Volume 23 Issue 8
Aug.  2025
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HU Bolin, XUAN Jinyan, SHEN Jiaying, HUANG Zhenhua, SUN Junsheng, REN Jingjing. Analysis of the status quo of the perceptions and challenge of general practitioner in rare disease management[J]. Chinese Journal of General Practice, 2025, 23(8): 1346-1349. doi: 10.16766/j.cnki.issn.1674-4152.004131
Citation: HU Bolin, XUAN Jinyan, SHEN Jiaying, HUANG Zhenhua, SUN Junsheng, REN Jingjing. Analysis of the status quo of the perceptions and challenge of general practitioner in rare disease management[J]. Chinese Journal of General Practice, 2025, 23(8): 1346-1349. doi: 10.16766/j.cnki.issn.1674-4152.004131

Analysis of the status quo of the perceptions and challenge of general practitioner in rare disease management

doi: 10.16766/j.cnki.issn.1674-4152.004131
Funds:

 72274169

 LGWJ2022-6

 2024-2027

  • Received Date: 2024-10-17
    Available Online: 2025-10-31
  •   Objective  To study the perception status of general practitioners about rare disease management, analyze the views about rare disease management of general practitioners, clarify the current status of the recognition and challenges of general practitioners in rare disease management, and provide reference opinions for improving the ability of general practitioners to manage rare diseases.  Methods  After literature review and expert consultation, preliminary items of the scale were determined. The questionnaire was then subjected to reliability and validity analysis to form the final questionnaire, targeting general practitioners and using the Questionnaire Star platform for completion. Analyzed using SPSS 27.0 statistical software.  Results  The scale was preliminarily determined to consist of 25 items in 3 dimensions, including basic information, cognitive status, and opinions on rare disease management, with a Cronbach's α coefficient of 0.895. Confirmatory factor analysis indicated good model fit. A total of 434 questionnaires were confirmed to be valid. Only 28.57% (124/434) passed, and there was no statistically significant difference in the cognition of rare diseases among general practitioners with different demographic characteristics (P>0.05). In their views on the management of rare diseases, the respondents believed that the difficulty of general practitioners in managing patients with rare diseases was to establish a diagnosis, monitor treatment, and support and manage complications. At the same time, the respondents believed that if general practitioners want to do a good job in the comprehensive management of patients with rare diseases, they need to "strengthen the follow-up of patients with rare diseases to ensure medication compliance. The rare disease management team, led by general practitioners, can provide continuous care for patients and help patients communicate with experts, coordinate complex management, and provide psychological support and professional guidance. Closely monitor the changes in the patient's condition, detect complications in time, carry out physical and psychological rehabilitation for patients with rare diseases, and refer patients with rare diseases with changes in their condition in a timely manner."  Conclusion  At present, general practitioners generally have insufficient understanding of rare diseases. The main challenges in rare disease management lie in the diagnosis, treatment, support and management of complications of rare diseases. Training should be strengthened to enhance the ability of general practitioners to manage rare diseases.

     

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  • [1]
    张抒扬, 赵玉沛, 黄尚志, 等. 罕见病学[M]. 北京: 人民卫生出版社, 2020: 2-6.

    ZHANG S Y, ZHAO Y P, HUANG S Z, et al. Rare Disease Studies[M]. Beijing: People ' s Medical Publishing House, 2020: 2-6.
    [2]
    国家卫生健康委员会, 科学技术部, 工业和信息化部, 等. 关于公布第二批罕见病目录的通知(国卫医政发〔2023〕26号)[EB/OL]. (2023-09-18)[2023-09-30]. https://www.gov.cn/zhengce/zhengceku/202309/content_6905273.htm.

    National Health Commission, Ministry of Science and Technology, Ministry of Industry and Information Technology, et al. Announcement on the Second Batch of Rare Disease Catalogue (National Health Medical Policy No. 26)[EB/OL]. (2023-09-18)[2023-09-30]. https://www.gov.cn/zhengce/zhengceku/202309/content_6905273.htm.
    [3]
    陈适, 强佳祺, 李玉秀, 等. 以临床路径为导向的罕见病优化管理诊疗模式的探索[J]. 中华医学杂志, 2023, 103(23): 1797-1801.

    CHEN S, QIANG J Q, LI Y X, et al. Exploration of optimized management and diagnostic model for rare diseases guided by clinical pathways[J]. Chinese Medical Journal, 2023, 103(23): 1797-1801.
    [4]
    李平. 社会工作介入罕见病全病程管理实务探索-基于一例法布雷患儿的研究[D]. 天津: 天津理工大学, 2023.

    LI P. Practical exploration of social work intervention in the comprehensive management of rare diseases: a case study of a Fabry ' s Disease child[D]. Tianjin: Tianjin University of Technology, 2023.
    [5]
    龚力, 何谦, 李景宇, 等. 罕见病新型管理模式探索与实践的华西经验[J]. 华西医学, 2021, 36(12): 1726-1729.

    GONG L, HE Q, Li J, et al. Exploration and practice of a new management model for rare diseases: the HuaXi experience[J]. West China Medical Journal, 2021, 36(12): 1726-1729.
    [6]
    GROFT S C, POSADA M, TARUSCIO D. Progress, challenges and global approaches to rare diseases[J]. Acta Paediatr, 2021, 110(10): 2711-2716. doi: 10.1111/apa.15974
    [7]
    CHAN A, CHAN V, OLSSON S, et al. Access and unmet needs of orphan drugs in 194 countries and 6 areas: a global policy review with content analysis[J]. Value Health, 2020, 23(12): 1580-1591. doi: 10.1016/j.jval.2020.06.020
    [8]
    常精华, 宋海, 丁若溪, 等. 中国临床医生罕见病认知度及影响因素分析: 基于唐山调研数据[J]. 中国公共卫生, 2021, 37(5): 883-886.

    CHANG J H, SONG H, DING R X, et al. Analysis of Chinese clinical doctors ' awareness and influencing factors of rare diseases: based on Tangshan survey data[J]. Chinese Journal of Public Health, 2021, 37(5): 883-886.
    [9]
    ZHANG H, XIAO Y, ZHAO X, et al. Physicians ' knowledge on specific rare diseases and its associated factors: a national cross-sectional study from China[J]. Orphanet J Rare Dis, 2022, 17(1): 120. DOI: 10.1186/s13023-022-02243-7.
    [10]
    宋海, 康琦, 袁妮, 等. 唐山市综合医院临床医师罕见病认知度调查[J]. 临床药物治疗杂志, 2020, 18(1): 59-62.

    SONG H, KANG Q, YUAN N, et al. Survey on the awareness of rare diseases among clinical physicians in comprehensive hospitals in Tangshan City[J]. Journal of Clinical Drug Therapy, 2020, 18(1): 59-62.
    [11]
    BYRNE N, TURNER J, MARRON R, et al. The role of primary care in management of rare diseases in Ireland[J]. Ir J Med Sci, 2020, 189(3): 771 776. doi: 10.1007/s11845-019-02168-4
    [12]
    胡红濮, 戴国琳, 陈庆锟, 等. 罕见病智能知识服务体系设计[J]. 中国全科医学, 2021, 24(28): 3629-3633.

    HU H P, DAI G L, CHEN Q K, et al. Design of intelligent knowledge service system for rare diseases[J]. Chinese General Practice, 2021, 24(28): 3629-3633.
    [13]
    朱志宁, 顾洁, 范梅香, 等. "全专结合"管理非常见疾病, 提升全科医生综合管理能力: 以1例原发中枢神经系统淋巴瘤为例[J/OL]. 中国全科医学. DOI: 10.12114/j.issn.1007-9572.2023.0777.

    ZHU Z N, GU J, FAN M X, et al. Managing unusual diseases and enhancing the comprehensive management ability of general practitioners through the integrated general-specialty model: a case study of primary central nervous system lymphoma[J/OL]. Chinese General Practice. DOI: 10.12114/j.issn.1007-9572.2023.0777.
    [14]
    马晓碗, 龚力, 何谦, 等. 罕见病多学科诊疗服务体系构建的分析及思考[J]. 华西医学, 2024, 39(1): 93-97.

    MA X W, GONG L, HE Q, et al. Analysis and reflection on the construction of a multidisciplinary diagnosis and treatment service system for rare diseases[J]. West China Medical Journal, 2024, 39(1): 93-97.
    [15]
    曾溢滔. 罕见病的诊断与治疗[J]. 上海医学, 2022, 45(8): 515-519.

    ZRNG Y T. Diagnosis and treatment of rare diseases[J]. Shanghai Medical Journal, 2022, 45(8): 515-519.
    [16]
    李一萱, 张阳, 于晓松. 中外全科医生岗位胜任力模型分析与借鉴[J]. 中华全科医师杂志, 2021, 20(2): 248 252.

    LI Y X, ZHANG Y, YU X S. Analysis and reference of the competency model of general practitioners at home and abroad[J]. Chinese Journal of General Practitioners, 2021, 20(2): 248 252.
    [17]
    张抒扬, 董咚, 李林康, 等. 2020中国罕见病综合社会调研[M]. 北京: 人民卫生出版社, 2020: 42-65.

    ZHANG S T, DONG D, LI L K, et al. 2020 comprehensive social survey of rare diseases in China[M]. Beijing: People ' s Medical Publishing House, 2020: 42-65.
    [18]
    高圆圆, 蔡佩芬, 梁峰, 等. 同伴支持教育联合全科团队管理模式对社区2型糖尿病患者知信行水平的影响[J]. 中华全科医学, 2022, 20(1): 83-87. doi: 10.16766/j.cnki.issn.1674-4152.002283

    GAO Y Y, CAI P F, LIANG F, et al. The impact of peer support education combined with generalist team management model on the knowledge, attitude, and practice level of community type 2 diabetes patients[J]. Chinese Journal of General Practice, 2022, 20(1): 83-87. doi: 10.16766/j.cnki.issn.1674-4152.002283
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