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目的分析医生对慢性病循证防控的认知现况,并分析影响慢性病循证防控的影响因素,为进一步推进中国慢性病循证防控提供信息。方法基于Brownson的循证慢性病防控实践和推广的理论模型,利用2016年7—9月调查所得定量数据,分析医务人员所认知的个体、机构、社会文化、政策层面影响因素。结果 78.58%(66/84)的医生并不了解循证方法,25.00%(21/84)的医生反映从未使用过循证方法。医生反映,缺乏知识(57.14%)和缺乏工作时间(42.86%)是个体层面限制原因。缺乏资料途径(73.81%)是主要的机构限制因素。而缺乏针对特定服务人群证据(50.00%)是主要社会环境限制因素。政策层面,资金支援不足(53.57%)是最主要因素。结论要提升医务人员慢性病循证防控的实践,应将循证理念与其日常工作有效结合,与服务人群需求结合,并从机构和政策层面提供多方面的支持和软硬件支持。
Objective To analyze the cognition of doctors on evidence-based prevention and control of chronic diseases and to analyze the influencing factors of prevention and control of evidence-based diseases in chronic diseases and provide information for further prevention and control of evidence-based diseases of chronic diseases in China. Methods Based on Brownson ’s theoretical model of prevention and control of evidence - based chronic diseases and its quantitative data from July to September in 2016, the influencing factors of medical personnel on individuals, institutions, sociocultural and policy aspects were analyzed. Results 78.58% (66/84) doctors did not understand the evidence-based method, and 25.00% (21/84) said they never used the evidence-based method. Doctors report that lack of knowledge (57.14%) and lack of working time (42.86%) are at the individual level. The lack of data access (73.81%) is the main institutional constraint. The lack of evidence of specific service populations (50.00%) is the main social and environmental constraints. Policy level, insufficient financial support (53.57%) is the most important factor. Conclusions To enhance the practice of evidence-based prevention and control of chronic diseases for medical staff, we should combine evidence-based philosophy with its routine work effectively, combine with the needs of service people, and provide various support and hardware and software support from agencies and policies.