Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians.
Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians.
复制标题
作者：
Mainous AG 3rd;Tanner RJ;Harle CA;Baker R;Shokar NK;Hulihan MM
Objective.镰状细胞病（SCD）是一种需要大量医疗干预的疾病，家庭医生是无法获得专家治疗的患者的潜在护理提供者。家庭医生在多大程度上对SCD的治疗感到满意，并对患者中SCD的潜在并发症感到担忧，目前尚不清楚。本研究旨在探讨家庭医师对于SCD治疗的态度。方法.数据收集作为学术家庭医学教育研究联盟（CERA）理事会在美国和加拿大的调查的一部分，目标是CERA附属组织的家庭医生。我们研究了对SCD管理的态度。结果总体而言，20.4%的受访者对SCD的治疗感到满意。根据医生是否有患有SCD的患者以及有超过10%的非洲裔美国患者的医生，治疗SCD患者的舒适度存在显著差异。医生还认为，临床决策支持（CDS）工具将有助于治疗（69.4%）和避免并发症（72.6%）在管理SCD患者。结论.家庭医生通常对管理SCD患者感到不舒服，并认识到CDS工具在管理患者中的实用性。
Objective. Sickle cell disease (SCD) is a disease that requires a significant degree of medical intervention, and family physicians are one potential provider of care for patients who do not have access to specialists. The extent to which family physicians are comfortable with the treatment of and concerned about potential complications of SCD among their patients is unclear. Our purpose was to examine family physician's attitudes toward SCD management. Methods. Data was collected as part of the Council of Academic Family Medicine Educational Research Alliance (CERA) survey in the United States and Canada that targeted family physicians who were members of CERA-affiliated organizations. We examined attitudes regarding management of SCD. Results. Overall, 20.4% of respondents felt comfortable with treatment of SCD. There were significant differences in comfort level for treatment of SCD patients depending on whether or not physicians had patients who had SCD, as well as physicians who had more than 10% African American patients. Physicians also felt that clinical decision support (CDS) tools would be useful for treatment (69.4%) and avoiding complications (72.6%) in managing SCD patients. Conclusions. Family physicians are generally uncomfortable with managing SCD patients and recognize the utility of CDS tools in managing patients.