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石建伟, 肖月, 刘蕊, 庄淑卿, 董贞彬, 刘娜娜, 王春旭, 王朝昕. 上海地区慢性病防控从业者循证实践认知及实施调查[J]. 中国公共卫生, 2017, 33(11): 1575-1577. DOI: 10.11847/zgggws2017-33-11-09
引用本文: 石建伟, 肖月, 刘蕊, 庄淑卿, 董贞彬, 刘娜娜, 王春旭, 王朝昕. 上海地区慢性病防控从业者循证实践认知及实施调查[J]. 中国公共卫生, 2017, 33(11): 1575-1577. DOI: 10.11847/zgggws2017-33-11-09
SHI Jian-wei, XIAO Yue, LIU Rui.et al, . Cognition and practice of evidence-based medicine among practitioners engaged in chronic disease prevention and control in Shanghai municipality[J]. Chinese Journal of Public Health, 2017, 33(11): 1575-1577. DOI: 10.11847/zgggws2017-33-11-09
Citation: SHI Jian-wei, XIAO Yue, LIU Rui.et al, . Cognition and practice of evidence-based medicine among practitioners engaged in chronic disease prevention and control in Shanghai municipality[J]. Chinese Journal of Public Health, 2017, 33(11): 1575-1577. DOI: 10.11847/zgggws2017-33-11-09

上海地区慢性病防控从业者循证实践认知及实施调查

Cognition and practice of evidence-based medicine among practitioners engaged in chronic disease prevention and control in Shanghai municipality

  • 摘要: 目的 分析医生对慢性病循证防控的认知现况,并分析影响慢性病循证防控的影响因素,为进一步推进中国慢性病循证防控提供信息。方法 基于Brownson的循证慢性病防控实践和推广的理论模型,利用2016年7-9月调查所得定量数据,分析医务人员所认知的个体、机构、社会文化、政策层面影响因素。结果 78.58%(66/84)的医生并不了解循证方法,25.00%(21/84)的医生反映从未使用过循证方法。医生反映,缺乏知识(57.14%)和缺乏工作时间(42.86%)是个体层面限制原因。缺乏资料途径(73.81%)是主要的机构限制因素。而缺乏针对特定服务人群证据(50.00%)是主要社会环境限制因素。政策层面,资金支援不足(53.57%)是最主要因素。结论 要提升医务人员慢性病循证防控的实践,应将循证理念与其日常工作有效结合,与服务人群需求结合,并从机构和政策层面提供多方面的支持和软硬件支持。

     

    Abstract: Objective To analyze current status of cognition about evidence-based chronic disease prevention and control (CDPC) and its influencing factors among medical practitioners and to provide information for implementing evidence-based chronic disease prevention and control in China.Methods Based on Brownson's theoretical model,we collected relevant information from 84 personnel in medical institutions at different administrative levels in Shanghai municipality between July and September 2016 with a questionnaire survey.The cognition on evidence-based CDPC and its personal,institutional,social and cultural,as well as political influencing factors were analyzed.Results Of the participants,78.58% did not know evidence-based CDPC method at all;25% never practiced evidence-based CDPC method.The participant-reported main individual-related obstructive factors for cognition and practice of evidence-based CDPC included the lack of relative knowledge (reported by 57.14% of the participants) and working time (42.86%); the major institutional-related factor was the shortage of resources (73.81%);the main social-related hinder factor was the limitation in precious evidences for specific populations (50.00%);and the policy-related major problem was the insufficiency of supporting funds (53.57%).Conclusion Effectively combining the evidence-based concept and daily practice and medical service and population demand,together with institutional induction and multiple support at political level,could promote the implementation of evidence-based chronic disease prevention and control.

     

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