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    Australian Physical Activity Referral and Its Implications for the Sharing Mechanism of General Practice and Sports Co-treatment in China
    LI Liqiang, WU Jin, ZHANG Liqiang, WANG Xiaozan
    Chinese General Practice    2023, 26 (19): 2311-2317.   DOI: 10.12114/j.issn.1007-9572.2022.0862
    Abstract454)   HTML12)    PDF(pc) (1192KB)(229)       Save

    As the acceleration of urbanization and population aging in China, the prevalence of various chronic diseases among residents is increasing, the prevention and control of various chronic diseases in the medical care and public health fields are becoming more and more severe. As one of the important treatment modalities, physical activity referral schemes (PARS) have achieved remarkable results in the prevention and treatment of chronic diseases abroad, among which PARS in Australia has become a model for "treatment + co-treatment". This study overviews the formation and development of PARS in Australia comprehensively, summarizes and analyzes its implementation experience. It is recommended to build a sharing and interaction mechanism of general practice and sports co-treatment in China in the context of the current development situation of medical care and sports rehabilitation in China from the following aspects: building a referral structure with general practice as the core, promoting the synergistic governance of general practice and sports co-treatment; improving the personnel training system of general practice and exercise physiology, accelerating the training of medical exercise and health coaches; promoting the innovation of the service system, accelerating the construction of scientific process of general practice and sports co-treatment; exerting the advantages of the Internet vigorously to build a data and information platform of general practice and sports co-treatment.

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    Research Progress of Workplace Violence among General Practitioners at Home and Abroad: Prevalence, Influencing Factors, and Intervention Strategies
    LI Xinyan, FENG Jing, LEI Zihui, QU Ge, GAN Yong
    Chinese General Practice    2023, 26 (19): 2318-2322.   DOI: 10.12114/j.issn.1007-9572.2022.0767
    Abstract307)   HTML12)    PDF(pc) (1077KB)(192)       Save

    General practitioners are medical personnel with high integrated degree, and are the "gatekeepers" of residents' health. Violent incidents affecting health care not only seriously harm the the physical and psychological health of general practitioners, also affect the quality and level of basic medical services, which increases the turnover of general practitioners and the economic burden on the health care system. Previous studies have shown that more than half of general practitioners had experienced workplace violence, with the most common types including verbal violence and threats, followed by physical violence, sexual harassment and assault, patients and their family members were the main perpetrators. The failure of the medical services quality to meet the demands of patients, alcohol abuse, drug abuse and mental disorders of perpetrators, poor physician-patient communication were important factors associated with workplace violence. It is suggested to improve policies and regulations, norms of conduct related to workplace violence of healthcare workers, establish and improve the reporting and punishment mechanisms, enhance the capacity of healthcare workers and health care institutions to provide medical services and prevent workplace violence, give proper play to the role of the public media, promote the establishment of "zero-tolerance" system for violence.

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