值得尝试吗?关于在匈牙利初级保健中实施护理点超声波的横断面研究。

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Róbert Kiss-Kovács, Blanka Morvai-Illés, Albert Varga, Gergely Ágoston
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引用次数: 0

摘要

背景:尽管由于政府的资助,匈牙利初级医疗机构的床旁超声波设备数量在不断增加,但这些设备在日常患者护理中的应用却十分有限,且不受监管。我们的研究旨在评估匈牙利全科医生(GPs)和患者对在初级医疗实践中引入床旁超声波检查的态度和需求:作为横断面研究的一部分,我们在社交媒体平台上向全科医生和患者发放了匿名自填问卷。数据收集时间为 2023 年 8 月至 2023 年 10 月。采用卡方检验确定分类变量之间的关联:415 名全科医生(平均年龄为 53.8 ± 11.1 岁,54.9% 为女性,平均从业年限为 19.5 ± 11.9 年)和 693 名患者(平均年龄为 45.5 ± 12.3 岁,95.2% 为女性)完成了调查。据统计,中青年全科医生(28-59 岁;P = 0.02)对 PoCUS 的兴趣明显增加。此外,与年长的全科医生相比,中青年全科医生更有可能接受 PoCUS 培训(p 结论:我们的研究结果表明,中青年全科医生对适应 PoCUS 有着极大的兴趣:我们的研究结果表明,全科医生和患者都对在初级保健中应用 PoCUS 抱有极大的兴趣。鉴于相当一部分匈牙利全科医生并不了解 PoCUS 及其适应症,因此,为在匈牙利有效应用 PoCUS 制定教育框架和实用指南尤为重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is it worth trying? A cross-sectional study on the implementation of point-of-care ultrasound in Hungarian primary care.

Background: Although the number of point-of-care ultrasound devices available in Hungarian primary care practices are increasing due to government funding, their use in day-to-day patient care is limited and unregulated. Our study aimed to evaluate the attitudes and needs of general practitioners (GPs) and patients in Hungary regarding the introduction of bedside ultrasonography in primary care practices.

Methods: As a part of a cross-sectional study, an anonymous, self-administered questionnaire was distributed to GPs and patients on a social media platform. Data collection was carried out from August 2023 to October 2023. Chi-square test was used to determine the associations between categorical variables.

Results: The survey was completed by 415 GPs (mean age 53.8 ± 11.1 years, 54.9% female, mean 19.5 ± 11.9 years of practice) and 693 patients (mean age 45.5 ± 12.3 years, 95.2% female). There was a statistically significant increase in interest in PoCUS among young and middle-aged GPs (age 28-59; p = 0.02). In addition, this population of GPs was also more likely to undertake training in PoCUS than their older colleagues (p < 0.0001). An inverse relationship was found between the duration of practice and training willingness (p = 0.0011). Even with the government's financial support, only 8.2% of GPs currently use PoCUS in a daily basis, and 59.5% of GPs are unfamiliar with the indications and the ways of using it. Patients would even pay to have the examination done in a primary care setting, even though only 45.9% of patients would pay a GP who is not certified in PoCUS, but the willingness to pay increased to 99.4% for those with formal training (p = 0.024).

Conclusion: Our findings indicate a significant interest in adapting PoCUS in primary care from both GPs and patients. Based on the fact that a significant proportion of Hungarian GPs are unaware of PoCUS and its indications, it is particularly important to develop educational frameworks, and practical guidelines for the effective incorporation of PoCUS in Hungary.

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