Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas
Background Non-communicable disease (NCD) managers are the main force in the prevention and treatment of chronic obstructive pulmonary disease (COPD) . Understanding the perceptions of COPD among NCD managers in primary care in rural areas can provide a scientific basis for enhancing future preventi...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2023-03-01
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| Series: | Zhongguo quanke yixue |
| Subjects: | |
| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220363.pdf |
| _version_ | 1797216824464506880 |
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| author | LIU Jiancai, ZHENG Hanyin, PAN Hui, YE Linglan, LI Chuanfen |
| author_facet | LIU Jiancai, ZHENG Hanyin, PAN Hui, YE Linglan, LI Chuanfen |
| author_sort | LIU Jiancai, ZHENG Hanyin, PAN Hui, YE Linglan, LI Chuanfen |
| collection | DOAJ |
| description | Background Non-communicable disease (NCD) managers are the main force in the prevention and treatment of chronic obstructive pulmonary disease (COPD) . Understanding the perceptions of COPD among NCD managers in primary care in rural areas can provide a scientific basis for enhancing future prevention and management of COPD in primary care. Objective To investigate the perceptions of COPD in NCD managers in rural primary care, offering a scientific basis for the improvement of COPD prevention and management in primary care. Methods In June 2021, random sampling method was used to select 20 township hospitals in Zigong, Sichuan Province, and from which NCD managers〔including general practitioners (GPs) , public health workers and rural doctors〕were selected by use of cluster sampling. A survey was conducted with them using a self-developed questionnaire (consisting of two parts: general demographics and COPD-related knowledge) for understanding their perceptions of COPD. Results All the cases (n=474) who participated in the survey returned responsive questionnaires, achieving a response rate of 100.0%, including 68 GPs (14.4%) , 177 public health workers (37.3%) , and 229 rural doctors (48.3%) . With regards to answering the questions of comprehensive COPD knowledge, GPs had statistically significant higher pass rate than rural doctors〔35.3% (24/68) vs 7.4% (17/229) 〕 (P<0.017) , and public health workers also had statistically notably higher pass rate than rural doctors〔31.6% (56/177) vs 7.4% (17/229) 〕 (P<0.017) . In terms of answering the questions about risk factors of COPD, GPs had statistically significant higher pass rate than rural doctors〔73.5% (50/68) vs 46.3% (106/229) 〕 (P<0.017) , and so did public health workers〔66.7% (118/177) vs 46.3% (106/229) 〕 (P<0.017) . In terms of answering the questions about diagnosis and evaluation of COPD, GPs had statistically significant higher pass rate〔38.2% (26/68) 〕than public health workers〔20.3% (36/177) 〕or rural doctors〔3.9% (9/229) 〕 (P<0.017) , and the pass rate of public health workers was statistically significant higher than that of rural doctors (P<0.017) . In terms of answering the questions about treatment strategies for COPD, GPs had statistically significant higher pass rate than rural doctors〔30.9% (21/68) vs 6.6% (15/229) 〕 (P<0.017) , and so did public health workers〔19.2% (34/177) vs 6.5% (15/229) 〕 (P<0.017) . In terms of answering the questions regarding follow-up management for COPD, public health workers had statistically significant higher pass rate than GPs〔46.9% (83/177) vs 29.4% (20/68) 〕and rural doctors〔46.9% (83/177) vs 14.4% (33/229) 〕 (P<0.017) . And GPs had statistically significant higher pass rate than rural doctors (P<0.017) . Conclusion The NCD managers in primary care in rural areas of Sichuan's Zigong have insufficient knowledge of COPD, especially its diagnosis, evaluation, treatment strategies and follow-up management. NCD managers from different positions have different perceptions of COPD, among them rural doctors have the lowest level of perception. In view of the above problems, we need to take targeted measures to improve the level of general prevention and management of COPD in rural primary care. |
| first_indexed | 2024-04-24T11:52:06Z |
| format | Article |
| id | doaj.art-435f8a204f894c60ac8a69598fce19a9 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:52:06Z |
| publishDate | 2023-03-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-435f8a204f894c60ac8a69598fce19a92024-04-09T07:19:00ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-03-01260787788510.12114/j.issn.1007-9572.2022.0363Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural AreasLIU Jiancai, ZHENG Hanyin, PAN Hui, YE Linglan, LI Chuanfen0Preventive Treatment Center, Zigong Hospital of TCM, Zigong 643000, ChinaBackground Non-communicable disease (NCD) managers are the main force in the prevention and treatment of chronic obstructive pulmonary disease (COPD) . Understanding the perceptions of COPD among NCD managers in primary care in rural areas can provide a scientific basis for enhancing future prevention and management of COPD in primary care. Objective To investigate the perceptions of COPD in NCD managers in rural primary care, offering a scientific basis for the improvement of COPD prevention and management in primary care. Methods In June 2021, random sampling method was used to select 20 township hospitals in Zigong, Sichuan Province, and from which NCD managers〔including general practitioners (GPs) , public health workers and rural doctors〕were selected by use of cluster sampling. A survey was conducted with them using a self-developed questionnaire (consisting of two parts: general demographics and COPD-related knowledge) for understanding their perceptions of COPD. Results All the cases (n=474) who participated in the survey returned responsive questionnaires, achieving a response rate of 100.0%, including 68 GPs (14.4%) , 177 public health workers (37.3%) , and 229 rural doctors (48.3%) . With regards to answering the questions of comprehensive COPD knowledge, GPs had statistically significant higher pass rate than rural doctors〔35.3% (24/68) vs 7.4% (17/229) 〕 (P<0.017) , and public health workers also had statistically notably higher pass rate than rural doctors〔31.6% (56/177) vs 7.4% (17/229) 〕 (P<0.017) . In terms of answering the questions about risk factors of COPD, GPs had statistically significant higher pass rate than rural doctors〔73.5% (50/68) vs 46.3% (106/229) 〕 (P<0.017) , and so did public health workers〔66.7% (118/177) vs 46.3% (106/229) 〕 (P<0.017) . In terms of answering the questions about diagnosis and evaluation of COPD, GPs had statistically significant higher pass rate〔38.2% (26/68) 〕than public health workers〔20.3% (36/177) 〕or rural doctors〔3.9% (9/229) 〕 (P<0.017) , and the pass rate of public health workers was statistically significant higher than that of rural doctors (P<0.017) . In terms of answering the questions about treatment strategies for COPD, GPs had statistically significant higher pass rate than rural doctors〔30.9% (21/68) vs 6.6% (15/229) 〕 (P<0.017) , and so did public health workers〔19.2% (34/177) vs 6.5% (15/229) 〕 (P<0.017) . In terms of answering the questions regarding follow-up management for COPD, public health workers had statistically significant higher pass rate than GPs〔46.9% (83/177) vs 29.4% (20/68) 〕and rural doctors〔46.9% (83/177) vs 14.4% (33/229) 〕 (P<0.017) . And GPs had statistically significant higher pass rate than rural doctors (P<0.017) . Conclusion The NCD managers in primary care in rural areas of Sichuan's Zigong have insufficient knowledge of COPD, especially its diagnosis, evaluation, treatment strategies and follow-up management. NCD managers from different positions have different perceptions of COPD, among them rural doctors have the lowest level of perception. In view of the above problems, we need to take targeted measures to improve the level of general prevention and management of COPD in rural primary care.https://www.chinagp.net/fileup/1007-9572/PDF/zx20220363.pdfpulmonary disease, chronic obstructive|chronic disease managers|primary health care|rural|cognition|cross-sectional survey|zigong |
| spellingShingle | LIU Jiancai, ZHENG Hanyin, PAN Hui, YE Linglan, LI Chuanfen Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas Zhongguo quanke yixue pulmonary disease, chronic obstructive|chronic disease managers|primary health care|rural|cognition|cross-sectional survey|zigong |
| title | Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas |
| title_full | Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas |
| title_fullStr | Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas |
| title_full_unstemmed | Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas |
| title_short | Perceptions of Chronic Obstructive Pulmonary Disease among Chronic Disease Managers in Primary Care in Rural Areas |
| title_sort | perceptions of chronic obstructive pulmonary disease among chronic disease managers in primary care in rural areas |
| topic | pulmonary disease, chronic obstructive|chronic disease managers|primary health care|rural|cognition|cross-sectional survey|zigong |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220363.pdf |
| work_keys_str_mv | AT liujiancaizhenghanyinpanhuiyelinglanlichuanfen perceptionsofchronicobstructivepulmonarydiseaseamongchronicdiseasemanagersinprimarycareinruralareas |