Survey on the availability status of pharmaceutical and medical device for venous thromboembolism prevention and the awareness among healthcare workers in Shanghai community health service centers
10.3760/cma.j.cn114798-20250509-00399
- VernacularTitle:上海市社区卫生服务中心VTE防治药械配备情况及其医务人员对VTE防治认知情况调查
- Author:
Yidan YAN
1
;
Meng HU
;
Houwen LIN
;
Zhichun GU
Author Information
1. 上海交通大学医学院附属仁济医院浦南分院药剂科，上海200125
- Publication Type:Journal Article
- Keywords:
Venous thromboembolism;
Community health service;
Cognition;
Healthcare worker
- From:
Chinese Journal of General Practitioners
2025;24(8):953-959
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To survey the availability status of pharmaceutical and medical device for venous thromboembolism (VTE) prevention and the awareness among healthcare workers in community health service centers in Shanghai.Methods:This cross-sectional study was conducted by online questionnaire survey among doctors, nurses, and pharmacists from 20 community health service centers in Shanghai from June 2023 to April 2024. The survey covered participants′ demographic information, VTE prevention and management practices at their centers, the knowledge of VTE prevention, and related training or education. The assessment of VTE prevention and management status was completed by department heads of pharmacy, medical equipment, nursing, and inpatient units.Results:A total of 864 healthcare professionals participated in the survey, including 587(67.9%) doctors, 246(28.5%) nurses, and 31(3.6%) pharmacists, and 675(78.1%) were females. Among the 20 centers, 19 stocked VTE prevention medications, while only 8 had VTE prevention devices. Of the 864 participants, 145(16.8%) reported conducting VTE risk assessments for all patients, and 279(32.3%) correctly identified VTE as comprising deep vein thrombosis and pulmonary embolism. While 664(76.9%) believed that VTE risk assessment for hospitalized patients was necessary, only 11(1.3%) were familiar with and routinely used VTE risk assessment tools. Over 85% recognized advanced age, body mass index (BMI)>30 kg/m2, recent major surgery, prolonged immobilization, stroke, and varicose veins as VTE risk factors. A majority (837(96.9%)) agreed that bleeding risk assessment should precede pharmacological VTE prevention, and 549(63.5%) preferred oral antiplatelet agents as the first choice. Convenience (730(84.5%)) and safety (719(83.2%)) were key considerations in drug selection, while 710(82.2%) expressed concern about bleeding risks during medication. Only 258(29.9%) had received VTE-related training.Conclusions:Community health service centers in Shanghai face shortages in VTE prevention devices and medications, and healthcare professionals′ awareness of VTE needs to be improved. Enhanced training and education on VTE prevention are warranted.
