希腊儿科医生筛查相关实践的全国研究。

Christos Dresios, Georgios Rachiotis, Xanthi Rousou, Sotiria Panagakou, Varvara Mouchtouri, Christos Hadjichristodoulou
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引用次数: 0

摘要

目的:本研究的目的是调查儿科医生在希腊进行筛查的做法。材料与方法:调查在6个月内对371名儿科医生进行分层随机抽样。我们制作了一份包含三个部分的问卷,并进行了试点测试。使用多变量逻辑回归模型和潜在类别分析确定与不适当筛选相关的社会人口统计学特征。结果:共有294人完成电话调查,回复率为78.6%。在与儿科医生对筛查建议的实践相关的问题中,错误答案的中位数为7±1.57,错误答案的最小值为2,最大值为11。儿科医生,少于15年的经验,年龄>50岁或每周看超过80个病人,有明显更高的几率回答错误超过7个问题,因此不太符合USPSTF筛查指南。结论:我们的调查发现,在全国范围内的希腊儿科医生样本中,筛查实践存在差距。此外,报告指出,在筛查实践中存在相当大的差异。希腊有必要制定一项全国性的儿童筛查计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nationwide Study on Practices Related to Screening Among Greek Paediatricians.

Objective: The aim of this study was to investigate pediatricians' practices toward screening in Greece.

Materials and methods: The survey was conducted within a six month period in a stratified random sample of 371 pediatricians. A questionnaire with three sections was created and pilot tested. Socio-demographic characteristics associated with inappropriate screening were identified using multivariable logistic regression models and latent class analysis.

Results: A total of 294 participants completed the telephone survey (response rate 78.6%). The median number of wrong answers to questions related to pediatricians' practice towards screening recommendations was 7±1.57 with minimum 2 and maximum 11 wrong answers. Pediatricians, with less than 15 years of experience, age >50 years old or view more than eighty patients per week, have had significantly higher odds of responding wrong to more than seven questions, hence be less compliant to USPSTF screening guidelines. Latent class analysis has shown that female gender, age <50 years old, and work in the private sector, were associated with a poor practice towards international screening guidelines.

Conclusion: Our survey found gaps in screening practices among a nationwide sample of Greek pediatricians. Moreover considerable variability in reported practices of screening was noted. There is a need for the development of a national childhood screening program in Greece.

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