唐山市临床医师获得疾病诊疗相关信息渠道的调查分析

Investigation and Analysis of the Channels for Doctors to Obtain Diagnosis and Treatment Information about diseases in Tangshan

目的:对临床医师获取疾病诊疗相关信息的渠道进行调研和分析,为管理机构掌握相关信息和实施继续教育提供参考。方法:选择唐山市二级甲等及以上公立综合医院14家(12家二级甲等、2家三级甲等),采用自行设计的调查问卷对在岗医师一对一问卷调查,调查内容为医师获得疾病诊疗相关信息的渠道(包括医学专家内部交流平台、专业医学中文期刊、专业医学网络媒体、专业医学培训班/课程以及专业医学学术会议5种),并从医院级别、科室、职称、学历、从医年限等角度对其获取诊疗相关信息的渠道进行分析。结果:共发放问卷2536份,回收2105份(回收率83.0%),其中有效问卷2047份(有效率97.2%)。三级医院医师通过“专业医学中文期刊”“专业医学网络媒体”“专业医学培训班/课程”“专业医学学术会议”获取相关信息的比例高于二级医院医师(P<0.05或P<0.01);不同科室间差异无统计学意义(P>0.05);副主任医师及以上职称的医师选择“医学专家内部交流平台”“专业医学中文期刊”“专业医学学术会议”的比例高于主治医师及以下职称医师(P<0.05或P<0.01);硕士及以上学历医师选择“专业医学中文期刊”“专业医学网络媒体”“专业医学学术会议”的比例显著高于本科及以下学历医师(P<0.05或P<0.01),从医11年及以上的医师选择“专业医学中文期刊”“专业医学培训班/课程”的比例显著高于从医10年及以下医师(P<0.05或P<0.01)。整体而言,选择“医学专家内部交流平台”和“专业医学网络媒体”的医师比例明显高于“专业医学中文期刊”“专业医学培训班/课程”和“专业医学学术会议”(P<0.001)。结论:临床医师更多选择“医学专家内部交流平台”和“专业医学网络媒体”渠道获取疾病诊疗相关信息,充分利用医师内部信息交流平台和专业医学网络媒体,可成为医务人员实施继续教育、提高疾病诊疗水平的重要途径。

OBJECTIVE:To investigate and analyze the channels by which doctors obtain related information of diagnosis and treatment about diseases,and to provide reference for management institutions to understand related information and execute continue education.METHODS:14 public general hospitals(12 were second grade class A,2 were third grade class A)with gradeⅡand above in Tangshan were selected,and a self-designed questionnaire was used to conduct a one-to-one paper questionnaire survey on the doctors on duty.The content of the survey focused on the channels to obtain related information of diagnosis and treatment(including internal communication platform for medical experts,professional Chinese medical journals,professional medical network media,professional medical training classes/courses and professional medical academic conferences).The channels to access relevant information on diagnosis and treatment were analyzed from the hospital level,department,professional title,education backgrounds and medical years.RESULTS:A total of 2 536 questionnaires were sent out,and 2 105 questionnaires were recovered(recovery rate of 83.0%),among which there were 2 047 valid questionnaires(effective rate of 97.2%).Doctors in third grade hospitals obtain more relevant information through“professional Chinese medical journals”“professional medical network media”“professional medical training classes/courses”“professional medical academic conferences”and than doctors in second grade hospitals(P<0.05 or P<0.01);there was no statistical significance among different departments(P>0.05).Doctors with deputy chief physician or above title chose“internal communication platform for medical experts”“professional Chinese medical journals”and“professional medical academic conference”more than doctors with attending physician or below title(P<0.05 or P<0.01).The proportion of doctors with master’s degree or above choosing“professional Chinese medical journals”“professional medical network media”and“professional medical academic conferences”were significantly higher than that of doctors with bachelor’s degree or below(P<0.05 or P<0.01).The proportion of doctors who had been in medicine experience for 11 years or more choosing“professional Chinese medical journals”and“professional medical training classes/courses”were higher than that of doctors who had been in medicine experience for 10 years or less(P<0.05 or P<0.01).Overall,the doctors who choosing“internal communication platform for medical experts”and“professional medical network media”was significantly higher than that of doctors choosing“professional Chinese medical journals”“professional medical training classes/courses”and“professional medical academic conferences”(P<0.001).CONCLUSIONS:Doctors are more likely to choose“internal communication platform for medical experts”and“professional medical network media”channels to obtain disease diagnosis and treatment information.Medical experts’inner exchange platforms and professional medical network media can be effectively used as an important way for medical staff to conduct continue education and improve the level of disease diagnosis and treatment.