Current status of prevention and treatment of respiratory diseases in primary care in China: a cross-sectional study.
Current status of prevention and treatment of respiratory diseases in primary care in China: a cross-sectional study.
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中国基层呼吸系统疾病防治现状：横断面研究
DOI：
10.1186/s12890-022-01956-6
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发表时间：
2022-04-24
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
中国在2009年启动了新一轮医改，发展初级保健，到2019年建立了954,390个初级保健机构，员工超过1000万人。然而，一些研究表明，这些机构对呼吸道疾病的预防和管理是不够的。我们于2020年9月至12月以基层医疗机构呼吸系统疾病标准化防治体系及能力建设项目为基础，对中国全区基层机构进行了横断面调查。采用问卷调查的方式，对基层医疗机构呼吸科的运行情况从设施、药品、人员、慢性病管理等方面进行评价。描述性分析用于计算关键参数的百分比和频率。共调查基层医疗机构144家，其中东部51家、西部82家、中部9家、东北2家。大约60%的机构有肺活量计和脉搏血氧计。大多数患者服用短效支气管扩张剂、茶碱、全身皮质类固醇、抗生素和中药。超过一半的人至少有一名呼吸内科医生和操作员进行肺活量测定。一半的机构在辖区内开展了慢性阻塞性肺疾病筛查。东部地区机构在设备、常用药品、医护人员、呼吸道疾病管理等方面均优于西部地区。研究显示，初级保健环境下呼吸科的整体运作需要进一步加强。为适当诊断和治疗慢性呼吸道疾病以及改善疾病管理提供足够的基本设备、医疗专业人员和药品至关重要。网上版载有补充材料，可在10.1186/s12890-022-01956-6查阅。
China launched its new round of health care reform to develop primary care in 2009, establishing 954,390 primary care institutions that employed over 10 million staff by 2019. However, some studies have shown that the prevention and management of respiratory diseases is inadequate in these institutions. We conducted a cross-sectional survey of grassroots institutions throughout China between September and December 2020 based on the standardized Prevention and Treatment System and Capacity Building Project of Respiratory Diseases in primary care settings. The operation of the respiratory department in primary health care institutions was evaluated in terms of facilities, drugs, personnel and management of chronic diseases by means of questionnaires. Descriptive analyses were performed to calculate percentages and frequencies of key parameters. A total of 144 primary health care institutions were surveyed, including 51 in the east, 82 in the west, 9 in the central and 2 in the northeast. Approximately 60% of institutions had spirometers and pulse oximeters. The majority had short-acting bronchodilators, theophylline, systemic corticosteroids, antibiotics, and traditional Chinese medicine. More than half had at least one respiratory physician and operator for spirometry. Half of the institutions carried out screening of chronic obstructive pulmonary disease within the jurisdiction. The institutions in the east were superior to those in the west regarding the equipment, common drugs, medical staff, and management of respiratory diseases. The study reveals that the overall operation of the respiratory department in primary care settings needs to be further strengthened. It is crucial to provide adequate essential equipment, medical professionals, and medicines for proper diagnosis and treatment of chronic respiratory diseases, as well as improving the management of diseases. The online version contains supplementary material available at 10.1186/s12890-022-01956-6.
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影响因子：
3
作者：
Kuo YF;Chen NW;Baillargeon J;Raji MA;Goodwin JS
通讯作者：
Goodwin JS
影响因子：
2.9
作者：
Doyle C;Lennox L;Bell D
通讯作者：
Bell D
影响因子：
168.9
作者：
Wang, Chen;Xu, Jianying;He, Jiang
通讯作者：
He, Jiang
影响因子：
39
作者：
Wang, Jin;Wang, Pan;Xiao, Yonghong
通讯作者：
Xiao, Yonghong
影响因子：
39.2
作者：
Mafi, John N.;Wee, Christina C.;Landon, Bruce E.
通讯作者：
Landon, Bruce E.