Zhang Lei, Wang Guanghui, Chen Haiying, Gu Xiaoqing, Jia Minjie, Yu Ying, Cao Xiaoxiao, Wang Ruiping
Department of Family Medicine, Xidu Community Health Service Center of Fengxian District, Shanghai, China.
Preventive Health Section, Xidu Community Health Service Center of Fengxian District, Shanghai, China.
Ann Med. 2025 Dec;57(1):2442066. doi: 10.1080/07853890.2024.2442066. Epub 2024 Dec 17.
Primary care general practitioners (GPs) play a crucial role in common skin diseases (CSDs) diagnosis and treatment for community residents. This study investigates their clinical diagnostic ability for CSDs and influencing factors among GPs in Shanghai.
In 2023, we recruited 5745 GPs in Shanghai, and online survey was conducted among 5745 GPs with written informed consents. Images of ten CSDs was used to evaluate the diagnostic ability among GPs, logistic regression (LR) analysis was applied to explore influencing factors in GPs with a good skin diseases diagnostic ability.
The 5745 GPs included 1740 male (30.3%), the age ranged from 25 to 60 years with an average of age of 40.8 years. The total score for GSDs diagnostic ability ranged from 2 to 10, with a median of 7.5. In this study, GPs who have achieved ≥ 9 scores were identified as GPs with good diagnostic ability, with a prevalence of 26.7%. LR analysis indicated that GPs with 11 to 15 and over 15 years of work experience had a higher prevalence of good diagnostic ability compared with those with <5 years, the OR was 1.23 (95% CI: 1.02-1.48) and 1.25 (95% CI: 1.05-1.49) respectively. GPs with advanced studies [OR = 1.61, 95% CI:1.33-1.95] and work experience [OR = 1.39, 95% CI:1.20-1.61] in dermatology had a higher prevalence of good diagnostic ability.
The diagnostic ability for CSDs was good among GPs in Shanghai. GPs with more years of work, advanced studies and work experience in dermatology have better diagnostic abilities CSDs.
基层医疗全科医生（GPs）在社区居民常见皮肤病（CSDs）的诊断和治疗中发挥着关键作用。本研究调查了上海全科医生对常见皮肤病的临床诊断能力及其影响因素。
2023年，我们招募了上海的5745名全科医生，并在获得书面知情同意的情况下对这5745名全科医生进行了在线调查。使用十种常见皮肤病的图像来评估全科医生的诊断能力，应用逻辑回归（LR）分析来探索具有良好皮肤病诊断能力的全科医生的影响因素。
5745名全科医生中，男性1740名（30.3%），年龄在25至60岁之间，平均年龄为40.8岁。常见皮肤病诊断能力的总分在2至10分之间，中位数为7.5分。在本研究中，得分≥9分的全科医生被确定为具有良好诊断能力的全科医生，患病率为26.7%。LR分析表明，工作经验为11至15年和超过15年的全科医生与工作经验<5年的相比，具有良好诊断能力的患病率更高，OR分别为1.23（95%CI：1.02 - 1.48）和1.25（95%CI：1.05 - 1.49）。有皮肤科进修经历的全科医生[OR = 1.61，95%CI：1.33 - 1.95]和有皮肤科工作经验的全科医生[OR = 1.39，95%CI：1.20 - 1.61]具有良好诊断能力的患病率更高。
上海全科医生对常见皮肤病的诊断能力良好。工作年限较长、有皮肤科进修经历和工作经验的全科医生对常见皮肤病的诊断能力更好。
