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全科医生对石棉的认识、知识和培训差距:一项试点研究。

Awareness, knowledge and training gaps regarding asbestos among General Practitioners: a pilot study.

机构信息

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

出版信息

J Prev Med Hyg. 2021 Jul 30;62(2):E539-E543. doi: 10.15167/2421-4248/jpmh2021.62.2.1797. eCollection 2021 Jun.

Abstract

General Practitioners (GPs) have good knowledge of health status and sociocultural backgrounds of their patients, thus could be decisive in early detection of cases of asbestos-related diseases (ARDs). In this cross-sectional pilot study, we investigated perception and knowledge on asbestos risk amongst a sample of GPs practicing in Molise region, central Italy, who have anonymously completed a 29-items questionnaire specifically developed for this research. Based on GPs' answers, we obtained scores and classified awareness and knowledge into four percentage quartile classes including inadequate (0-24%), poor (25-49%), moderate (50-74%) and high (75-100%), and scarce (0-24%), sufficient (25-49%), good (50-74%) and optimal (75-100%), respectively. Twenty-eight GPs (median age 63 years; 82% male) participated. Perception and knowledge among participants varied from 62 to 84% and from 18 to 42%, respectively, with 65 and 42% showing an adequate level, respectively. Our survey revealed a satisfactory perception and knowledge of general features about this topic, while a poor awareness of detailed aspects, underlining the need of continuing medical education in the field of occupational medicine. The study remarks that criteria for ARDs diagnosis should be better specified, introducing a detailed list to harmonize medical protocols for symptoms identification and patients' examination. Hence, increasing awareness of asbestos risk and ARDs among GPs represents a crucial opportunity, because of their prominent position to promptly take care of patients and provide targeted information.

摘要

全科医生(GP)对患者的健康状况和社会文化背景有很好的了解,因此在早期发现与石棉相关的疾病(ARDs)方面可能具有决定性作用。在这项横断面试点研究中,我们调查了意大利中部莫利塞地区的一组全科医生对石棉风险的看法和知识,他们匿名填写了一份专门为此项研究开发的 29 项问卷。根据全科医生的回答,我们获得了分数,并将意识和知识分为四个百分比四分位数类别,包括不足(0-24%)、差(25-49%)、中等(50-74%)和高(75-100%),以及不足(0-24%)、足够(25-49%)、良好(50-74%)和最佳(75-100%)。28 名全科医生(中位数年龄 63 岁;82%为男性)参加了研究。参与者的看法和知识分别从 62%到 84%和从 18%到 42%不等,分别有 65%和 42%表现出足够的水平。我们的调查显示,对这一主题的一般特征有令人满意的看法和知识,但对细节方面的认识较差,这突出表明需要在职业医学领域继续进行医学教育。该研究指出,ARDs 诊断标准应得到更好的明确,引入详细清单以协调症状识别和患者检查的医疗协议。因此,提高全科医生对石棉风险和 ARDs 的认识是一个至关重要的机会,因为他们在及时照顾患者和提供针对性信息方面具有突出地位。

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