Evidence map›Paper›PMID 30486771›Full record

ArticleBMC family practice2018

The training contents, problems and needs of doctors in urban community health service institutions in China.

Shuang Shao, Tao Wu, Aimin Guo, Guanghui Jin, Rui Chen, Yali Zhao, Juan Du, Xiaoqin Lu

Abstract readMulticenter Study
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shuang ShaoSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China.
Tao WuDepartment of Scientific Research, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Aimin GuoSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China.
Guanghui JinSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China.
Rui ChenSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China.
Yali ZhaoSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China.
Juan DuSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China. cuckoo@ccmu.edu.cn.
Xiaoqin LuSchool of General Practice and Continuing Education, Capital Medical University, Beijing, 100069, China. xq6518@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Chinese government offered various types of training programs for strengthening the role of doctors working in community health service institutions (CHSIs). The study intended to investigate the current training programs and training needs of doctors nationally in urban CHSIs in China, and to provide propositions for training more qualified doctors in the future.

methodsTotal 3098 doctors in 192 urban CHSIs were chosen from 9 provinces (Hebei, Liaoning, Shandong, Zhejiang, Fujian, Hunan, Guangxi, Guizhou, Ningxia) and one municipality (Beijing) among 31 provinces in eastern, central, and western regions by stratified sampling methods in Mainland China. All doctors in the selected CHSIs were investigated in this study. We discharged 3073 questionnaires, and the response rate was 98.0%. Descriptive statistics were used to describe the characteristics, training contents, problems and needs of doctors. Differences in training contents, problems and needs between eastern, central and western regions were analyzed with chi-square tests.

results49.3% of doctors in CHSIs had Bachelor's degree and beyond. 12.9% of doctors had senior professional titles. The most frequent training topics for the doctors in eastern, central and western regions were "basic clinical theory knowledge" (52.4%), "community health service competency" (59.6%), "clinical practice skills" (45.9%) respectively. The most serious problem for doctors was "insufficient training time" in eastern (36.8%), central (36.5%) and western (39.6%). The biggest knowledge need for doctors both in eastern (79.8%) and central region (79.1%) was "the updated international medical knowledge", in western region it was "the updated domestic medical knowledge" (73.2%). The biggest skill-related training need for doctors in eastern region (84.1%) and central region (82.6%) was "communication skills", and "diagnosis and differential diagnosis" in western region (78.2%).

conclusionGovernment should design proper training contents according to the knowledge and skill needs of different design. Furthermore, a uniform, rigorous training and evaluation system focus on practicability should be established to promote community health service system in Mainland China.

Indexed as

Attitude of Health PersonnelClinical CompetenceChinaCommunity Health ServicesCommunity Health WorkersCross-Sectional StudiesEducation, ContinuingFemaleHealth Services Needs and DemandHumansMaleSurveys and QuestionnairesUrban Health ServicesDoctorsTraining needsTraining programsUrban community health care service institutions

Identifiers

PMID30486771
PMCPMC6263560

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.