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目的了解浙江省金华市不同级别医疗机构医生对支气管哮喘指南中主要知识的认知情况,为提升临床医生技术水平寻找对策。方法对金华市32家不同级别医疗机构741名内科、儿科及全科医师进行问卷调查。结果被调查医生年龄以31~39岁为主,占49.80%(369/741);学历以本科为主,占60.73%(450/741);职称以主治医师为主,占37.25%(276/741)。被调查医生哮喘指南培训率为13.25%(33/249)~70.15%(141/201)。哮喘诊断知识回答正确率为24.38%(177/726)~95.96%(711/741),哮喘治疗知识回答正确率为54.29%(399/735)~94.97%(698/735)。二级、三级医院医生哮喘知识知晓率总体高于一级医院。结论金华地区不同级别医疗机构医生对哮喘知识的认知水平存在差异,基层一级医院医生对哮喘知识的掌握程度明显低于二级和三级医院。
Objective To understand the cognition of the main knowledge of bronchial asthma guidelines by doctors at different levels of medical institutions in Jinhua City, Zhejiang Province, and to find countermeasures for improving the technical level of clinicians. Methods A total of 741 medical, pediatric and general practitioners from 32 medical institutions in Jinhua City were surveyed. Results The age of the surveyed physicians was mainly 31-39 years old, accounting for 49.80% (369/741). The academic record was mainly undergraduate, accounting for 60.73% (450/741). The chief physician was 37.25% (276% 741). The training rate of asthma guideline for surveyed doctors was 13.25% (33/249) ~ 70.15% (141/201). The accuracy rate of diagnosis knowledge of asthma was 24.38% (177/726) ~ 95.96% (711/741), and correct answer rates of asthma treatment were 54.29% (399/735) ~ 94.97% (698/735). Level two and three hospital doctors awareness of asthma knowledge is generally higher than a hospital. Conclusion There is a difference in the level of knowledge of asthma among doctors at different levels of medical institutions in Jinhua district. The knowledge of asthma at first level hospital doctors is obviously lower than that of second and third level hospitals.