Investigation on the needs of training of community doctors in the diagnosis and treatment of heart failure in Dongcheng District of Beijing

Objective To investigate the training demand of community doctors Dongcheng District of Beijing in order to promote the linkage management of the "technical scheme for grading diagnosis and treatment of heart failure" in different medical institutions(tertiary hospitals, secondary hospitals and primary health units). Methods According to the technical scheme of grading diagnosis and treatment of heart failure, a quantitative questionnaire was designed, which included 47 questions and were sent to Dongcheng Community doctors working group by Health Management Center. Results A total of 178 community doctors answered the questionnaire, with an average age of 36 years(32-47 years) and 10 years of community service(5-13 years). The percentage of the community doctors willing to take care the patients with heart failure was 88.2%; 73.6% of the community doctors thought that the patients had accepted the treatment of high-risk factors of heart failure; 52.2% of the doctors were not confident heart sounds auscultation. In the daily management of heart failure, the biggest problem was the lack of heart failure guideline training(72.5%), leading to about 75.8% doctors could not follow the guidelines, and about 79.8% doctors could not identify the indications of heart assist devices. In terms of heart failure referral, 79.8% doctors did not know the number of heart failure patients in their community, and 75.3% doctors could not contact the specialists of referral units to obtain patients' diagnosis and treatment information. As to the patients' education, 72.5% of patients could not carry out self-management and 71.3% refused to follow medical advices in terms of follow-up training, 92.7% of community doctors hope to be able to discuss patients with specialists in a team way. Conclusion In order to promote the treatment and referral in community, it is necessary to strengthen the training of heart failure guidelines for community doctors, strengthen patient self-management, and establish a diagnosis and treatment platform between physicians in community and tertiary hospitals.