中国中西医结合杂志2026，Vol.46Issue(1)：17-24,8.DOI:10.7661/j.cjim.20251206.220
上海市基层全科医师中西医结合防治糖尿病实施意愿影响因素
Factors Influencing Implementation Intention of Integrative Medicine Approaches for Diabetes Care among Primary Care Physicians in Shanghai
摘要
Abstract
Objective To investigate the willingness of general practitioners(GPs)in Shanghai primary healthcare institutions to implement integrated Chinese and Western medicine(ITCWM)for the prevention and treatment of diabetes,compare the differences in willingness among GPs with different characteristics,and explore the influencing factors.Methods In January 2024,using convenience sampling based on the required sample size and the distribution of community health service centers(CHSCs),GPs from 32 CHSCs across 7 districts in Shanghai were selected for the survey.The survey included basic personal information,willingness to implement,and related influencing factors.Binary Logistic regression analysis was used to analyze the factors influencing the implementation willingness.Results A total of 360 valid questionnaires were collected.Among the 360 GPs,38.9％(140/360)reported low willingness to implement ITCWM for diabetes,while 61.1％(220/360)reported high willingness.Univariate analysis showed that department,education level,additional financial incentives,establishment of an on-site herbal pharmacy,staffing and equipment allocation,fee charging and reimbursement rates,sense of professional value,awareness of diagnostic and treatment methods,and knowledge of ITCWM were associated with GPs' willingness(P＜0.05).In the subgroup with a postgraduate degree or above,the proportion of Chinese medicine GPs with high willingness(88.9％)was significantly higher than that of Western medicine GPs(11.1％,P＜0.001).Stratified analysis showed that for both Chinese medicine and Western medicine GPs,the proportion of high willingness increased significantly when physicians had received cross-disciplinary training(Western medicine learning Chinese medicine or vice versa)and had higher knowledge of ITCWM methods(P＜0.01).Logistic regression analysis indicated that being a Chinese medicine practitioner(OR=2.974),having an on-site herbal pharmacy(OR=2.061),high sense of professional value(OR=6.147),high knowledge of diagnostic and treatment methods(OR=1.796),and high perceived efficacy(OR=2.346)were independent influencing factors for GPs' willingness to implement(P＜0.05).Conclusions The proportion of GPs in Shanghai primary healthcare institutions with high willingness to implement ITCWM for diabetes prevention and treatment is 61.1％.Factors such as the department type,the establishment of an on-site herbal pharmacy,perception of the value of ITCWM,awareness of ITCWM methods,and perceived efficacy significantly influence GPs'.关键词
中西医结合/糖尿病/基层医疗机构/全科医师/社区卫生服务/实施意愿/影响因素Key words
integrative medicine/diabetes/primary care/general practitioners/community health services/implementation intention/influencing factors引用本文复制引用
郎东,蔡淳,鲍萍萍,刘月星,黄珏,贾伟平..上海市基层全科医师中西医结合防治糖尿病实施意愿影响因素[J].中国中西医结合杂志,2026,46(1):17-24,8.基金项目
上海市加强公共卫生体系建设三年行动计划重点学科建项目(No.GWVI-11.1-20) （No.GWVI-11.1-20）
上海重中之重研究中心建设项目(No.2022ZZ01002) （No.2022ZZ01002）
国家临床重点专科医疗服务与保障能力提升项目(No.Z155080000004) （No.Z155080000004）
