Investigation on the service status and training needs of primary care physicians in three regions of Tibet

doi:10.3760/cma.j.cn115259-20240408-00363

Chinese Journal of Medical Education ›› 2025, Vol. 45 ›› Issue (7): 537-541.DOI: 10.3760/cma.j.cn115259-20240408-00363

• Continuing Medical Education • Previous Articles Next Articles

Investigation on the service status and training needs of primary care physicians in three regions of Tibet

Liu Yalin¹, Yu Dehua², Zhan Huajian³, Li Jinhong⁴, Bai Tiao⁵, Qiu Wei⁶, Fu Qiangqiang², Ma Le², Pu Zhen⁷, Wang Leijun⁸, Yang Sen²

¹Department of General Practice, Community Health Service Center of Jiading Town in Jiading District, Shanghai 201899, China;
²Department of General Practice, Yangpu Hospital, School of Medicine, Tongji University, Shanghai General Practice and Community Health Development Research Center, Research Center for General Practice, School of Medicine, Tongji University, Shanghai 200090, China;
³Office of Group Support for Tibet, Bomi County People′s Hospital, Linzhi 860000, China;
⁴President′s Office of Kongjiang Hospital, Yangpu District, Shanghai 200093, China;
⁵Department of Geriatrics, Xi′an Ninth Hospital, Xi′an 710000, China;
⁶Department of General Surgery, Shanghai Pudong New Area People′s Hospital, Shanghai 200120, China;
⁷Department of General Medicine, Community Health Service Center of Laze County, Shigatse 858100, China;
⁸Office of Group Support for Tibet, Dingri Community Health Service Center, Shigatse 858100, China

Received:2024-04-08 Online:2025-07-01 Published:2025-07-01
Contact: Yang Sen, Email: ysylq2020@126.com
Supported by:
Natural Science Foundation of Tibet Autonomous Region Project ［XZZR202402057(W)］; 2022 Shanghai ″New Star of Medical Park″ Young Medical Talent Training Funding Program (2023-62); Shanghai Municipal Health Commission Youth Project (20234Y0057)

Abstract

Abstract: Objective To investigate the service status and training needs of primary care physicians in some areas of Tibet, with the aim of improving the level of local primary medical services. Methods By stratified random sampling, the primary care physicians in Shigatse, Nyingchi and Ngari districts of Tibet were surveyed from March to June 2023. Descriptive statistical analysis was employed to evaluate the demographic characteristics, service implementation and training needs of primary care physicians. Results In terms of service status, hypertension, acute infection and joint pain were the most common diseases. In terms of basic medical services,blood pressure and respiratory rate measurement,wound dressing change and home visits were the main tasks; public health services mainly included health education, hypertension management, and vaccination. The analysis of training needs showed that primary care physicians had a strong demand for training in practical skills, emerging technologies, and first-aid knowledge, and preferred offline training modes, sush as real-operation demonstrations, and face-to-face teaching. In addition, in terms of pre-hospital first-aid and infectious disease knowledge training, the top three first-aid training demands were cardiopulmonary resuscitation,trauma management and acute altitude sickness treatment. In terms of infectious disease training, the primary areas of need included the prevention and control of tuberculosis, hepatitis, and echinococcosis. Conclusions Primary care physicians in Tibet have urgent training needs in practical skills, medical knowledge and first-aid skills, and face-to-face training and on-site operation demonstration have the most favorable effects. In particular, it is necessary to strengthen training in cardiopulmonary resuscitation, trauma management and prevention and treatment of infectious diseases, thereby strengthening the theoretical and practical abilities of primary care physicians and improving the level of primary healthcare.

Key words: Education, medical, continuing, Training needs, Primary health care, Tibet

CLC Number:

R-05

Liu Yalin, Yu Dehua, Zhan Huajian, Li Jinhong, Bai Tiao, Qiu Wei, Fu Qiangqiang, Ma Le, Pu Zhen, Wang Leijun, Yang Sen. Investigation on the service status and training needs of primary care physicians in three regions of Tibet[J]. Chinese Journal of Medical Education, 2025, 45(7): 537-541.

References

[1] 马志强, 张宝丽, 郭乐. 签约服务情境下全科医生岗位胜任力自评量表的开发与信效度检验[J].中国全科医学,2023,26(4):477-485. DOI:10.12114/j.issn.1007-9572.2022.0645.
[2] Abdullahi A. Health systems in developing countries: some tips on how to do away with inequalities in access to healthcare services[J].Public Health Pract (Oxf), 2023,6:100399. DOI:10.1016/j.puhip.2023.100399.
[3] 杨明兴, 谭超, 陈郁, 等. 基于基尼系数和区位熵的西藏地区医疗资源配置公平性研究[J].中国卫生经济,2021,40(3):40-42.
[4] 吴晓凡, 尹悦, 干颖滢, 等. 西藏自治区基层卫生资源配置现状及公平性研究[J].中国全科医学,2023,26(16):1953-1957. DOI:10.12114/j.issn.1007-9572.2022.0560.
[5] 高丽娜, 马艺, 白符, 等. 西藏自治区医疗卫生资源配置现状和公平性[J].现代预防医学,2021,48(11):1992-1995,2000.
[6] 格桑旺姆. 2019-2020年拉萨市城关区成年居民糖尿病和高血压患病情况及其危险因素分析[D].长春:吉林大学, 2023. DOI:10.27162/d.cnki.gjlin.2023.003047.
[7] 张玉飞, 格桑平措, 邵龙飞, 等. 西藏自治区藏族人群高同型半胱氨酸血症与超重肥胖对原发性高血压风险影响研究[J].中国预防医学杂志,2024,25(1):40-45. DOI:10.16506/j.1009-6639.2024.01.007.
[8] 张宇, 包旭宏, 姜垦, 等. 藏族医药治疗痛风的研究现状分析[J].中国现代中药,2022,24(7):1212-1218. DOI:10.13313/j.issn.1673-4890.20210623002.
[9] 钟怀昌, 熊海, 周亚希, 等. 西藏地区城乡居民卫生服务利用影响因素对比分析[J].四川大学学报(医学版),2023,54(5):985-993. DOI:10.12182/20230960102.
[10] 王斌, 马青变, 郑康, 等. 社区医护人员心肺复苏能力的影响因素及对策研究[J].中华医学教育探索杂志,2024,23(2):200-205. DOI:10.3760/cma.j.cn116021-20221222-01597.
[11] 赵哲, 张淑媛, 赵晨锡, 等. 2001-2018年西藏自治区包虫病流行趋势分析[J].中国国境卫生检疫杂志,2023,46(1):92-95. DOI:10.16408/j.1004-9770.2023.01.021.

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Investigation on the service status and training needs of primary care physicians in three regions of Tibet

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