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Abstract：
OBJECTIVE: General practitioners are trained to care for patients with a high level of responsibility and professional competency. However, there are few reports on the physical and mental health status of general practitioners (GPs) in China, particularly regarding help seeking and self-treatment. The primary aims of this study were to explore GPs\' expectations of their own family doctors and their reflection on role positioning, and to explore the objective factors that hinder the system of family doctors.
METHODS: Cross-sectional study.
METHODS: We conducted an online survey of Chinese GPs. Descriptive statistics were used to summarize the findings.
RESULTS: More than half of the participants (57.20%) reported that their health was normal over the past year. A total of 420 participants (23.35%) reported having chronic diseases. For sleep duration, 1205 participants (66.98%) reported sleeping 6-8 h per day; 473 participants (26.29%) reported chronic insomnia. Two hundred thirty-one participants (12.84%) had possible depression. A total of 595 (33.07%) participants reported that they had contracted a fixed family doctor. In terms of preventing themselves from contracting for a family doctor, the following factors were identified: lack of sufficient time (54.81%), could solve obstacles themselves (50.97%), and embarrassment (24.24%). The proportion of the contract group (12.44%) taking personal relationship as a consideration was higher than that of the non-contract group (7.64%) (χ2 = 10.934 P = 0.01). Most participants (79.90%) in the non-signed group reported never having seen a family doctor. In terms of obstacles, more than half of the signed group thought that they could solve obstacles themselves, while the non-signed group (39.20%) was less confident in the ability of family doctors than the signed group (29.75%) (χ2 = 15.436, P < 0.01).
CONCLUSIONS: GPs work under great pressure and lack of self-care awareness, resulting in an increased prevalence of health conditions. Most GPs did not have a regular family doctor. Having a family doctor with a fixed contract is more conducive to the scientific management of their health and provides a reasonable solution to health problems. The main factors hindering GPs from choosing a family doctor were time consumption, abilities to solve obstacles themselves, and trust in the abilities of GPs. Therefore, simplifying the process of family doctor visits, Changing the GPs\' medical cognition, and strengthening the policy of GP training would be conducive to promoting a family doctor system that enhances hierarchical diagnosis and treatment. International collaboration could integrate GP health support into global healthcare system.
METHODS: Cross-sectional study.
METHODS: We conducted an online survey of Chinese GPs. Descriptive statistics were used to summarize the findings.
RESULTS: More than half of the participants (57.20%) reported that their health was normal over the past year. A total of 420 participants (23.35%) reported having chronic diseases. For sleep duration, 1205 participants (66.98%) reported sleeping 6-8 h per day; 473 participants (26.29%) reported chronic insomnia. Two hundred thirty-one participants (12.84%) had possible depression. A total of 595 (33.07%) participants reported that they had contracted a fixed family doctor. In terms of preventing themselves from contracting for a family doctor, the following factors were identified: lack of sufficient time (54.81%), could solve obstacles themselves (50.97%), and embarrassment (24.24%). The proportion of the contract group (12.44%) taking personal relationship as a consideration was higher than that of the non-contract group (7.64%) (χ2 = 10.934 P = 0.01). Most participants (79.90%) in the non-signed group reported never having seen a family doctor. In terms of obstacles, more than half of the signed group thought that they could solve obstacles themselves, while the non-signed group (39.20%) was less confident in the ability of family doctors than the signed group (29.75%) (χ2 = 15.436, P < 0.01).
CONCLUSIONS: GPs work under great pressure and lack of self-care awareness, resulting in an increased prevalence of health conditions. Most GPs did not have a regular family doctor. Having a family doctor with a fixed contract is more conducive to the scientific management of their health and provides a reasonable solution to health problems. The main factors hindering GPs from choosing a family doctor were time consumption, abilities to solve obstacles themselves, and trust in the abilities of GPs. Therefore, simplifying the process of family doctor visits, Changing the GPs\' medical cognition, and strengthening the policy of GP training would be conducive to promoting a family doctor system that enhances hierarchical diagnosis and treatment. International collaboration could integrate GP health support into global healthcare system.
摘要：
目的：对全科医生进行培训，以照顾具有高度责任感和专业能力的患者。然而,国内关于全科医生身心健康状况的报道较少,特别是寻求帮助和自我治疗。这项研究的主要目的是探索全科医生对自己的家庭医生的期望以及他们对角色定位的反思，探讨阻碍家庭医生制度的客观因素。
方法：横断面研究。
方法：我们对中国全科医生进行了在线调查。描述性统计用于总结研究结果。
结果：超过一半（57.20％）的参与者报告说他们的健康状况在过去一年中正常。共有420名参与者（23.35％）报告患有慢性疾病。对于睡眠持续时间，1205名参与者（66.98％）报告每天睡眠6-8小时；473名参与者（26.29％）报告慢性失眠。两百三十一名参与者（12.84％）可能患有抑郁症。共有595名（33.07%）的参与者报告说他们签约了固定的家庭医生。就防止自己签约家庭医生而言，确定了以下因素：缺乏足够的时间(54.81%)，可以自己解决障碍(50.97%)，和尴尬（24.24%）。合同组考虑人际关系的比例（12.44％）高于非合同组（7.64％）（χ2=10.934P=0.01）。无签名组的大多数参与者（79.90％）报告从未看过家庭医生。在障碍方面,超过一半的签约团体认为他们可以自己解决障碍，非签名组（39.20％）对家庭医生能力的信心低于签名组（29.75％）（χ2=15.436，P<0.01）。
结论:全科医生工作压力大,缺乏自我保健意识,导致健康状况的患病率增加。大多数全科医生没有正规的家庭医生。拥有固定合同的家庭医生更有利于他们健康的科学管理，为健康问题提供合理的解决方案。阻碍全科医生选择家庭医生的主要因素是时间消耗，自己解决障碍的能力，并信任全科医生的能力。因此,简化家庭医生就诊的流程，改变全科医生的医疗认知，加强全科医生培训政策将有助于促进家庭医生制度，加强分级诊疗。国际合作可以将全科医生健康支持纳入全球医疗保健系统。
方法：横断面研究。
方法：我们对中国全科医生进行了在线调查。描述性统计用于总结研究结果。
结果：超过一半（57.20％）的参与者报告说他们的健康状况在过去一年中正常。共有420名参与者（23.35％）报告患有慢性疾病。对于睡眠持续时间，1205名参与者（66.98％）报告每天睡眠6-8小时；473名参与者（26.29％）报告慢性失眠。两百三十一名参与者（12.84％）可能患有抑郁症。共有595名（33.07%）的参与者报告说他们签约了固定的家庭医生。就防止自己签约家庭医生而言，确定了以下因素：缺乏足够的时间(54.81%)，可以自己解决障碍(50.97%)，和尴尬（24.24%）。合同组考虑人际关系的比例（12.44％）高于非合同组（7.64％）（χ2=10.934P=0.01）。无签名组的大多数参与者（79.90％）报告从未看过家庭医生。在障碍方面,超过一半的签约团体认为他们可以自己解决障碍，非签名组（39.20％）对家庭医生能力的信心低于签名组（29.75％）（χ2=15.436，P<0.01）。
结论:全科医生工作压力大,缺乏自我保健意识,导致健康状况的患病率增加。大多数全科医生没有正规的家庭医生。拥有固定合同的家庭医生更有利于他们健康的科学管理，为健康问题提供合理的解决方案。阻碍全科医生选择家庭医生的主要因素是时间消耗，自己解决障碍的能力，并信任全科医生的能力。因此,简化家庭医生就诊的流程，改变全科医生的医疗认知，加强全科医生培训政策将有助于促进家庭医生制度，加强分级诊疗。国际合作可以将全科医生健康支持纳入全球医疗保健系统。
