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首页> 外文期刊>International Journal of General Medicine >The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases
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The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases

机译：基层医疗医生在慢性胃肠道疾病的早期诊断和治疗中的作用

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Abstract: Chronic gastrointestinal disorders are a source of substantial morbidity, mortality, and cost. They are common in general practice, and the primary care physician (PCP) has a central role in the early detection and management of these problems. The need to make cost-effective diagnostic and treatment decisions, avoid unnecessary investigation and referral, provide long-term effective control of symptoms, and minimize the risk of complications constitute the main challenges that PCPs face. The literature review shows that, although best practice standards are available, a considerable number of PCPs do not routinely follow them. Low rates of colorectal cancer screening, suboptimal testing and treatment of Helicobacter pylori infection, inappropriate use of proton pump inhibitors, and the fact that most PCPs are still approaching the irritable bowel disease as a diagnosis of exclusion represent the main gaps between evidence-based guidelines and clinical practice. This manuscript points out that updating of knowledge and skills of PCPs via continuing medical education is the only way for better adherence with standards and improving quality of care for patients with gastrointestinal diseases.
机译：摘要：慢性胃肠道疾病是高发病率，高死亡率和高成本的来源。它们在一般实践中很常见，初级保健医生（PCP）在早期发现和管理这些问题中起着核心作用。作出具有成本效益的诊断和治疗决策，避免不必要的调查和转诊，提供长期有效的症状控制以及最大程度降低并发症风险的需求是PCP面临的主要挑战。文献综述表明，尽管有最佳实践标准，但相当数量的PCP并没有定期遵循它们。大肠癌筛查率低，幽门螺杆菌感染的检测和治疗欠佳，质子泵抑制剂的不适当使用以及大多数五氯苯酚类药物仍在将肠易激疾病作为排除疾病的诊断这一事实是循证指南之间的主要差距和临床实践。该手稿指出，通过继续医学教育来更新五氯苯酚的知识和技能是更好地遵守标准并提高胃肠道疾病患者护理质量的唯一途径。

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