Competence of Community-based Rehabilitative Service among Rural Doctors in China
摘要
Background Rural doctors are the most convenient providers of community-based rehabilitative services for chronic disease patients and disabled people in rural areas, with the promotion of graded diagnosis and treatment policies, people began to pay attention to the competence of community-based rehabilitative services among rural doctors. Objective By investigating the competence of community-based rehabilitative service among rural doctors, analyzing the shortage of competence, and providing references for improving it. Methods A multi-stage stratified cluster sampling and purposive sampling methods were used to select 3 916 rural doctors from five provinces in east, central, and western China. The survey was conducted from July to August 2020. The questionnaire mainly focused on investigating the possession of rural doctors' competence in rehabilitation function assessment and community rehabilitation guidance, as well as whether the competence could meet their actual work needs. Results Of the 3 916 rural doctors surveyed, 2 391 (61.1%), 3 704 (94.6%), 2 365 (60.4%) were found to have competence in rehabilitation function assessment, community rehabilitation guidance, and comprehensive community-based rehabilitative service, respectively. The comparison of the rehabilitation function assessing competence, community rehabilitation guiding competence, and comprehensive community rehabilitation service competence of rural doctors in the eastern, central, and western regions showed statistically significant differences (P<0.001), while the rural doctors in the western region had the lowest proportion of competence; There were statistically significant differences (P<0.05) in the proportion of the rehabilitation function assessing competence and the comprehensive competence of community rehabilitation services among rural doctors with different educational backgrounds and practicing qualifications. Rural doctors with an educational background of technical