A preliminary investigation of trainees′ basic knowledge and needs on palliative care in general practice standardized residency training

doi:10.3760/cma.j.cn115259-20221002-01252

Abstract

Abstract: Objective To get a preliminary understanding of trainees′ knowledge and needs on palliative care in standardized residency training in general practice. Methods Using a questionnaire survey method,a total of 147 trainees from 8 bases in Hangzhou, Wenzhou, Ningbo and Lishui were investigated by questionnaire to understand their perception of palliative care and demand for palliative care education in May 2022. Descriptive analysis and rank sum test were used to analyze the influencing factors. Results The score of palliative care knowledge of general practice trainees was (39.74±5.71). Among the 147 trainees, 103 trainees (70.0%) indicated the need for palliative care training courses, 100 trainees (68.0%) believed that it was necessary to provide palliative care services in the community, 94(63.9%) and 100(68.0%) trainees believed that general practitioners should be or have the ability to be the main providers of palliative care, respectively. Religious affiliation (Z=-2.56,P=0.010) and the experience of bereavement in the past year (H=6.06,P=0.048) had statistically significant differences in their cognition of palliative care. Conclusions The general practice trainees have insufficient awareness of palliative care, a large demand for palliative care education, and confidence in community palliative care services. It is suggested to integrate palliative care education into standardized residency training of general practice.

Key words: Palliative care, General practice, Standardized residency training, Cognition, Training, Demand

CLC Number:

Yan Fei, Chai Qichen, Lyu Jing, Chen Jin. A preliminary investigation of trainees′ basic knowledge and needs on palliative care in general practice standardized residency training[J]. Chinese Journal of Medical Education, 2023, 43(7): 539-542.

References

[1] 杨锡宇, 潘慧, 赵峻, 等. 医学生缓和医疗认知的调查研究[J]. 中华医学教育杂志, 2019, 39(2):98-103. DOI: 10.3760/cma.j.issn.1673-677X.2019.02.003.
[2]董丽丽, 梁涛, 杨浩杰. WHO关于《将缓和医疗整合至初级卫生保健指南》要点介绍及对我国的启示[J]. 中国全科医学, 2021, 24(34):4319-4323,4329. DOI: 10.12114/j.issn.1007-9572.2021.00.179.
[3]Peter S, Volkert AM, Pfaff H, et al. General practitioners′ perspectives on general and specialized palliative home care in north rhine, germany: an explorative focus group study[J]. Am J Hosp Palliat Care, 2021, 38(1):32-38. DOI: 10.1177/1049909120920541.
[4]Groot MM, Vernooij-Dassen MJ, Verhagen SC, et al. Obstacles to the delivery of primary palliative care as perceived by GPs[J]. Palliat Med, 2007,21(8):697-703. DOI: 10.1177/026921630
7083384.
[5]Malik S, Goldman R, Kevork N, et al. Engagement of primary care physicians in home palliative care[J]. J Palliat Care, 2017, 32(1):3-10. DOI: 10.1177/0825859717706791.
[6]Tan HM, O′Connor MM, Miles G, et al. GP and nurses′ perceptions of how after hours care for people receiving palliative care at home could be improved: a mixed methods study[J]. BMC Palliat Care, 2009,8:13. DOI: 10.1186/1472-684X-8-13.
[7] 王昊, 曾彦英, 王虹, 等. 住院医师规范化培训学员对缓和医疗认知的调查[J]. 中华医学教育杂志, 2019,39(1):60-63. DOI:10.3760/cma.j.issn.1673-677X.2019.01.015.
[8] 梁思宇, 李红滟, 王巍, 等. 护理学专业实习生对缓和医疗的知识和认知及需求[J]. 中华医学教育杂志, 2020, 40(9):679-683. DOI: 10.3760/cma.j.cn115259-20200330-00456.
[9] 李康,贺佳. 医学统计学[M]. 7版.北京:人民卫生出版社,2013:168-169.
[10]黎雯霞, 马珺, 杜雪. 国外全科医生参与居家安宁疗护实践经验与启示[J]. 中国全科医学, 2021, 24(34):4330-4335. DOI: 10.12114/j.issn.1007-9572.2021.00.223.
[11]王助衡, 孙立平, 周冠华, 等. 我国缓和医疗立法研究[J].中国医学伦理学,2017,30(8):978-981. DOI: 10.12026/j.issn.1001-8565.2017.08.13.
[12]李晓京, 乔爱春, 李丽琪, 等. 将舒缓医学融入全科医学教育培训中的实践与探索[J]. 中国全科医学, 2019, 22(28):3479-3481. DOI: 10.12114/j.issn.1007-9572.2019.00.382.

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