中华全科医师杂志最新文献

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Experience of frontline medical workers in COVID-19 quarantine points: a qualitative study 新型冠状病毒肺炎疫点一线医务人员经验的定性研究

Q4 Medicine

中华全科医师杂志

Pub Date : 2021-05-04 DOI: 10.3760/CMA.J.CN114798-20200805-00879

Cuicui Lu, Hui Zhao, Huiyue Zhang, W. Zhang, X. Zhao

Objective: To study the experience of frontline medical workers in COVID-19 quarantine points Methods: Purposive sampling method was employed and 12 frontline medical workers in COVID-19 points of Zhaoyuan City were selected for semi-structured and in-depth interview Colaizzi's seven-step analysis method was adopted to analyze and categorize the data Results: The real experience of frontline medical workers in quarantine points were classified into five themes: professional mission and pride, inadequate initial response in dealing with public health emergencies (shortage of personal protective equipment,inadequate preparation of medical workers and imperfect settings of quarantine points), having some negative emotions (worrying about being infected and feeling fearful for family members), facing complex and diverse working difficulties (repugnance and diversified demands of people quarantined, heavy workload, discomfort from personal protective equipment and occupational exposure), and gaining support and appreciation (getting support from epidemic control and prevention departments as well as medical systems and winning appreciation from people quarantined) Conclusions: The frontline medical workers are lack of experience in dealing with public health emergencies and have some psychological and working pressure Administrative department should further complete the emergency plan of centralized isolation medical observation, strengthen the contingency management of public health emergencies, attach importance to the mental health of medical workers, optimize management methods and establish flexible work schedules © 2021 Chinese Medical Association

方法:采用目的抽样法，选取招远市新冠肺炎疫点的12名一线医务人员进行半结构化深度访谈，采用Colaizzi七步分析法对数据进行分析和分类。结果:将疫点一线医务人员的真实体验分为五大主题:职业使命和自豪感，突发公共卫生事件初期应对不足(个人防护装备短缺、医护人员准备不足、隔离点设置不完善)，存在一定负面情绪(担心被感染、担心家人)，工作困难复杂多样(被隔离人员反感和需求多样化、工作量大，获得支持和赞赏(获得防疫部门和医疗系统的支持，赢得被隔离者的赞赏)。行政部门应进一步完善集中隔离医学观察应急预案，加强突发公共卫生事件应急管理，重视医务人员心理健康，优化管理方式，建立灵活的工作时间安排©2021中华医学会

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引用次数: 0

Reflections on post competence-oriented standardized general practice residency training with the challenge of COVID-19 pandemic 面对新冠肺炎疫情挑战，面向岗位胜任力的标准化全科医师住院医师培训的思考

Q4 Medicine

中华全科医师杂志

Pub Date : 2021-01-01 DOI: 10.3760/cma.j.cn114798-20201116-01152

J. Wang, Q. Wang, C. Yan, Xueping Du

During the COVID-19 epidemic period, general practitioners have been actively participating in screening and triage, referrals, follow-up, education and other activities related to disease prevention and control at the grass-roots level. However, there are still some problems: such as unclear of the role of general practitioners in an epidemic setting, inadequate ability to respond to public health emergencies and lack of knowledge of infectious diseases. To meet the challenge of COVID-19 pandemic, with the reference of Accreditation Council for Graduate Medical Education (ACGME) six core clinical competencies we suggest to improve the standardized general practice residency training in following aspects: to attach importance to infectious disease rotation, to increase the stomatology and nutrition course learning, to strengthen teaching in general practice service model, preventive medicine and medical humanities, to enhance the ability for dealing with public health emergencies, the evidence-based medicine and scientific research ability and doctor-patient communication ability. © 2021 Chinese Medical Association

新冠肺炎疫情期间，全科医生积极参与基层疾病防控筛查分诊、转诊、随访、宣教等活动。然而，仍存在一些问题:如在流行病背景下全科医生的作用不清楚，应对突发公共卫生事件的能力不足以及缺乏传染病知识。为应对新冠肺炎疫情的挑战，参考美国研究生医学教育认证委员会(ACGME)提出的六项核心临床能力，建议从以下几个方面完善全科住院医师规范化培训:重视传染病轮转，增加口腔科和营养学课程学习，加强全科服务模式、预防医学和医学人文学科教学，提高突发公共卫生事件处理能力、循证医学和科研能力、医患沟通能力。©2021中华医学会

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引用次数: 0

Mental health status and psychological intervention needs in community health service staff during the outbreak of COVID-19 新冠肺炎疫情期间社区卫生服务人员的心理健康状况及心理干预需求

Q4 Medicine

中华全科医师杂志

Pub Date : 2020-12-04 DOI: 10.3760/CMA.J.CN114798-20200325-00363

Li Bian, Yange Sun, Qin Zhong, Meichao Liu, Xue-ping Du, Yue Sun

引用次数: 0

Roles of community health service centers in prevention and control on epidemic of coronavirus disease 2019 社区卫生服务中心在2019冠状病毒病疫情防控中的作用

Q4 Medicine

中华全科医师杂志

Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.CN114798-20200212-00102

Xiuli Pan, Bo Wang, Fangfang Chen, Jie Wu, Guangbin Zhao

To prevent and control the epidemic of coronavirus disease 2019 (COVID-19), the community health service center should take the initiative to cooperate with sub-district office and police station to form a joint working team. Taking the advantages of professional expertise and using service contract system, the general practitioners can publicize the epidemic prevention knowledge and self-protection methods among community residents; and also take door-to-door inspection to make the decision of home isolation, centralized isolation, fever clinic visit or transfer to the designated hospital for observation and treatment. During the COVID-19 epidemic, we should give full play to the enthusiasm initiative of the community, general practitioners and residents to implement prevention and control measures and to ensure the health and safety of the people. Key words: Coronavirus infection; Coronavirus disease 2019; Community health service center

为防控2019冠状病毒病（新冠肺炎）疫情，社区卫生服务中心应主动配合街道办事处和派出所组成联合工作组。全科医生利用专业知识优势，利用服务合同制，向社区居民宣传防疫知识和自我防护方法；并采取上门检查的方式，作出居家隔离、集中隔离、发热门诊就诊或转至定点医院观察治疗的决定。在新冠肺炎疫情期间，要充分发挥社区、全科医生和居民的积极主动性，落实防控措施，确保人民群众健康安全。关键词：冠状病毒感染；2019冠状病毒病；社区卫生服务中心

引用次数: 0

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