Volume 20 Issue 5
May  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 808-811
ZHAO Ya-jun, TIAN Jiu-peng, WANG De-qiang, ZHANG Fang-yan, YANG Sen, GE Xu-hua. Diagnosis cognition and influencing factors of Parkinson disease among community general practitioners in Shanghai[J]. Chinese Journal of General Practice, 2022, 20(5): 808-811. doi: 10.16766/j.cnki.issn.1674-4152.002460
Citation: ZHAO Ya-jun, TIAN Jiu-peng, WANG De-qiang, ZHANG Fang-yan, YANG Sen, GE Xu-hua. Diagnosis cognition and influencing factors of Parkinson disease among community general practitioners in Shanghai[J]. Chinese Journal of General Practice, 2022, 20(5): 808-811. doi: 10.16766/j.cnki.issn.1674-4152.002460
shu

Diagnosis cognition and influencing factors of Parkinson disease among community general practitioners in Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.002460
  • 1.

    Department of General Practice, Yangpu Hospital, Tongji University, Shanghai 200090, China

Funds:

 SE1201933

 20YF1444900

 2021YXGL14

  • Received Date: 2021-10-30
    Available Online: 2022-09-05
    Abstract
  •   Objective  To investigate the diagnosis cognition of Shanghai community general practitioners on Parkinson disease and analyze its influencing factors, in order to provide a reference for improving the awareness and ability of general practitioners in early recognition of Parkinson disease.  Methods  The questionnaire survey method was used from September 25 to October 28, 2020. A total of 553 community general practitioners in Shanghai were selected as the research objects, and the self-designed questionnaire was used to conduct an electronic questionnaire survey. The χ2 test and Mann-Whitney U test were used to compare the characteristics of general practitioners at different levels of cognition, and the multi-factor logistics regression method was used to explore the influencing factors.  Results  Only 38.1% (210/551) of general practitioners believed that Parkinson disease could be diagnosed in the community, and 61.9% (341/551) of them believed that it was not possible. The top three reasons were as follows: 60.4% (206/341) of the motor and non-motor symptoms of Parkinson disease were not mastered; 49.6% (169/341) of Parkinson disease needed special equipment to diagnose; 46.0% (157/341) of them could not understand the Parkinson disease guidelines due to lack of professional background. The influencing factors were professional title (OR=1.555, 95% CI: 1.160-2.086, P < 0.05), whether they knew the relevant diagnosis and treatment guidelines (OR=3.167, 95% CI: 2.186-4.589, P < 0.05), and whether there was neurology specialist clinic (OR=1.702, 95% CI: 1.127-2.571, P < 0.05).  Conclusion  General practitioners ' cognition of the diagnosis of Parkinson disease is obviously insufficient. The awareness and ability of early recognition of Parkinson disease needs to be improved. The influencing factors include professional title, whether they know the relevant diagnosis and treatment guidelines, and whether there is neurology specialist clinic. The community health service centers can establish neurology specialist clinics, and give priority to the intervention in the form of outpatient teaching combined with the needs of general practitioners, in the hope of improving the early diagnosis rate of Parkinson disease among community residents.

     

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