上海市社区卫生服务中心全科医生对常见皮肤病诊断能力的横断面研究

Annals of medicine Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI:10.1080/07853890.2024.2442066
Lei Zhang, Guanghui Wang, Haiying Chen, Xiaoqing Gu, Minjie Jia, Ying Yu, Xiaoxiao Cao, Ruiping Wang
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引用次数: 0

摘要

目的:全科医生在社区居民常见皮肤病(CSDs)的诊断和治疗中发挥着重要作用。本研究探讨了上海全科医生对常见皮肤病的临床诊断能力及其影响因素:方法:2023年,我们在上海招募了5745名全科医生,并对5745名全科医生进行了在线调查。结果:5745名全科医生中,1740名全科医生具有良好的皮肤病诊断能力:5745名全科医生中有1740名男性(占30.3%),年龄在25至60岁之间,平均年龄为40.8岁。GSD诊断能力的总分从2分到10分不等,中位数为7.5分。在本研究中,得分≥9 分的全科医生被认定为诊断能力良好的全科医生,其比例为 26.7%。LR分析表明,与有结论的全科医生相比,有11至15年和15年以上工作经验的全科医生具有良好诊断能力的比例更高:上海全科医生对 CSD 的诊断能力良好。在皮肤科工作年限长、学历高、工作经验丰富的全科医生对 CSD 的诊断能力更强。
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Diagnostic ability for common skin diseases among general practitioners working in community health service centers in Shanghai, China: a cross-sectional study.

Objective: Primary care general practitioners (GPs) play a crucial role in common skin diseases (CSDs) diagnosis and treatment for community residents. This study investigates their clinical diagnostic ability for CSDs and influencing factors among GPs in Shanghai.

Methods: In 2023, we recruited 5745 GPs in Shanghai, and online survey was conducted among 5745 GPs with written informed consents. Images of ten CSDs was used to evaluate the diagnostic ability among GPs, logistic regression (LR) analysis was applied to explore influencing factors in GPs with a good skin diseases diagnostic ability.

Results: The 5745 GPs included 1740 male (30.3%), the age ranged from 25 to 60 years with an average of age of 40.8 years. The total score for GSDs diagnostic ability ranged from 2 to 10, with a median of 7.5. In this study, GPs who have achieved ≥ 9 scores were identified as GPs with good diagnostic ability, with a prevalence of 26.7%. LR analysis indicated that GPs with 11 to 15 and over 15 years of work experience had a higher prevalence of good diagnostic ability compared with those with <5 years, the OR was 1.23 (95% CI: 1.02-1.48) and 1.25 (95% CI: 1.05-1.49) respectively. GPs with advanced studies [OR = 1.61, 95% CI:1.33-1.95] and work experience [OR = 1.39, 95% CI:1.20-1.61] in dermatology had a higher prevalence of good diagnostic ability.

Conclusion: The diagnostic ability for CSDs was good among GPs in Shanghai. GPs with more years of work, advanced studies and work experience in dermatology have better diagnostic abilities CSDs.

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