Mansoor Nurulhana Shaikh, Ariffin Farnaza, Suddin Leny Suzana, Ahmad Zubaidi Zati Sabrina
MBBS, MMed Fam Med, Department of Primary Care Medicine, Faculty of Medicine UiTM, Sungai Buloh Campus, Jalan Hospital, Sungai Buloh, Selangor, Malaysia.
MBBS, FRCGP[Int], Department of Primary Care Medicine, Faculty of Medicine UiTM, Sungai Buloh Campus, Jalan Hospital, Sungai Buloh, Malaysia. Email:
Malays Fam Physician. 2024 Feb 20;19:11. doi: 10.51866/oa.454. eCollection 2024.
Primary care doctors (PCDs) play an increasingly important role in the management of hepatitis C. It is essential for PCDs to have good self-efficacy in screening and treating hepatitis C to achieve good outcomes. This study aimed to determine the knowledge and attitude towards and other factors associated with self-efficacy in screening and treating hepatitis C.
This cross-sectional study was conducted using an online Google Form. PCDs working at primary healthcare clinics were selected via simple random sampling. The online form contained items on sociodemographic and practice characteristics and a validated questionnaire on knowledge, attitude and self-efficacy towards screening and treating hepatitis C. Data were statistically analysed.
A total of 242 PCDs were included in the analysis. The median age was 35 years (interquartile range [IQR]=5). The majority of the PCDs were women (83.9%) and Malay (71.9%) and had a median working experience of 6 years (IQR=6). The mean self-efficacy score was 12.67 (standard deviation=3.38). The factors associated with a higher level of self-efficacy in screening and treating hepatitis C were postgraduate qualification, training within the last one year, better knowledge and attitude scores and prior experience in treating hepatitis C.
The identified factors are crucial in improving the self-efficacy among PCDs in hepatitis C care services. Policymakers are suggested to implement training programmes and encourage continuous medical education, exposure to patient management and postgraduate certification in family medicine to help PCDs in treating hepatitis C better.
基层医疗医生在丙型肝炎的管理中发挥着越来越重要的作用。基层医疗医生在丙型肝炎的筛查和治疗中具有良好的自我效能感对于取得良好治疗效果至关重要。本研究旨在确定基层医疗医生对丙型肝炎筛查和治疗的知识、态度以及与自我效能感相关的其他因素。
本横断面研究通过在线谷歌表单进行。通过简单随机抽样选择在基层医疗诊所工作的基层医疗医生。在线表单包含社会人口学和执业特征项目以及一份关于丙型肝炎筛查和治疗的知识、态度和自我效能感的有效问卷。对数据进行统计学分析。
共有242名基层医疗医生纳入分析。中位年龄为35岁（四分位间距[IQR]=5）。大多数基层医疗医生为女性（83.9%）和马来族（71.9%），中位工作经验为6年（IQR=6）。自我效能感平均得分为12.67（标准差=3.38）。与丙型肝炎筛查和治疗中较高自我效能感水平相关的因素包括研究生学历、过去一年内接受过培训、知识和态度得分较高以及有治疗丙型肝炎的既往经验。
所确定的因素对于提高基层医疗医生在丙型肝炎护理服务中的自我效能感至关重要。建议政策制定者实施培训计划并鼓励继续医学教育、接触患者管理以及获得家庭医学研究生认证，以帮助基层医疗医生更好地治疗丙型肝炎。
