Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey
ObjectiveTo explore the association between the ability to diagnose and treat common diseases and the capacity to provide health management services among grassroots doctors, from the perspective of integrating disease treatment and prevention, and to provide a reference for improving grassroots doc...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Chinese Journal of Public Health
2025-05-01
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| Series: | Zhongguo gonggong weisheng |
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| Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1144932 |
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| author | Yahui LI Kun XIE Lu LIAN Xuanxuan WANG Jiaying CHEN |
| author_facet | Yahui LI Kun XIE Lu LIAN Xuanxuan WANG Jiaying CHEN |
| author_sort | Yahui LI |
| collection | DOAJ |
| description | ObjectiveTo explore the association between the ability to diagnose and treat common diseases and the capacity to provide health management services among grassroots doctors, from the perspective of integrating disease treatment and prevention, and to provide a reference for improving grassroots doctors′ health management service capacity. MethodsAn online self-administered questionnaire survey was conducted in August 2020 among 8 469 specialists, general practitioners, and rural doctors. Participants were recruited using stratified multi-stage sampling and typical sampling from primary healthcare institutions located in 11 municipalities across eastern, central, and western China. Utilizing a previously self-developed index system for evaluating the health service capabilities of grassroots doctors, the survey questionnaire was designed based on indicators related to health management service capabilities. The questionnaire assessed the health management service capabilities of primary care physicians in three areas: diagnosis and treatment of common diseases, health management, and health promotion. ResultsOf all the participants, 5 288 (62.44%) were practicing (assistant) doctors, 2 201 (25.99%) were rural doctors, and 6 497 (76.72%) were assessed as capable of diagnosing and treating common diseases. Among all the grassroots doctors surveyed, 7 099 (83.82%) had the ability to provide nutritional guidance for children, and 7 068 (83.46%) could conduct physical examinations for children as part of children's health management. Regarding women's health management, 6 746 (79.66%) could provide family planning guidance, 6 539 (77.21%) offered prenatal health guidance, 5 921 (69.91%) provided perimenopausal health care, and 5 456 (64.42%) conducted cervical/breast cancer screening. More than 90% of the participants were assessed as able to conduct health management for the elderly and individuals with chronic conditions. However, only 6 234 (73.61%) had the ability to analyze community health issues. ConclusionsThe ability to diagnose and treat common illnesses significantly affects the capacity of grassroots doctors to deliver health management services. Moreover, there is a noticeable gap in the health management service capabilities among grassroots doctors in China. Therefore, it is crucial to strengthen collaborative service mechanisms between hospitals and primary care institutions. |
| format | Article |
| id | doaj-art-8e31be968d8d4ff48ee0f65c748df001 |
| institution | Kabale University |
| issn | 1001-0580 |
| language | zho |
| publishDate | 2025-05-01 |
| publisher | Editorial Office of Chinese Journal of Public Health |
| record_format | Article |
| series | Zhongguo gonggong weisheng |
| spelling | doaj-art-8e31be968d8d4ff48ee0f65c748df0012025-08-20T03:49:51ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802025-05-0141557457910.11847/zgggws11449321144932Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered surveyYahui LI0Kun XIE1Lu LIAN2Xuanxuan WANG3Jiaying CHEN4Kangda College, Nanjing Medical University, Lianyungang 222000, ChinaKangda College, Nanjing Medical University, Lianyungang 222000, ChinaFirst Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaSchool of Health Policy and Management, Nanjing Medical University, Nanjing 211166, ChinaKangda College, Nanjing Medical University, Lianyungang 222000, ChinaObjectiveTo explore the association between the ability to diagnose and treat common diseases and the capacity to provide health management services among grassroots doctors, from the perspective of integrating disease treatment and prevention, and to provide a reference for improving grassroots doctors′ health management service capacity. MethodsAn online self-administered questionnaire survey was conducted in August 2020 among 8 469 specialists, general practitioners, and rural doctors. Participants were recruited using stratified multi-stage sampling and typical sampling from primary healthcare institutions located in 11 municipalities across eastern, central, and western China. Utilizing a previously self-developed index system for evaluating the health service capabilities of grassroots doctors, the survey questionnaire was designed based on indicators related to health management service capabilities. The questionnaire assessed the health management service capabilities of primary care physicians in three areas: diagnosis and treatment of common diseases, health management, and health promotion. ResultsOf all the participants, 5 288 (62.44%) were practicing (assistant) doctors, 2 201 (25.99%) were rural doctors, and 6 497 (76.72%) were assessed as capable of diagnosing and treating common diseases. Among all the grassroots doctors surveyed, 7 099 (83.82%) had the ability to provide nutritional guidance for children, and 7 068 (83.46%) could conduct physical examinations for children as part of children's health management. Regarding women's health management, 6 746 (79.66%) could provide family planning guidance, 6 539 (77.21%) offered prenatal health guidance, 5 921 (69.91%) provided perimenopausal health care, and 5 456 (64.42%) conducted cervical/breast cancer screening. More than 90% of the participants were assessed as able to conduct health management for the elderly and individuals with chronic conditions. However, only 6 234 (73.61%) had the ability to analyze community health issues. ConclusionsThe ability to diagnose and treat common illnesses significantly affects the capacity of grassroots doctors to deliver health management services. Moreover, there is a noticeable gap in the health management service capabilities among grassroots doctors in China. Therefore, it is crucial to strengthen collaborative service mechanisms between hospitals and primary care institutions.https://www.zgggws.com/article/doi/10.11847/zgggws1144932health management serviceintegration of disease treatment and preventiongrassroots doctors |
| spellingShingle | Yahui LI Kun XIE Lu LIAN Xuanxuan WANG Jiaying CHEN Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey Zhongguo gonggong weisheng health management service integration of disease treatment and prevention grassroots doctors |
| title | Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey |
| title_full | Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey |
| title_fullStr | Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey |
| title_full_unstemmed | Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey |
| title_short | Ability of health management services among grassroots doctors under the integration of disease treatment and prevention in China, 2020: an online self-administered survey |
| title_sort | ability of health management services among grassroots doctors under the integration of disease treatment and prevention in china 2020 an online self administered survey |
| topic | health management service integration of disease treatment and prevention grassroots doctors |
| url | https://www.zgggws.com/article/doi/10.11847/zgggws1144932 |
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