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波兰初级保健医生对自闭症谱系障碍的认知评估

An Assessment of the Knowledge of Autism Spectrum Disorder Among Polish Primary Care Physicians.

作者信息

Domarecki Patryk, Plata-Nazar Katarzyna, Sohl Kristin

机构信息

BUTTERFLY-Center for Development Support, 14-300 Morag, Poland.

Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Medical University of Gdansk, 80-803 Gdansk, Poland.

出版信息

Medicina (Kaunas). 2025 Apr 21;61(4):761. doi: 10.3390/medicina61040761.

Abstract

: In light of the growing need to incorporate primary care physicians (PCPs) in the complex care system for autistic patients, this study aims to assess the level of physicians' knowledge of the autism spectrum in Poland. : After a literature review, an online survey consisting of 20 items assessing the knowledge of autism etiology, diagnosis criteria, and patient support was developed. Of 250 invitations, 166 physicians filled out the form (a 66.4% response rate). For the statistical analysis, the normal distribution was excluded for all data based on the Shapiro-Wilk test. The U-Mann-Whitney test was performed for two variables to verify the comparison of variables. The threshold of statistical significance was at the level of = 0.05. : Correct responses regarding autism etiology, diagnosis, and support were 37.95%, 42.69%, and 70.05%, respectively. Female physicians presented a higher level of knowledge regarding all categories. The level of general knowledge is statistically higher in pediatricians than in general practitioners, and the knowledge of physicians in training is higher in contrast to specialists. The knowledge of physicians from small towns, as well as physicians with more clinical experience, was low. : This study revealed an insufficient level of knowledge relating to autism spectrum disorder among primary care physicians, which is similar to the findings of other studies conducted in different regions of the world. The lack of knowledge is especially evident in the theoretical preparation of physicians regarding ASD.

摘要

鉴于在为自闭症患者构建的复杂护理系统中纳入初级保健医生(PCP)的需求日益增长,本研究旨在评估波兰医生对自闭症谱系的了解程度。:在进行文献综述后,设计了一项包含20个条目的在线调查,以评估对自闭症病因、诊断标准和患者支持的了解。在250份邀请中,166名医生填写了表格(回复率为66.4%)。对于统计分析,基于夏皮罗-威尔克检验,排除了所有数据的正态分布。对两个变量进行了U-曼-惠特尼检验,以验证变量的比较。统计显著性阈值为α = 0.05。:关于自闭症病因、诊断和支持的正确回答率分别为37.95%、42.69%和70.05%。女医生在所有类别上的知识水平更高。儿科医生的一般知识水平在统计学上高于全科医生,与专科医生相比,实习医生的知识水平更高。来自小城镇的医生以及临床经验更丰富的医生的知识水平较低。:本研究揭示了初级保健医生对自闭症谱系障碍的了解程度不足,这与世界其他地区进行的其他研究结果相似。知识的缺乏在医生关于自闭症谱系障碍的理论准备方面尤为明显。

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