在全科医生中增强精神病学医学技能:从生态系统理论的见解
Zixuan Zeng1,2, Yingli Qian3, Wei Zhang4
1School of Medicine, Tongji University, Shanghai, 200331, People's Republic of China.
一般医生的精神病体医疗服务能力受到教育和同理心的影响. 针对性培训对于加强初级环境中的精神病理护理至关重要.
科学领域:
- 医学教育 医学教育
- 精神病体医学是一种精神病体医学.
- 一般的做法一般的做法
背景情况:
- 精神病体医疗服务能力 (PMSC) 对全科医生至关重要.
- 了解影响全科医生的PMSC的多层次因素对于改善患者护理至关重要.
- 生态系统理论为分析个人,机构和系统影响提供了一个框架.
研究的目的:
- 确定影响全科医生精神病体医疗服务能力 (PMSC) 的多层次因素.
- 应用生态系统理论来理解在初级保健中PMSC的决定因素.
主要方法:
- 一项对上海699名社区全科医生的横截面调查.
- 分层的随机集群采样和经过验证的27项PMSC尺度.
- 三阶段层次回归分析以确定多层次因子.
主要成果:
- 更高的教育程度和同情心与更高的PMSC显著相关 (解释了7%的差异).
- PMSC培训成为PMSC最强的预测因素 (26.3%的差异解释).
- 机构因素在双变量但不是多变量分析中显示了关联.
结论:
- 教育成就,同情心和培训显著影响GP的PMSC.
- 培训覆盖范围是发展心理素质能力的最关键因素.
- 迫切需要有针对性的培训和政策改革,以加强中国初级保健中的精神病治疗.
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