Abstract: Background　Traditional Chinese medicine has the characteristics of simplicity，convenience，efficiency and low cost.It is widely used in the field of diabetes prevention and treatment and has obvious advantages in the treatment of pre-diabetes and complications.Objective　To explore the application and demands of the Clinical Evidence-based Practice Guidelines of Diabetes by Traditional Chinese Medicine（hereinafter referred to as the Guidelines） among community general practitioners in Dongcheng District of Beijing.Methods　From July to August in 2018，a total of 304 grassroots health workers from 7 community health service centers and 34 community health service stations in Dongcheng District of Beijing were selected by cluster sampling method，including 138 practitioners of traditional Chinese medicine and 166 practitioners of western medicine.A questionnaire was designed to investigate the application and demands of the Guidelines，including the health education of traditional Chinese medicine，the use of proprietary Chinese medicine，the awareness of the Guidelines and the demands of training.Results　The age，education level，working years and professional titles of general practitioners of traditional Chinese medicine were lower than those of general practitioners of western medicine（P<0.05）.Among 138 general practitioners of traditional Chinese medicine，133（96.4%） cases had health education of traditional Chinese medicine to patients，and 127（92.0%） cases had community diabetes prevention and treatment with proprietary Chinese medicine.Among 166 general practitioners of western medicine，134（80.7%） cases had health education of traditional Chinese medicine to patients，and 112（67.5%） cases had community diabetes prevention and treatment with proprietary Chinese medicine.The difference was statistically significant（χ2=17.274，P<0.001；χ2=27.038，P<0.001）.Of the 138 general practitioners of traditional Chinese medicine，25（18.1%） cases had not heard of the Guidelines；94（68.1%） cases had heard of it but did not learn it；and 19（13.8%） cases had studied it carefully.Of the 166 general practitioners of western medicine，33（19.9%） cases had not heard of the Guidelines；108（65.1%） cases had heard of it but did not learn it；and 25（15.0%） cases had studied it carefully.There was no significant difference（χ2=0.316，P=0.854）.Among the general practitioners of traditional Chinese medicine，the learning rate of Guidelines in men was higher than that in women（P<0.05）.With the increase of age，poor education background，high professional titles and long working years，the learning rate of Guidelines increased（P<0.05）.Among 138 general practitioners of traditional Chinese medicine，126（91.3%） cases had the training needs of the Guidelines；among 166 general practitioners of western medicine，144（86.7%） cases had the training needs of the Guidelines.There was no significant difference（χ2=1.576，P=0.209）.Among 138 general practitioners of traditional Chinese medicine，50（36.2%） cases wanted to have the training in a face-to-face manner；63（45.7%） cases wanted to have the training through video；and 25（18.1%） cases thought both methods were acceptable.Among 166 general practitioners of western medicine，59（35.5%） cases wanted to have the training in a face-to-face manner；69（41.6%） cases wanted to have the training through video；and 38（22.9%） cases thought both methods were acceptable.There was no significant difference（χ2=1.129，P=0.569）.Conclusion　In Dongcheng District of Beijing，the awareness rate and learning rate of the Guidelines among grassroots general practitioners are low，so it is necessary to strengthen the promotion of the Guidelines in the community，especially in the group of general practitioners of traditional Chinese medicine with young age，low professional titles and short working years.

Key words: General practitioners, Diabetes, TCM, Demand, Utilization

摘要： 背景　中医药具有“简、便、效、廉”的特点，在糖尿病防治领域被广泛研究应用，尤其在糖尿病前期及并发症治疗方面优势明显。目的　了解北京市东城区基层全科医生对《糖尿病中医药临床循证实践指南》（《指南》）的应用和需求情况。方法　于2018年7—8月，采用整群抽样法选取北京市东城区7个社区卫生服务中心和34个社区卫生服务站的全体基层卫生人员共304例为研究对象，其中中医138例，西医166例。自行设计《指南》应用及需求状况调查问卷，内容涉及医师对患者进行中医健康教育情况、中成药使用情况、对本指南的知晓情况及培训需求状况。结果　中医全科医生年龄、文化程度、工作年限、职称低于西医全科医生，差异有统计学意义（P<0.05）。138例中医全科医生中，133例（96.4%）对患者进行中医健康教育，127例（92.0%）使用中成药进行社区糖尿病防治；166例西医全科医生中，134例（80.7%）对患者进行中医健康教育，112例（67.5%）使用中成药进行社区糖尿病防治，两者比较，差异有统计学意义（χ2=17.274，P<0.001；χ2=27.038，P<0.001）。138例中医全科医生中，25例（18.1%）没听说过《指南》，94例（68.1%）听说过但未学习，19例（13.8%）了解并认真学习过；166例西医全科医生中，33例（19.9%）没听说过，108例（65.1%）听说过但未学习，25例（15.0%）了解并认真学习过，两者比较，差异无统计学意义（χ2=0.316，P=0.854）。中医全科医生中，男性《指南》学习率高于女性（P<0.05）；随年龄增长、学历降低、职称升高、工作年限增长，《指南》学习率增高（P<0.05）。138例中医全科医生中，126例（91.3%）有《指南》培训需求；166例西医全科医生中，144例（86.7%）有《指南》培训需求，两者比较，差异无统计学意义（χ2=1.576，P=0.209）。138例中医全科医生中，50例（36.2%）希望采用面对面培训《指南》，63例（45.7%）希望采用视频培训，25例（18.1%）认为两者兼可；166例西医全科医生中，59例（35.5%）希望采用面对面培训，69例（41.6%）希望采用视频培训，38例（22.9%）认为两者兼可，两者比较，差异无统计学意义（χ2=1.129，P=0.569）。结论　北京市东城区基层全科医生《指南》知晓率、学习率较低，应加强《指南》社区推广，尤其在年龄低、职称低、工作年限短的中医全科医生群体中推广。

关键词: 全科医生, 糖尿病, 中医, 需求, 利用