Al-Dahshan Ayman, Ahmed Salma, Joudeh Anwar, Kehyayan Vahe
Department of Preventive Medicine, Hamad Medical Corporation, Doha, Qatar.
Department of Preventive Health, Primary Health Care Corporation, Doha, Qatar.
Trop Dis Travel Med Vaccines. 2025 Feb 1;11(1):4. doi: 10.1186/s40794-024-00233-0.
With the surge in international travel, primary care physicians (PCPs) play a critical role in managing travel medicine (TM) challenges. This scoping review aims to comprehensively synthesize literature on PCPs' involvement in TM, covering their knowledge, practices, and training.
Systematic searches across various electronic databases identified empirical studies in English language peer-reviewed journals up to July 2023. Data synthesis involved charting evidence on PCPs' TM knowledge, practices, and training.
Sixteen articles met inclusion criteria, offering insights into PCPs' engagement with TM in primary care. The findings reveal a general deficiency in PCPs' TM knowledge, with factors like prior TM experience, formal training, high traveler exposure, and multilingual abilities predicting higher knowledge scores. TM consultation duration and documentation were frequently reported as insufficient. Barriers to effective TM provision included physician-related factors such as lack of formal training, traveler-related factors like delayed presentation and low-risk perception, and practice-related factors such as low traveler exposure and resource constraints.
This review underscores the crucial role of PCPs in TM and the need for targeted interventions to enhance their expertise and practices. Overcoming barriers through tailored training and support is essential for optimizing TM delivery in primary care.
随着国际旅行的激增，基层医疗医生在应对旅行医学挑战方面发挥着关键作用。本范围综述旨在全面综合有关基层医疗医生参与旅行医学的文献，涵盖他们的知识、实践和培训。
在各种电子数据库中进行系统检索，以识别截至2023年7月在英文同行评审期刊上发表的实证研究。数据综合包括梳理有关基层医疗医生旅行医学知识、实践和培训的证据。
16篇文章符合纳入标准，提供了对基层医疗医生在初级保健中参与旅行医学情况的见解。研究结果显示基层医疗医生的旅行医学知识普遍不足，先前的旅行医学经验、正规培训、高旅行者接触率和多语言能力等因素预示着更高的知识得分。经常报告旅行医学咨询时间和记录不足。提供有效旅行医学服务的障碍包括与医生相关的因素，如缺乏正规培训；与旅行者相关的因素，如就诊延迟和低风险认知；以及与实践相关的因素，如旅行者接触率低和资源限制。
本综述强调了基层医疗医生在旅行医学中的关键作用，以及采取针对性干预措施以提高其专业知识和实践能力的必要性。通过量身定制的培训和支持克服障碍对于优化初级保健中的旅行医学服务至关重要。
