An overview of general practitioner consultations in China: a direct observational study

Zhong, Chenwen; Luo, Zhuojun; Liang, Cuiying; Zhou, Mengping; Kuang, Li

doi:10.1093/fampra/cmaa039

Cited by 17 publications

(16 citation statements)

References 23 publications

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“…As a result of these de ciencies, patients have long been reluctant to visit community health care centres, instead they visit secondary or tertiary hospitals, which have, consequently, become crowded [19,20]. This situation means that the majority of initial diagnoses are implemented at secondary or tertiary hospitals and that GPs' main task is, consequently, to copy patients' prescriptions when they seek a re ll [21,22]. Our Chronic Non-Communicable Diseases Training Programme is a learner-centred approach designed to resolve this problem.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

Zhang

Fang

Peng

et al. 2020

Preprint

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Background: In China, general practitioners have limited ability to provide care for common chronic non-communicable diseases because they lack postgraduate training. In an attempt to improve general practitioners’ skills in this regard, the present authors previously launched the Chronic Non-Communicable Diseases Training Programme. The present study aims to evaluate the effectiveness of this programme.Methods: Thirty-nine trainee general practitioners who participated in the programme underwent semi-structured interviews, which explored how they performed the training, what they achieved from the programme, and their suggestions for future programmes. The interview data were analysed using a thematic analysis approach.Results: Under the guidance of supervisors, the thirty-nine trainee general practitioners completed the structured but individualised training plan, which comprised a four-day basic theory class, three months practising in a ward, and six months assisting in an outpatient clinic. They reported an improvement in their ability to provide care for chronic non-communicable diseases and perform two-way referral, as well as their communication with patients. They also reported that, since returning to their communities, they had become more confident, were building better relationships with their patients, and had changed their clinic behaviours from copying prescriptions to making medical decisions independently. Their principal suggestion for the training programme was to alter the order of the training, as they preferred to practice in the ward before assisting in the outpatient clinic.Conclusion: The course comprised a learner-centred, practice- and apprenticeship-based, general-practitioner training programme. Given the participants’ progress and the beneficial effects of the programme reported in the interview data, it appears to be worthwhile to extend the General Practitioner Chronic Non-Communicable Diseases Training Programme.

show abstract

Section: Discussionmentioning

confidence: 99%

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

Zhang

Fang

Peng

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…As a result of these deficiencies, patients have long been reluctant to visit community health care centres, instead they visit secondary or tertiary hospitals, which have, consequently, become crowded [19,20]. This situation means that the majority of initial diagnoses are implemented at secondary or tertiary hospitals and that GPs' main task is, consequently, to copy patients' prescriptions when they seek a refill [21,22]. Our Chronic Non-Communicable Diseases Training Programme is a learner-centred approach designed to resolve this problem.…”

Section: Discussionmentioning

confidence: 99%

Qualitative evaluation of the general practitioner chronic non-communicable diseases training programme

et al. 2020

View full text Add to dashboard Cite

Background In China, general practitioners have limited ability to provide care for common chronic non-communicable diseases because they lack postgraduate training. In an attempt to improve general practitioners’ skills in this regard, the present authors previously launched the Chronic Non-Communicable Diseases Training Programme. The present study aims to evaluate the effectiveness of this programme. Methods Thirty-nine trainee general practitioners who participated in the programme underwent semi-structured interviews, which explored how they performed the training, what they achieved from the programme, and their suggestions for future programmes. The interview data were analysed using a thematic analysis approach. Results Under the guidance of supervisors, the thirty-nine trainee general practitioners completed the structured but individualised training plan, which comprised a four-day basic theory class, 3 months practising in a ward, and 6 months assisting in an outpatient clinic. They reported an improvement in their ability to provide care for chronic non-communicable diseases and perform two-way referral, as well as their communication with patients. They also reported that, since returning to their communities, they had become more confident, were building better relationships with their patients, and had changed their clinic behaviours from copying prescriptions to making medical decisions independently. Their principal suggestion for the training programme was to alter the order of the training, as they preferred to practice in the ward before assisting in the outpatient clinic. Conclusion The course comprised a learner-centred, practice- and apprenticeship-based, general-practitioner training programme. Given the participants’ progress and the beneficial effects of the programme reported in the interview data, it appears to be worthwhile to extend the General Practitioner Chronic Non-Communicable Diseases Training Programme.

show abstract

“…As a result of these de ciencies, patients have long been reluctant to visit community health care centres, instead visiting tertiary or secondary hospitals, which have consequently become crowded [19,20]. This situation means that the majority of initial diagnoses are implemented at tertiary or secondary hospitals, and that GPs' main task is consequently to copy patients' prescriptions when they seek a re ll [21,22]. Our Chronic Non-Communicable Diseases Training Programme is a learner-centred approach designed to resolve this problem.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

Zhang

Fang

Peng

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: In China, general practitioners have limited ability to provide care for common chronic non-communicable diseases because they lack postgraduate training. In an attempt to improve general practitioners’ skills in this regard, the present authors previously launched the Chronic Non-Communicable Diseases Training Programme. The present study aims to evaluate the effectiveness of this programme.Methods: Thirty-nine trainee general practitioners who participated in the programme underwent semi-structured interviews, which explored how they performed the training, what they achieved from the programme, and their suggestions for future programmes. The interview data were analysed using a thematic analysis approach.Results: Under the guidance of supervisors, the thirty-nine trainee general practitioners completed the structured but individualised training plan, which comprised a four-day basic theory class, three months practicing in a ward, and six months assisting in an outpatient clinic. They reported an improvement in their ability to provide care for chronic non-communicable diseases and perform two-way referral, as well as their communication with patients. They also reported that, since returning to their communities, they had become more confident, were building better relationships with their patients, and had changed their clinic behaviours from copying prescriptions to making medical decisions independently. Their principal suggestion for the training programme was to alter the order of the training, as they preferred to practice in the ward before assisting in the outpatient clinic.Conclusion: The course comprised a learner-centred, practice- and apprenticeship-based, general-practitioner training programme. Given the participants’ progress and the beneficial effects of the programme reported in the interview data, it appears to be worthwhile to extend the General Practitioner Chronic Non-Communicable Diseases Training Programme.

show abstract

An overview of general practitioner consultations in China: a direct observational study

Cited by 17 publications

References 23 publications

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

Qualitative evaluation of the general practitioner chronic non-communicable diseases training programme

Qualitative Evaluation of the General Practitioner Chronic Non-Communicable Diseases Training Programme

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