Qualitative evaluation of the general practitioner chronic non-communicable diseases training programme
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RESEARCH ARTICLE
Open Access
Qualitative evaluation of the general practitioner chronic non-communicable diseases training programme Chunyu Zhang1, Fang Fang1, Mingqiang Peng2, Ying Zhao3, Ruixue Liu3 and Cunbo Jia1*
Abstract Background: In China, general practitioners have limited ability to provide care for common chronic noncommunicable diseases because they lack postgraduate training. In an attempt to improve general practitioners’ skills in this regard, the present authors previously launched the Chronic Non-Communicable Diseases Training Programme. The present study aims to evaluate the effectiveness of this programme. Methods: Thirty-nine trainee general practitioners who participated in the programme underwent semi-structured interviews, which explored how they performed the training, what they achieved from the programme, and their suggestions for future programmes. The interview data were analysed using a thematic analysis approach. Results: Under the guidance of supervisors, the thirty-nine trainee general practitioners completed the structured but individualised training plan, which comprised a four-day basic theory class, 3 months practising in a ward, and 6 months assisting in an outpatient clinic. They reported an improvement in their ability to provide care for chronic non-communicable diseases and perform two-way referral, as well as their communication with patients. They also reported that, since returning to their communities, they had become more confident, were building better relationships with their patients, and had changed their clinic behaviours from copying prescriptions to making medical decisions independently. Their principal suggestion for the training programme was to alter the order of the training, as they preferred to practice in the ward before assisting in the outpatient clinic. Conclusion: The course comprised a learner-centred, practice- and apprenticeship-based, general-practitioner training programme. Given the participants’ progress and the beneficial effects of the programme reported in the interview data, it appears to be worthwhile to extend the General Practitioner Chronic Non-Communicable Diseases Training Programme. Keywords: General practitioner, Continued medical education, Chronic non-communicable diseases
Background Chronic obstructive pulmonary disease (COPD), diabetes, stroke, and hypertension are the most important causes of morbidity and mortality in the Chinese community [1–4]. As a result, general practitioners (GPs), * Correspondence: [email protected] 1 Department of Health Reform and Development, China-Japan Friendship Hospital, Yinghua East Road 2#, Chaoyang District, Beijing 100029, P.R. China Full list of author information is available at the end of the article
who are generally the first point of access to the healthcare system, should be proficient at managing these four common, chronic, non-communicable diseases [5, 6]. Over the past decade, the World Health Organization (WHO) and countries such as Norway and the US have given high priorit
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