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希腊儿科医生筛查相关实践的全国性研究。

Nationwide Study on Practices Related to Screening Among Greek Paediatricians.

作者信息

Dresios Christos, Rachiotis Georgios, Rousou Xanthi, Panagakou Sotiria, Mouchtouri Varvara, Hadjichristodoulou Christos

机构信息

Department of Hygiene and Epidemiology, University of Thessaly School of Medicine, Larissa, Greece.

出版信息

Eurasian J Med. 2020 Oct;52(3):237-342. doi: 10.5152/eurasianjmed.2020.19192.

Abstract

OBJECTIVE

The aim of this study was to investigate pediatricians' practices toward screening in Greece.

MATERIALS AND METHODS

The survey was conducted within a six month period in a stratified random sample of 371 pediatricians. A questionnaire with three sections was created and pilot tested. Socio-demographic characteristics associated with inappropriate screening were identified using multivariable logistic regression models and latent class analysis.

RESULTS

A total of 294 participants completed the telephone survey (response rate 78.6%). The median number of wrong answers to questions related to pediatricians' practice towards screening recommendations was 7±1.57 with minimum 2 and maximum 11 wrong answers. Pediatricians, with less than 15 years of experience, age >50 years old or view more than eighty patients per week, have had significantly higher odds of responding wrong to more than seven questions, hence be less compliant to USPSTF screening guidelines. Latent class analysis has shown that female gender, age <50 years old, and work in the private sector, were associated with a poor practice towards international screening guidelines.

CONCLUSION

Our survey found gaps in screening practices among a nationwide sample of Greek pediatricians. Moreover considerable variability in reported practices of screening was noted. There is a need for the development of a national childhood screening program in Greece.

摘要

目的

本研究旨在调查希腊儿科医生的筛查实践情况。

材料与方法

在六个月的时间内,对371名儿科医生进行分层随机抽样调查。设计了一份包含三个部分的问卷并进行了预测试。使用多变量逻辑回归模型和潜在类别分析确定与不适当筛查相关的社会人口学特征。

结果

共有294名参与者完成了电话调查(回复率78.6%)。与儿科医生对筛查建议的实践相关问题的错误答案中位数为7±1.57,最少2个错误答案,最多11个错误答案。经验少于15年、年龄大于50岁或每周看诊超过80名患者的儿科医生,对超过7个问题回答错误的几率显著更高,因此对美国预防医学工作组(USPSTF)筛查指南的依从性较低。潜在类别分析表明,女性、年龄小于50岁以及在私立部门工作与对国际筛查指南的实践不佳有关。

结论

我们的调查发现希腊全国范围内儿科医生的筛查实践存在差距。此外,筛查实践报告存在相当大的差异。希腊需要制定全国性的儿童筛查计划。

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