Abstract

Objective To investigate the needs for diagnosis and treatment techniques for depression and dementia in community doctors in Zhejiang province. Methods Depression and senile dementia diagnosis and treatment (including 20 techniques) was designed. Community doctors were surveyed in ten cities. A total of 612 questionnaires were issued, and 590 were reclaimed, 533 of which were valid questionnaires. For different levels of hospitals, hospitals of different properties, different majors, different professions, different working experience of doctors on the technical demand percentage were compared and analyzed. Count data were compared by chi square test. Results Different levels of hospitals, hospitals of different properties, different majors, different professions, different working experience of doctors on the technical demand percentage were significantly higher than the percentage of non-demand. The percentage of doctors in tertiary hospitals on the technology demand for MECT was significantly higher than secondary hospitals, street hospitals and community hospitals (χ2=11.42, 6.92, 8.75, all P<0.01). Except for the modified electric shock technology and the senile dementia screening technology, there were no significant differences in the needs of different professional physicians in the treatment of depression and senile dementia. The percentage of psychiatrists on the technology demand of MECT was higher than that of other professional physicians. The percentage of surgeons on the technology demand for Alzheimer's screening was lower than those of other professional physicians (χ2=8.90,P<0.01). The percentage of doctors' seniority in 1~3 years on the technologydemand for psychiatric interview was lower than the percentage of other seniority groups (χ2=6.09,P<0.05). Conclusion Primary medical staff in Zhejiang province have a strong demand for the technology of diagnosis and treatment in depression and senile dementia. After the questionnaire survey, the specific needs of the medical staff can be understood. It will be more targeted in the next step of the training and improve the training effect. Key words: Depression; Dementia; Technical requirements; Investigation

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