A qualitative study on the training needs of general practitioners in community health centers for health care of older patients
10.3760/cma.j.cn114798-20241015-00815
- VernacularTitle:社区卫生服务中心全科医生对老年患者健康照护培训需求的质性研究
- Author:
Xinxin ZHAO
1
;
Hao WANG
;
Hua JIANG
;
Yanbo WANG
;
Zhijuan QI
;
Jialin ZHENG
Author Information
1. 同济大学医学院公共卫生与全科医学院，上海200331
- Publication Type:Journal Article
- Keywords:
General practitioners;
Community health centers;
Chronic disease management;
Qualitative study;
ECHO project
- From:
Chinese Journal of General Practitioners
2025;24(7):817-822
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the training needs of general practitioners in community health center in health care and management of older patients for developing a curriculum for the Extension for Community Health Outcomes (ECHO) project accordingly.Methods:This was a qualitative study. The semi-structured interviews were conducted with 20 community health center general practitioners (GPs) using focus groups between March 2024 and April 2024. The interview data were collated using Nvivo12 software and coded using thematic analysis. The focus of the interviews was on the challenges GPs face in health care of older people in the community and relevant training needs.Results:Three male and 17 female GPs took part in the interviews. The interviews showed that GPs in comminity health service centers faced multiple challenges in the helth management of older patients, including implementation of holistic treatment plans, time-consuming comprehensive patient assessment, lack of standardized medication selection, unclear referral processes and difficulties in establishing a trusting doctor-patient relationship. The study suggested that the design and development of training programs should encompass eight core components: differentiated end-of-life care for patients, nutritional advice, positive psychological intervention, software data-based health assessment, systematic geriatric medicine, updated clinical research findings, medication selection and treatment guidelines, and insulin resistance management.Conclusion:Through qualitative investigation, this study explored the challenges faced by general practitioners in providing health care for older patients and relevant training needs, which provids evidence for designing and developing corresponding curricula for ECHO projects.
