An analysis of the current educational status and future training needs of China's rural doctors in 2011

Li, Xingming; Liu, Juyuan; Huang, Jian-shi; Qian, Yunliang; Che, Lu

doi:10.1136/postgradmedj-2012-131094

Cited by 25 publications

(32 citation statements)

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“…It is very hard for them to become independent in their current work environments. Though there are some internet resources that can help them acquire quite a bit of knowledge of medicine [6], [7], rural physicians prefer on-site clinical skills training [8], [9]. One efficient way for them is to learn in a top-level hospital.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Intervention to Improve Skills in Diagnostic Radiology of Rural Physicians over One Year in Four Rural Hospitals

et al. 2014

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BackgroundPrimary health care and patient triage are two basic functions of rural hospitals. As a routine test, the diagnostic radiology is still unavailable in some rural hospitals in China. Therefore, high-level hospitals are often the first choice of rural residents when they feel unwell. It brings serious social problems. This study was designed to propose an on-the-job drilling schema with integration of practical medical recordings and experienced radiological doctors as tutors to improve skills in diagnostic radiology of rural physicians.MethodsThe information technology was used to help the contact between rural doctors and tutors. In a longitudinal pre/post-test control study design, a cohort of 20 young physicians, each of whom was working in a rural hospital and had a work experience less than two years, were established as the trial group over one year. Another 20 similar counterparts were established as the control group. Participants' performances were evaluated in four categories at five-time point (TP).ResultsThe trial group significantly outscored the control group on the style of writing at the second TP (d = 2.28); on the accuracy of the image description at final TP (d = 1.11); on the accuracy of the diagnosis at the fourth TP (d = 3.62); and on the correct treatment selection at the third TP (d = 6.45). The aspects with the most improvement were the accuracies of the diagnosis and the treatment selection.ConclusionThis study provided the detailed evidences that applying the on-the-job drilling schema has a significant effect on the skills improvement in diagnostic radiology of rural physicians. It was also concluded that the educational intervention based on practical cases was better than that only based on didactic slides presentation.

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Section: Introductionmentioning

confidence: 99%

Evaluation of an Intervention to Improve Skills in Diagnostic Radiology of Rural Physicians over One Year in Four Rural Hospitals

et al. 2014

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“…(d) Improve the development of skills, broaden the scope of training methods, and promote the standardization, specialization, and systematization of general practitioner training, strengthen the development of general medical disciplines and improve the quantity and quality of general practitioners . (e) Establish effective performance appraisal criteria, raise income levels, perfect incentive provision, and stimulate family doctors' work enthusiasm . Conduct quality management and assessment of the services provided by medical staff, and ensure that performance incentives are used to encourage the enthusiasm of family doctors.…”

Section: Discussionmentioning

confidence: 99%

“…However, due to the delayed implementation of the community health service in China, most of the community doctors are not well‐educated; their education, training, and professional development are still in their initial stages. Their service mode and professional title assessment are still based on the clinical specialist model, which differs from the actual needs of the residents . In addition, because China does not implement a strict primary health care system and the professional level of CHCs is the lowest in the urban tertiary health care network, large general hospitals, which are at the top of the network, are overcrowded whereas there are few people in the CHCs …”

Section: Introductionmentioning

confidence: 99%

Factors influencing residents' decision to sign with family doctors under the new health care reform in China

Zhang

Yang

et al. 2019

Health Planning & Management

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Summary Background As an important means through which to promote Chinese health care reform, the family doctor policy has attracted attention from various fields. This study aimed to explore the factors influencing residents' decision to sign with family doctors, with a view to informing the changes necessary to encourage additional residents to do so, thereby enhancing the efficacy of primary health care system reform. Methods The residents of five communities in Xianning, Hubei Province, were selected, by convenience sampling, to participate in the study. We developed and administered a questionnaire to collect data, from which we obtained 725 valid response sets. Socio‐demographic characteristics were summarized using descriptive statistics; and Pearson chi‐squared test and binary logistic regression were performed to identify the factors influencing residents' decision to sign with family doctors. Results We found that the factors influencing residents' decision to sign include their education level, medical insurance, chronic diseases, medical treatment habits, awareness of the family doctor policy, perception of the medical skills of family doctors, and attitudes towards family doctors' signing services (P < .05). Conclusion To encourage more residents to sign with family doctors, we recommend the implementation of the following: increasing publicity for the family doctor policy, promoting the reasonable distribution of high‐quality resources, augmenting the standard of general medical education, and improving the skills and competencies of family doctors.

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“…Training, developed by local health departments (usually county-level Centers for Disease Control and Prevention or county-level Health Bureaus) for PHCWs, was commonly held in regular training seminar format and concentrated in conference sessions[ 9 , 10 ]. The traditional face-to-face method was the main training method used in rural China[ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Web-Based Training for Primary Healthcare Workers in Rural China: A Qualitative Exploration of Stakeholders’ Perceptions

Zhang

Zhan

et al. 2015

PLoS ONE

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BackgroundEquitable access to basic public health services is a priority in China. However, primary healthcare workers’ competence to deliver public health services is relatively poor because they lack professional training. Since the availability of web-based training has increased in China, the current study explored stakeholders’ perceptions of a web-based training program on basic public health services to understand their thoughts, experiences, and attitudes about it.MethodsSix focus group discussions with primary healthcare workers and three with directors of township hospitals, county-level Health Bureaus, and county-level Centers for Disease Control and Prevention were conducted in Yichang City during 2013. Semi-structured topic guides were used to facilitate qualitative data collection. Audio recordings of the sessions were transcribed verbatim and theme analysis was performed.ResultsMost of the study’s participants, especially the village doctors, had insufficient knowledge of basic public health services. The existing training program for primary healthcare workers consisted of ineffective traditional face-to-face sessions and often posed accessibility problems for the trainees. Most of the study’s participants had a positive attitude about web-based learning and expressed a strong desire to receive this novel training approach because of its flexibility and convenience. The perceived barriers to utilizing the web-based training method included poor computer literacy, lack of personal interaction, inadequate infrastructure, and lack of time and motivation. The facilitators of this approach included the training content applicability, the user-friendly and interactive learning format, and policy support.ConclusionsWeb-based training on basic public health services is a promising option in rural China. The findings of the study will contribute knowledge to implementation of web-based training in similar settings.

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An analysis of the current educational status and future training needs of China's rural doctors in 2011

Abstract: Our results suggest that the training status and needs of China's rural doctors are still disjointed; measures including the introduction of remote education and clinical further education, extended training time and more clinical skills training should be adopted.

Cited by 25 publications

References 0 publications

Evaluation of an Intervention to Improve Skills in Diagnostic Radiology of Rural Physicians over One Year in Four Rural Hospitals

Evaluation of an Intervention to Improve Skills in Diagnostic Radiology of Rural Physicians over One Year in Four Rural Hospitals

Factors influencing residents' decision to sign with family doctors under the new health care reform in China

Web-Based Training for Primary Healthcare Workers in Rural China: A Qualitative Exploration of Stakeholders’ Perceptions

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