The impact factors of standardized training and effectiveness of anticoagulation in primary care doctors with atrial fibrillation under the model of general practice training combined with close medical association
Objective To explore the intervention effect of the combination of general practice training and close medical alliances on anticoagulation therapy for atrial fibrillation(AF)among grassroots doctors,in order to improve their knowledge of anticoagulation in the community Methods A total of 100 medical staff from three hospitals,including Changsha Guanshaling Community Hospital,Wangyuehu Community Hospital,and Xihu Community Hospital,were included as intervention subjects.The knowledge mastery rate,anticoagulation prescription rate,and training acceptance level of primary care doctors before and after the training were compared,and the influencing factors of the training satisfaction were analyzed.Results After interven-tion,the mastery rate of atrial fibrillation anticoagulation knowledge and the prescription rate of anticoagulants among commu-nity grassroots doctors were significantly improved compared to before intervention(P<0.05);70 grassroots doctors(70.0%)ex-pressed a good acceptance of the intervention plan;The results of chi square test and binary logistic regression analysis showed that age,highest education level,professional title,years of work experience,and department were the influencing factors of the intervention satisfaction of anticoagulation therapy for atrial fibrillation among grassroots doctors trained in general practice and closely affiliated with medical consortia.Conclusion The implementation of the comprehensive training and close medical al-liance model for primary care doctors in AF anticoagulation treatment is beneficial for improving the community's primary care doctors'mastery of atrial fibrillation anticoagulation knowledge and prescription rates,and has a good acceptance rate;Multiple factors affect the effectiveness of standardized anticoagulation training for atrial fibrillation
general practice training combined with a close medical consortium modelprimary care doctorsatrial fibril-lation anticoagulation
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