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学科主题: 临床医学
题名:
Influence of education and working background on physicians′ knowledge of secondary prevention guidelines for coronary heart disease: results from a survey in China
作者: Gong, Yan-jun; Hong, Tao; Jiang, Jie; Yu, Rong-hui; Zhang, Yan; Liu, Zhao-ping; Huo, Yong
关键词: Coronary heart disease ; Secondary prevention ; Guidelines ; Survey
刊名: JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B
发表日期: 2012-03-01
DOI: 10.1631/jzus.B1100299
卷: 13, 期:3, 页:231-238
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Medicine, Research & Experimental
研究领域[WOS]: Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Research & Experimental Medicine
关键词[WOS]: HYPERTENSION GUIDELINES ; MEDICAL-EDUCATION ; CLINICAL-PRACTICE ; AWARENESS ; MANAGEMENT ; CARE ; GAP
英文摘要:

In clinical practice, the standard of secondary prevention for coronary heart disease (CHD) is quite disappointing in China. The physicians′ shortage of knowledge of secondary prevention guidelines is thought to be a key factor contributing to the inadequate and delayed translation of guidelines into clinical practice. The purpose of this study is to investigate the influence of physicians′ characteristics, including their education and work experience, on their knowledge of secondary prevention in China.

A representative questionnaire survey was made of physicians from cardiology departments in 35 tertiary hospitals in China. The survey contained 19 questions on knowledge of guideline recommendations for the secondary prevention of CHD. We collected basic information about the physicians, including their educational degree, clinical practice duration/work experience and geographic region.

In total, 864 physicians participated in the survey. Eight hundred and thirty-seven completed questionnaires were analyzed. For 6 of the 19 questions, physicians with a postgraduate degree were more likely to answer correctly than those without such a degree. For 11 of the 19 questions, physicians with more than three years′ clinical experience were more likely to answer correctly than those who had less than three years′ experience. For 5 of the 19 questions, physicians from eastern areas were more likely to answer correctly than those from mid/western areas. The mean total score of correct answers to the questionnaire was 11.69 points. Educational degree and clinical practice duration affected total scores significantly while practice location did not (beta=0.500, P=0.004; beta=0.979, P=0.000; and beta=0.228, P=0.162, respectively). Even if a relatively low score of 12 is taken as a threshold level of acceptable knowledge (defined as a pass), the pass rate of all physicians was only 53.9%. Educational degree and clinical practice duration affected pass rate significantly while practice location did not (95% CI: 1.222-2.248, P=0.001; 95% CI: 1.773-3.140, P=0.000; and 95% CI: 0.993-1.758, P=0.056, respectively).

Physicians with a clinical practice duration of more than three years knew more about secondary prevention guidelines than those with less experience. Physicians with a postgraduate degree knew more about secondary prevention guidelines than those without a postgraduate degree. However, overall knowledge of secondary prevention guidelines for CHD was poor among this group of physicians from tertiary hospitals.

语种: 英语
所属项目编号: 2006BAI01A02
项目资助者: Ministry of Science and Technology of China
WOS记录号: WOS:000301454300010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51758
Appears in Collections:北京大学第一临床医学院_心血管内科_期刊论文

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作者单位: Peking Univ, Dept Cardiol, Hosp 1, Beijing 100034, Peoples R China

Recommended Citation:
Gong, Yan-jun,Hong, Tao,Jiang, Jie,et al. Influence of education and working background on physicians′ knowledge of secondary prevention guidelines for coronary heart disease: results from a survey in China[J]. JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B,2012,13(3):231-238.
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