A Study of the diagnostic perception of the primary care physicians in Xi'an city concerning of the common cold among the children and the influencing factors
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摘要: 目的 调查西安市社区全科医生对于儿童普通感冒诊疗知识的掌握情况及提升自身诊疗水平的态度,并分析相关影响因素,从而进一步明确社区儿童普通感冒诊疗不规范的原因,探讨相应的解决方案。 方法 采用横断面调查研究方法于2017年2—3月对西安市城6区49家社区卫生服务中心的118名全科医生进行问卷调查,调查内容包括一般情况、关于儿童普通感冒的相关诊疗知识以及提升诊疗水平的态度。 结果 ①47.5%的西安市全科医生对儿童普通感冒的诊疗知识掌握较差,52.5%掌握较好;②不同临床工作年限的全科医生对感冒、流感、普通感冒的概念知晓情况差异有统计学意义(P<0.05);不同职称的全科医生确定的首选治疗方案差异有统计学意义(P<0.05);③76.3%的全科医生对于提升儿童普通感冒的诊疗水平态度积极,23.7%态度消极;其中不同学历、不同收入水平的全科医生对于提升儿童普通感冒的诊疗水平态度差异存在统计学意义(均P<0.05);④多因素logistic回归分析显示,学历是全科医生对于提升自身诊疗水平态度的影响因素,学历偏低者态度相对消极。 结论 西安市全科医生对于儿童普通感冒的诊疗知识掌握水平仍需提高,对于提升诊疗水平的态度信念较积极;尤其学历较高的全科医生提升诊疗水平的态度较积极;应当重视全科医生的继续教育,发挥和利用其积极性,提高社区儿童普通感冒的诊疗预防服务质量。Abstract: Objective To investigate the mastery degree of community-based general practitioners of Xi'an City on diagnosis and treatment knowledge of common colds in children and their attitude to improve diagnosis and treatment level, analyze related influencing factors and then further determine the causes of nonstandard diagnosis and treatment of common colds in children in the communities and seek corresponding solutions. Methods The method of cross-sectional study was employed to carry out a questionnaire survey on 118 general practitioners from 49 community health service centers in 6 districts of Xi'an City from February to March 2017. The survey contents cover general conditions, diagnosis and treatment knowledge related to common colds in children and willingness to improve diagnosis and treatment level. Results ①47.5% of the general practitioners of Xi'an City had poor knowledge about diagnosis and treatment of common colds in children and 52.5% of them had a good grasp. ②There was difference in the cognition degree of general practitioners with different years of clinical work experience on the concepts of cold, flu and common cold (P<0.05); the preferred treatment options determined by general practitioners with different titles were also significantly different (P<0.05). ③76.3% of the general practitioners held positive attitudes towards the improvement of diagnosis and treatment level of common colds in children while 23.7% were negative; among them, general practitioners with different educational background and income levels had different attitudes towards the improvement of diagnosis and treatment level of common colds in children (P<0.05). ④Multi-factor logistic regression analysis shows that educational background is the factor influencing the attitudes of the general practitioners towards the improvement of diagnosis and treatment level of common colds in children, and general practitioners with low educational background held relatively negative attitudes. Conclusion General practitioners of Xi'an City should improve their mastery degree on diagnosis and treatment knowledge of common colds in children. They hold a relatively positive attitude towards the improvement of diagnosis and treatment level of common colds in children, especially general practitioners with higher educational background; attention should be paid to continuing education of general practitioners, to give full play to their initiatives to improve the quality of diagnosis, treatment and prevention services for common colds in children in the communities.
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Key words:
- General practitioners /
- Children /
- Common cold /
- Cognition on diagnosis and treatment
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