金华市临床医生哮喘指南认知状况调查

目的 了解浙江省金华市不同级别医疗机构医生对支气管哮喘指南中主要知识的认知情况, 为提升临床医生技术水平寻找对策。方法 对金华市32家不同级别医疗机构741名内科、儿科及全科医师进行问卷调查。结果 被调查医生年龄以31~39岁为主, 占49.80%(369/741);学历以本科为主, 占60.73%(450/741);职称以主治医师为主, 占37.25%(276/741)。被调查医生哮喘指南培训率为13.25%(33/249)~70.15%(141/201)。哮喘诊断知识回答正确率为24.38%(177/726)~95.96%(711/741), 哮喘治疗知识回答正确率为54.29%(399/735)~94.97%(698/735)。二级、三级医院医生哮喘知识知晓率总体高于一级医院。结论 金华地区不同级别医疗机构医生对哮喘知识的认知水平存在差异, 基层一级医院医生对哮喘知识的掌握程度明显低于二级和三级医院。

Cognition of asthma guidelines among doctors in Jinhua city

Objective To evaluate the status of knowledge on asthma diagnosis, treatment, and prevention among doctors in Jinhua city of Zhejiang province for improving technological level of the doctors.Methods We performed a face-to-face questionnaire survey on demographic information, educational background, professional qualifications, and asthmatic knowledge among 741 general practitioners, pediatricians, and physicians from 32 hospitals at various levels during August to September, 2014.Results Of the respondents, nearly half(49.80%, 369/741)were aged between 31 and 40 years;60.73%(450/741)had a university diploma and 37.25%(276/741)were attending physicians.The rates of training on asthma guidelines were 13.25%(33/249)to 70.15%(141/201)and the correct answer rates for asthma diagnosis and treatment were 24.38%(177/726)-95.96%(711/741)and 54.29%(399/735)-94.97%(698/735)for the respondents from hospitals at different levels, respectively.The respondents working in hospitals of second- or third-level had higher scores than those working in health care centres.Conclusion The doctors from the community health care centers had relatively less professional knowledge on asthma than those working in hospitals of second- or third-level.