Shirzadi M R, Majdzadeh R, Pourmalek F, Naraghi K
Division of Communicable Disease, Center for Disease Management, Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2003 Jul;9(4):796-804.
We determined the knowledge and practice of private sector physicians in three cites regarding management of pulmonary tuberculosis (TB) and their determinants. A random sample questionnaire survey was conducted of 732 private physicians. Stratified analysis and logistic regression were used to identify the adjusted determinants of the two outcomes. A high proportion of the doctors had correct knowledge about the major diagnostic criteria but there was a low level of knowledge and practice of TB management. Significant risk factors for poor knowledge were age > or = 36 years, being a GP rather than a specialist and no attendance in TB training courses or attendance in courses held by institutions other than the public health system. Age > or = 36 years was the only significant risk factor for poor practice.
我们确定了三个城市的私立部门医生在肺结核(TB)管理方面的知识和实践情况及其决定因素。对732名私立医生进行了随机抽样问卷调查。采用分层分析和逻辑回归来确定这两个结果的调整后决定因素。很大一部分医生对主要诊断标准有正确的认识,但结核病管理方面的知识和实践水平较低。知识水平差的显著风险因素包括年龄≥36岁、是全科医生而非专科医生、未参加结核病培训课程或参加公共卫生系统以外机构举办的课程。年龄≥36岁是实践水平差的唯一显著风险因素。