全科医师中成药处方认知现状与培训需求调查

BackgroundIn recent yearsChina has vigorously promoted the development of Traditional Chinese medicineTCMand the use of Chinese patent medicine has become increasingly widespread. As the gatekeepersof residents' healthgeneral practitioners frequently use Chinese patent medicine in their daily work and clinical practice. Howeverthe current understanding of the cognitive status of general practitioners regarding the use of Chinese patent medicines and their training needs has not yet been fully understood and clarified. ObjectiveTo investigate the current situation and training needs of Chinese general practitioners in the use of Chinese patent medicines and provide evidence for further research on how to promote the rational use of Chinese patent medicines by general practitioners. MethodsIn November 2024Using a self-designed questionnaire titled Survey on the Use of Chinese Patent Medicines and Training Needs among General Practitioners in Chinaa convenience sampling method was employed to survey general practitioners nationwide. The survey aimed to descriptively analyze the current status of Chinese patent medicines prescription use and training needs among general practitionersand to compare the level of awareness of Chinese patent medicines among general practitioners with different medical backgrounds and professional titles. ResultsA total of 501 general practitioners participated in this survey. Among them35.13%176/501frequently prescribed Chinese patent medicines in their daily clinical practicewhile 33.13%166/501sometimes did. The proportion of general practitioners who co-prescribed Chinese patent medicines with Western medicines was relatively highwith 38.32%192/501doing so frequently and 36.13%181/501sometimes. General practitioners rarely or seldom chosed to prescribe two or more Chinese patent medicines in their daily clinical practiceaccounting for 25.95%130/501 and 30.34%152/501respectively. There were differences in the level of knowledge of Chinese patent medicines among general practitioners with different medical backgroundsand those with integrated Chinese and Western medicine or traditional Chinese medicine backgrounds generally had higher awareness of various aspects of Chinese patent medicines compared to those with Western medicine backgroundsP0.05. The majority of general practitioners had a high demand for training on Chinese patent medicine-related knowledgewith 40.32%202/501indicating they strongly needed it and 37.92%190/501reporting they somewhat needed it. Additionallymost general practitioners showed strong willingness to participate in the General practitioner with special interestGPwSItraining in Chinese medicinewith 44.31%222/501being very willingand 35.73%179/501being somewhat willing. General practitioners with a Western medicine background also demonstrated high willingness to participate in Western Medicine Learning Chinese Medicine trainingwith 40.81%162/501being very willing and 35.01%139/501being somewhat willing. ConclusionThe use of Chinese patent medicines by general practitioners is fairly common. General practitioners with a Western medicine background have a lower level of knowledge about Chinese patent medicines compared to those with a traditional Chinese medicine background or a background of integrated Chinese and Western medicine. To ensure the rational use of Chinese patent medicinesit is imperative to implement targeted training in TCM knowledge for Western medicine-trained general practitioners. This should be complemented by developing GPwSI training in Chinese medicine and encouraging participation in TCM Training Programs for Western-Trained Clinicians. By leveraging the strengths of TCM and fostering mutual integration with general practice medicinethese initiatives will ultimately facilitate the advancement of general practice while optimizing the clinical application of Chinese patent medicines.