Your browser doesn't support javascript.
Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China.
Liu, Xin; Gong, Xin; Gao, Xiang; Wang, Zhaoxin; Lu, Sheng; Chen, Chen; Jin, Hua; Chen, Ning; Yang, Yan; Cai, Meiyu; Shi, Jianwei.
  • Liu X; School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Gong X; Department of Heart Failure, Shanghai East Hospital Affiliated to Tongji University School of Medicine, Shanghai, China.
  • Gao X; School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Wang Z; School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Lu S; Shanghai General Practice and Community Health Development Research Center, Shanghai, China.
  • Chen C; Department of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
  • Jin H; Shanghai Jing'an District Jiangning Road Community Health Service Center, Shanghai, China.
  • Chen N; Shanghai General Practice and Community Health Development Research Center, Shanghai, China.
  • Yang Y; Department of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China.
  • Cai M; Academic Department of General Practice, Tongji University School of Medicine, Shanghai, China.
  • Shi J; School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Front Public Health ; 9: 666135, 2021.
Article in English | MEDLINE | ID: covidwho-1771101
ABSTRACT

BACKGROUND:

The implementation of evidence-based approaches by general practitioners (GPs) is new in the primary care setting, and few quantitative studies have evaluated the impact of contextual factors on the attendance of these approaches.

METHODS:

In total, 892 GPs from 75 community healthcare centers (CHCs) in Shanghai completed our survey. We used logistic regression to analyze factors affecting the number of evidence-based chronic disease programs attended by GPs and whether they had held the lead position in such a program.

RESULTS:

A total of 346 (38.8%) of the practitioners had never participated in any evidence-based chronic disease prevention (EBCDP) program. The EBCDP interventions in which the GPs had participated were predominantly related to hypertension, diabetes, and cardiovascular disease. However, the proportion of GPs in the lead role was relatively low, between 0.8% (programs involving prevention and control of asthma) and 5.0% (diabetes). Organizational factors and areas were significantly associated with evidence-based practices (EBPs) of the GP, while monthly income and department were the most significantly related to GPs who have the lead role in a program. The results indicated that GPs who had taken the lead position had higher scores for policy and economic impeding factors. GPs who were men, had a higher income, and worked in prevention and healthcare departments and urban areas were more likely to take the lead position.

CONCLUSION:

Evidence-based programs for chronic diseases should be extended to different types of diseases. Personal, organizational, political, and economic factors and the factors of female sex, lower income, department type, and suburban area environment should be considered to facilitate the translation of evidence to practice.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: General Practitioners Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.666135

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: General Practitioners Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.666135