Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-11-24 Cooperative journals: 《中国全科医学》
YAO, Mi
LIN, Kai
FAN, Jieting
JI, Xinxin
WANG, Ying
DONG, Aimei
HAN, Xiaoning
QI, Jianguang
CHI, Chunhua
Shamil Haroon
Dawn Jackson
KK Cheng
Richard Lehman
Abstract： General practitioners（GPs） play an important role in diabetes care in primary care as the "gatekeepers "of population health. The management of diabetes can slow its progression，reduce complications and improve patient outcomes，which requires effective communication and collaboration between patients and their doctors. GPs with good communication skills can help to build long-term care relationships with diabetes patients and help them develop effective self-management skills. This paper summarizes the design and development of diabetes communication skills training for GPs guided by research team with multiple theoretical frameworks，including evidence-based findings from systematic review，experiences and ideas of diabetes patients communicating with GPs based on qualitative studies，prioritization of training content for patient-doctor communication in GPs captured by mixed-methods research，in order to provide solutions for high-quality diabetes management in primary care and inform the design of training programmes for GPs based on evidence and medical education frameworks.
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-07-31 Cooperative journals: 《中国全科医学》
Abstract： Background Patients with type 2 diabetes commonly experience a high treatment burden. Currently，both domestic and international researches on the treatment burden of the specific diseases is still in its initial stage. Objectives To summarize the conceptual framework of treatment burden related to type 2 diabetes in the Chinese population and explore proactive responding approaches for general practitioners based on video recordings of clinical consultation scenarios. Methods A retrospective analysis of video recordings from general practice training clinics in a standardized training base in Guangdong Province from 2018 to 2019 was conducted by using qualitative research methods such as observation record forms，notes from the fields，encoding-retrieval and thematic analysis，combining with existing conceptual framework of treatment burden. Results A total of 49 video recordings of doctor-patient communication about the treatment burden of type 2 diabetes were extracted from25 video recordings. All 6 themes of the original conceptual framework were mentioned and 2 new themes （burden of medical information and drug-induced hypoglycemia） were identified by analysis that were mentioned repeatedly. A modified conceptual framework of the treatment burden of type 2 diabetes was finally developed containing 7 observable dimensions including economic，drug，medical management，lifestyle change，healthcare system，time/travel，and medical information burdens and the connotation of subtopics in each dimension. According to the analysis of the response approach，general practitioners who have received training can respond consciously to some of the treatment burdens（medications，medical information，time/travel，lifestyle change） by utilizing the skills of health education，enhanced communication，shared decision-making and motivational interviewing. Conclusion This study constructs a modified conceptual framework of treatment burden for patients with type 2 diabetes. General practitioners can consciously respond to treatment burdens of patients by using effective doctor#2;patient communication skills，in combination with the identification of conceptual dimensions in clinical practice.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-30 Cooperative journals: 《中国全科医学》
YAO Mi
LIN Kai
FAN Jieting
JI Xinxi
WANG Ying
DONG Aimei
HAN Xiaoning
QI Jianguang
CHI Chunhua
Shamil Haroon
Dawn Jackson
KK Cheng
Richard Lehman
Abstract：
General Practitioners (GPs) play an important role in diabetes care at the primary level as the ‘gatekeepers’ of population health. The management of diabetes can slow its progression, reduce complications and improve patient outcomes, which requires effective communication and collaboration between patients and their doctors. Good communication skills in general practice can help to build long-term care relationships with people with diabetes and help them to develop effective self-management skills. This paper summarises the research team's design and development of diabetes communication skills training for GPs guided by a variety of theoretical frameworks, evidence-based findings from a systematic review, experiences and feelings of people with diabetes and GPs based on qualitative studies, and mixed methods research to find the prioritisation of training content in communication skills training. The aim of the paper is to provide solution ideas for high-quality diabetes management in primary care and to inform the design training programmes for GPs based on evidence and medical education frameworks.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-08-17 Cooperative journals: 《中国全科医学》
Abstract： With the development of primary care in China, nearly 400,000 general practitioners will be trained in China in next 10 years, which requires a large number of China-appropriate and evidence-based general practice education concepts, methods, and contents. At present in China and abroad, the quality of educational intervention studies is poor, and most faculty and researchers in general practice lack training in educational intervention studies. The purpose of this paper is to introduce the process of educational intervention research in general practice from design to publication, dividing the research into four stages with 13 steps. The four stages are research preparation (generating research inspiration , literature reviews, incorporating a theoretical/cognitive framework, refine research question), research design (trial design, intervention, outcome evaluation), research implementation (establishing a research team, obtaining research resources, applying for research ethics, program execution), and publication and evaluation phases (article writing, reflection and evaluation). The aim is to provide research methods and ideas for educational researchers and practitioners in general practice to conduct educational intervention studies, generate high-quality educational research "evidence", further improving education , and train competent general practitioners.
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