摘要
目的本研究旨在了解广西农村执业医师对多重慢病诊疗的认知现状和培训需求,为有效开展相关教育培训提供有益参考。方法2024年2—8月,采用分层抽样法和整群抽样法抽取广西2家县级综合医院和32家乡镇卫生院为样本机构,通过问卷星向样本机构全体执业医师发放自设问卷,以县级医院执业医师为非基层医疗机构组,乡镇卫生院执业医师为基层医疗机构组。采用χ2检验等统计学方法分析农村执业医师对多重慢病诊疗的认知现况和培训需求。结果发放问卷1200份,最终回收994份,有效回收率为82.8%。绝大多数农村执业医师在多重慢病筛查、评估、管理、转诊及临床指南等题项中选择“一般了解”或“较少了解”或“完全不了解”,但较少人选择“了解”或“非常了解”;基层医疗机构组对某些题项的认知状况优于非基层医疗机构组(P<0.05)。农村执业医师对多重慢病相关培训需求强烈,倾向于线上线下结合、理论与实践并重、中低频次的培训模式和频率。结论广西农村执业医师自感多重慢病诊疗的认知水平有限,尤其缺乏多重慢病筛查、评估、管理及临床指南等知识和技能;建议采取线上线下混合式、理论结合实践的培训模式加强相关培训,切实提高农村执业医师多重慢病的防治能力。
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 1200 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.
作者
彭厚瑄
申颖
赵璨
韦耿贵
奚谦
陈培萌
PENG Houxuan;SHEN Ying;ZHAO Can;WEI Genggui;XI Qian;CHEN Peimeng(Department of General Practice,the First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530021,China)
出处
《中华全科医学》
2026年第1期131-135,163,共6页
Chinese Journal of General Practice
基金
广西教育科学“十四五”规划2023年度课题(2023B132)。
关键词
多重慢病
农村地区
认知状况
培训需求
农村执业医师
Multimorbidity
Rural areas
Level of knowledge
Need for trainings
Rural licensed physicians
