Windak Adam, Gryglewska Barbara, Tomasik Tomasz, Narkiewicz Krzysztof, Grodzicki Tomasz
Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Cracow, Poland.
Blood Press. 2007;16(5):320-7. doi: 10.1080/08037050701464435.
The study was aimed at evaluating knowledge of the recent ESH-ESC Guidelines for the management of hypertension among Polish primary care physicians. A validated questionnaire including 30 multiple-choice questions was developed. A representative sample of primary care physicians in Poland was asked to complete the questionnaire. The influence of physicians' characteristics and features of their practices on the quality of the answers was analyzed. The sample included 192 physicians; 125 of them responded to the questionnaire. The mean number of correct answers was 13.4+/-3.1. The best results were observed with regard to treatment (61.2% correct answers), with weaker scores for diagnosis of hypertension (35.2%) and diagnostic tests (31.8%). The results were significantly better among female physicians and physicians working in large towns. The final score was significantly correlated with length of professional experience in practice (r = -0.246, p<0.01). A similar but non-significant correlation with the age of the physician was observed. The study showed that knowledge of hypertension guidelines among primary care physicians in Poland is modest. Educational programs must be especially directed at practitioners with longer primary care experience and those from smaller towns and villages.
该研究旨在评估波兰初级保健医生对近期欧洲高血压学会（ESH）和欧洲心脏病学会（ESC）高血压管理指南的了解情况。设计了一份包含30道选择题的有效问卷。邀请波兰初级保健医生的一个代表性样本填写问卷。分析了医生的特征及其执业特点对答案质量的影响。样本包括192名医生，其中125人回复了问卷。正确答案的平均数量为13.4±3.1。在治疗方面取得了最佳结果（正确答案为61.2%），而高血压诊断（35.2%）和诊断测试（31.8%）的得分较低。女性医生和在大城市工作的医生的结果明显更好。最终得分与实际专业经验长度显著相关（r = -0.246，p<0.01）。观察到与医生年龄有类似但不显著的相关性。该研究表明，波兰初级保健医生对高血压指南的了解程度一般。教育项目必须特别针对具有较长初级保健经验的从业者以及来自较小城镇和乡村的从业者。
