indexch.htm.
    [12]
    国家统计局. 卫生和社会服务[EB/OL]. (2023-02-02)[2024-11-21]. https://www.stats.gov.cn/sj/zbjs/202302/t20230202_1897089.html.
    [13]
    赵仲堂. 流行病学研究方法与应用[M]. 2版. 北京: 科学出版社, 2005.

    ZHAO Z T. Research Methods and Applications in Epidemiology[M]. 2nd edition. Beijing: Science Press, 2005.
    [14]
    曹琳, 杨振华, 肖卫忠. 多病共存慢性病个性化健康教育模式的探讨[J]. 中华全科医学, 2023, 21(6): 916-919.

    CAO L, YANG Z H, XIAO W Z. Discussion on the personalized health education model for chronic diseases with multimorbidity[J]. Chinese Journal of General Practice, 2023, 21(6): 916-919.
    [15]
    KNIES G, KUMARI M. Multimorbidity is associated with the income, education, employment and health domains of area-level deprivation in adult residents in the UK[J]. Sci Rep, 2022, 12(1): 7280. DOI: 10.1038/s41598-022-11310-9.
    [16]
    朱鸣雷, 刘晓红, 董碧蓉, 等. 老年共病管理中国专家共识(2023)[J]. 中国临床保健杂志, 2023, 26(5): 577-584.

    ZHU M L, LIU X H, DONG B R, et al. Chinese expert consensus on management of elderly patients with multimorbidity(2023)[J]. Chinese Journal of Clinical Healthcare, 2023, 26(5): 577-584.
    [17]
    刘玉文, 田伟盟, 罗凤云, 等. 老年综合评估及多学科团队服务在老年共病干预中的应用[J]. 中国老年保健医学, 2022, 20(1): 41-44.

    LIU Y W, TIAN W M, LUO F Y, et al. Application of comprehensive geriatric assessment and geriatric interdisciplinary teams service in elderly comorbidity intervention[J]. Chinese Journal of Geriatric Care, 2022, 20(1): 41-44.
    [18]
    ALZAREA A I, KHAN Y H, ALZAREA S, et al. Assessment of health-related quality of life among patients with chronic diseases and its relationship with multimorbidity: a cross-sectional study from Saudi Arabia[J]. Patient Prefer Adherence, 2024, 18: 1077-1094. doi: 10.2147/PPA.S448915
    [19]
    PRAZERES F, SHAH S, ABBAS G, et al. Assessment of health-related quality of life among patients with obesity, hypertension and type 2 diabetes mellitus and its relationship with multimorbidity[J]. Plos One, 2023, 18(8): e0289502. DOI: 10.1371/journal.pone.0289502.
    [20]
    FORTIN M, STEWART M. Implementing patient-centred integrated care for multiple chronic conditions: evidence-informed framework[J]. Can Fam Physician, 2021, 67(4): 235-238. doi: 10.46747/cfp.6704235
    [21]
    RAAIJMAKERS L H A, SCHERMER T R, WIJNEN M, et al. Development of a person-centred integrated care approach for chronic disease management in dutch primary care: a mixed-method study[J]. Int J Environ Res Public Health, 2023, 20(5): 3824. DOI: 10.3390/ijerph20053824.
    [22]
    黄一琳, 李亚, 黎笑乐, 等. 线上线下混合教练式培训联合学生自评在医学生临床操作技能培训中的应用[J]. 中华医学教育杂志, 2022, 42(1): 50-54.

    HUANG Y L, LI Y, LI X L, et al. Application of blending teaching methods combined with self-evaluation in the training of clinical operation skill for medical students[J]. Chinese Journal of Medical Education, 2022, 42(1): 50-54.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (29) PDF downloads(0) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return