ABSTRACT
The service capabilities and sustainable development of community doctors' first contact are undoubtedly the critical factors to promote the construction of grassroots clinics and tiered health care system.Based on the review of motivation-related concepts and its development, as well as the analysis of the current conditions of community first contact and characteristics of community doctors in China, this paper puts forward and defines the concept and connotation of service motivation for community doctors' first contact by logically summarizing the concept of force in physical sciences ,motivation in service science, Based on analyzing the extrinsic motivations to form community doctors' first contact such as attraction, support, constraint, and stress the intrinsic motivations produced by professional identity, self-efficacy and achievement,as well as the interactions and relationships between them, this paper contructs a formation mechanism of the service motivation for community doctors' first contact, which is visual and intuitive.This paper provides a logical path and basis for scientific governance and upgrade of the service motivation for community doctors's first contact to effectively promote community first contact system in China.
ABSTRACT
Objective To analysis the awareness of community doctors on the knowledge of osteoporosis and to provide suggestions for conducting pertinent training for community doctors.Methods The design of questionnaire was based on the Osteoporosis Knowledge Questionnaire (OKT)and the Guideline of Diagnosis and Treatment of Osteoporosis in 2011.A total of 170 community doctors were investigated.Results The score of community doctors about osteoporosis was 29. There was 83.80% of community doctors who knew osteoporosis related knowledge well.However,there was 15.49% of community doctors'knowledge about osteoporosis that was not good enough.The most of community doctors got full score in the part of prevention knowledge with 52.82%.The most of community doctors failed in the part of treatment knowledge with 12.68%.The score of osteoporosis knowledge in different gender and title had no statistical significance (P >0.05). Conclusion It is necessary to strengthen community doctors's awareness about osteoporosis.
ABSTRACT
Objective We determined the proportion of doctors in Haidian community participating in the training of secondary prevention of ischemic cerebrovascular diseases related knowledge and the knowledge level of doctors so as to make a new targeted training plan,and assessed the effect of the training.Methods We enrolled 80 doctors,who filled out the questionnaire on secondary prevention of ischemic cerebrovascular diseases related knowledge,from 22 Haidian community center from March to July in 2014 in Beijing.The primary outcome was the proportion of doctors with the training of secondary prevention of ischemic cerebrovascular diseases related knowledge and the improvement rate of new training.Results Seventy (87.5％) community doctors didn't accept ischemic stroke secondary prevention system training.The understanding of Chinese Ischemic Stroke Subclassification and three cornerstones of secondary prevention of ischemic stroke(anti-hypertention,anti-lipidemia,antithrombotic) after the training was significant improvement (20％ vs.82.5％,P ＜ 0.05;31.25％vs.90％,P ＜ 0.05),while according to different causes classification subtype the doctors could make corresponding strategies of secondary prevention of ischemic cerebrovascular diseases.The rates of all community risk factors identification,community health education,lifestyle intervention,antihypertension,aspirin use,statin use,hypoglycemic treatment were both above 60％ no matter before the training or after the trainig.Conclusion Our results suggest that the community doctors in Haidian District lack corresponding knowledge of ischemic stroke secondary prevention.Further training of ischemic stroke secondary prevention is needed.
ABSTRACT
A Organização Mundial de Saúde estima que em 2007 havia 30 a 36 milhões de pessoas vivendo com o vírus HIV e 2 milhões de mortesrelacionadas à AIDS neste mesmo período. É necessário para a estratégia do enfrentamento da epidemia: conhecer áreas adscritas, buscarcuidar de forma integral de uma pessoa, considerando seu contexto familiar e comunitário, suas relações interpessoais e de trabalho. Aestratégia de saúde que preenche todos os requisitos descritos é a medicina de família e comunidade. Esperamos identificar o conceitoda integralidade enquanto ferramenta utilizada pelo médico de família e comunidade na abordagem ao paciente com HIV e AIDS. Para ocontrole da epidemia através da prevenção e adesão ao tratamento medicamentoso é necessária uma abordagem integral aos pacientesvivendo com HIV/AIDS.
The World Health Organization estimates that in 2007 there were 30 to 36 million people living with HIV and 2 million deaths related toAIDS in the same period. It is necessary for the strategy to cope with the epidemic: knowing subject areas, seek care entirely for person,considering the family and their community, their interpersonal relationships and work. The health strategy that meets all the requirementsdescribed is the medicine of family and community. We hope to identify the concept of integrality as a tool used by the family doctor andcommunity in the approach to patients with HIV and AIDS. For the control of epidemic through prevention and adherence to drug treatmentis needed an integral approach to patients living with HIV / AIDS.
La Organización Mundial de la Salud estima que en 2007 había entre 30 y 36 millones de personas que viven con el VIH y 2 millones demuertes relacionadas con SIDA en el mismo período. Es necesario que la estrategia de lucha contra la epidemia: las áreas de conocimientoatribuido, la búsqueda de atención para una persona de manera integral, teniendo en cuenta su contexto familiar y comunitario, susrelaciones interpersonales y el trabajo. La estrategia de salud que cumpla con todos los requisitos es la medicina familiar y comunitaria.Esperamos poder identificar el concepto de integral como una herramienta utilizada por los médicos de familia y el enfoque de la comunidada los pacientes con VIH y SIDA. Para controlar la epidemia mediante la prevención y la adhesión se requiere un enfoque integral a lospacientes que viven con el VIH / SIDA.