Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China
BackgroundThe 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.MethodsIn total, 892 GPs from 75 community healthcare center...
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Frontiers Media S.A.
2022-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.666135/full |
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| author | Xin Liu Xin Gong Xiang Gao Zhaoxin Wang Zhaoxin Wang Sheng Lu Chen Chen Hua Jin Hua Jin Hua Jin Ning Chen Yan Yang Meiyu Cai Jianwei Shi Jianwei Shi Jianwei Shi |
| author_facet | Xin Liu Xin Gong Xiang Gao Zhaoxin Wang Zhaoxin Wang Sheng Lu Chen Chen Hua Jin Hua Jin Hua Jin Ning Chen Yan Yang Meiyu Cai Jianwei Shi Jianwei Shi Jianwei Shi |
| author_sort | Xin Liu |
| collection | DOAJ |
| description | BackgroundThe 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.MethodsIn 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.ResultsA 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.ConclusionEvidence-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. |
| first_indexed | 2024-12-13T13:55:42Z |
| format | Article |
| id | doaj.art-3b8d06f6580e46ec90e985a00da43feb |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-13T13:55:42Z |
| publishDate | 2022-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-3b8d06f6580e46ec90e985a00da43feb2022-12-21T23:42:55ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-02-01910.3389/fpubh.2021.666135666135Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, ChinaXin Liu0Xin Gong1Xiang Gao2Zhaoxin Wang3Zhaoxin Wang4Sheng Lu5Chen Chen6Hua Jin7Hua Jin8Hua Jin9Ning Chen10Yan Yang11Meiyu Cai12Jianwei Shi13Jianwei Shi14Jianwei Shi15School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Heart Failure, Shanghai East Hospital Affiliated to Tongji University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai General Practice and Community Health Development Research Center, Shanghai, ChinaDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaShanghai Jing'an District Jiangning Road Community Health Service Center, Shanghai, ChinaShanghai General Practice and Community Health Development Research Center, Shanghai, ChinaDepartment of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, ChinaAcademic Department of General Practice, Tongji University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaSchool of Medicine, Tongji University, Shanghai, ChinaObstetrics and Gynecology Hospital of Fudan University, Shanghai, ChinaSchool of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai General Practice and Community Health Development Research Center, Shanghai, ChinaDepartment of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, ChinaBackgroundThe 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.MethodsIn 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.ResultsA 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.ConclusionEvidence-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.https://www.frontiersin.org/articles/10.3389/fpubh.2021.666135/fullevidence-based practice (EBP)chronic diseasegeneral practitionersprimary care (MeSH)preventative interventions |
| spellingShingle | Xin Liu Xin Gong Xiang Gao Zhaoxin Wang Zhaoxin Wang Sheng Lu Chen Chen Hua Jin Hua Jin Hua Jin Ning Chen Yan Yang Meiyu Cai Jianwei Shi Jianwei Shi Jianwei Shi Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China Frontiers in Public Health evidence-based practice (EBP) chronic disease general practitioners primary care (MeSH) preventative interventions |
| title | Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China |
| title_full | Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China |
| title_fullStr | Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China |
| title_full_unstemmed | Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China |
| title_short | Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China |
| title_sort | impact of contextual factors on the attendance and role in the evidence based chronic disease prevention programs among primary care practitioners in shanghai china |
| topic | evidence-based practice (EBP) chronic disease general practitioners primary care (MeSH) preventative interventions |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.666135/full |
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