Background An elevated serum lipid is one of the major risk factors for coronary heart disease （CHD）. Physicians＇ awareness contributes to successful adoption of practice guidelines. Community medical centers are t...Background An elevated serum lipid is one of the major risk factors for coronary heart disease （CHD）. Physicians＇ awareness contributes to successful adoption of practice guidelines. Community medical centers are the primary defense against chronic disease. This study aimed to investigate community physicians＇ awareness of cholesterol guidelines and their utilization.Methods Six hundred and one community physicians were randomly selected from four different regions, and completed a confidential and semi-structured questionnaire. Four hundred and ninety-one completed the questionnaire, and 486 valid questionnaires were available.Results The physicians＇ fundamental knowledge of lipids was astonishingly poor, while the awareness of cholesterol guidelines was low. Only 24% and 14% of the physicians reported the right optimal low-density lipoprotein cholesterol （LDL-C） level for CHD and diabetes patients respectively. More than half of the physicians （55.8%） mistakenly considered elevated transaminases to be the lethal side effect of statins. More than half of the physicians （51.9%） would give up statin treatment in the case of transaminase elevation.Conclusion Educational interventions to improve cholesterol knowledge and to publicize standard treatment are needed among Chinese community physicians.展开更多
目的探讨培训社区医务人员管理心力衰竭的有效适用方法。方法入选新都、苏坡社区的医务人员为试验组,进行每月1次的集中培训/远程指导/临床指导。选择同期在成都市第三人民医院培训的社区医师为对照组。观察时间为3年。结果试验组和对...目的探讨培训社区医务人员管理心力衰竭的有效适用方法。方法入选新都、苏坡社区的医务人员为试验组,进行每月1次的集中培训/远程指导/临床指导。选择同期在成都市第三人民医院培训的社区医师为对照组。观察时间为3年。结果试验组和对照组培训前后问卷合格率、临床实践水平和患者的满意度均有明显提高。但是,试验组社区医生的花费(0 vs 5 000.63±600.44),误工天数(0 vs 201.26±20.39),明显少于对照组,满意度明显高于对照组(72.73%vs 54.54%)。结论两种培训方法均可显著提高社区医务人员的心力衰竭相关知识和临床处理心力衰竭能力,也提高慢性心力衰竭患者对社区医生满意度,集中培训/远程指导/临床指导的培训方式更经济,更受社区医生欢迎,更适合目前社区医生的特点。展开更多
文摘Background An elevated serum lipid is one of the major risk factors for coronary heart disease （CHD）. Physicians＇ awareness contributes to successful adoption of practice guidelines. Community medical centers are the primary defense against chronic disease. This study aimed to investigate community physicians＇ awareness of cholesterol guidelines and their utilization.Methods Six hundred and one community physicians were randomly selected from four different regions, and completed a confidential and semi-structured questionnaire. Four hundred and ninety-one completed the questionnaire, and 486 valid questionnaires were available.Results The physicians＇ fundamental knowledge of lipids was astonishingly poor, while the awareness of cholesterol guidelines was low. Only 24% and 14% of the physicians reported the right optimal low-density lipoprotein cholesterol （LDL-C） level for CHD and diabetes patients respectively. More than half of the physicians （55.8%） mistakenly considered elevated transaminases to be the lethal side effect of statins. More than half of the physicians （51.9%） would give up statin treatment in the case of transaminase elevation.Conclusion Educational interventions to improve cholesterol knowledge and to publicize standard treatment are needed among Chinese community physicians.
文摘目的探讨培训社区医务人员管理心力衰竭的有效适用方法。方法入选新都、苏坡社区的医务人员为试验组,进行每月1次的集中培训/远程指导/临床指导。选择同期在成都市第三人民医院培训的社区医师为对照组。观察时间为3年。结果试验组和对照组培训前后问卷合格率、临床实践水平和患者的满意度均有明显提高。但是,试验组社区医生的花费(0 vs 5 000.63±600.44),误工天数(0 vs 201.26±20.39),明显少于对照组,满意度明显高于对照组(72.73%vs 54.54%)。结论两种培训方法均可显著提高社区医务人员的心力衰竭相关知识和临床处理心力衰竭能力,也提高慢性心力衰竭患者对社区医生满意度,集中培训/远程指导/临床指导的培训方式更经济,更受社区医生欢迎,更适合目前社区医生的特点。
