【摘要】 目的 了解浙江省临床医生对丙型肝炎（简称丙肝）基础知识和专业知识的认知情况，为促进丙肝防治工作提供依据。方法 在浙江省7个地市各随机抽取一家医院，现场组织临床医生开展问卷调查，调查内容包括临床医生的基本情况、丙肝基础知识和专业知识掌握情况。调查采用Logistic回归方法对基础知识和专业知识知晓率的影响因素进行分析。结果 共计调查1 016名临床医生。丙肝基础知识知晓率为87.1%。多因素分析发现，与近1年未接受过丙肝知识培训的临床医生相比，接受过丙肝知识培训的临床医生丙肝基础知识知晓情况更好（a OR=0.467,95%CI:0.303～0.719），与县级医院相比，省级医院临床医生的丙肝基础知识知晓情况更好（a OR=0.353,95%CI:0.184～0.678），但是相比内科医生，外科医生（a OR=1.751,95%CI:1.014～3.026）和妇产科及儿科医生（a OR=1.763,95%CI:1.052～2.956）丙肝基础知识知晓情况较低。临床医生丙肝专业知识知晓率为23.4%，对于丙肝病例的诊断分类和诊断依据知识知晓情况低，仅为7.5%和13.9%；多因素分析发现与男性医生相比，女性医生专业知识知晓程度更好（a OR=1.463,95%CI:1.029～2.081）；与一级医院相比，三级医院的临床医生专业知识知晓程度更好（a OR=2.022,95%CI:1.253～3.262）；与近1年未接受过丙肝培训的临床医生相比，近1年接受过丙肝知识培训的临床医生专业知识知晓程度更好（a OR=3.419,95%CI:2.477～4.720）。结论 浙江省临床医生对于丙肝基础知识掌握较好，但是丙肝专业知识尤其是诊断分类和诊断依据相关的知识掌握不足，应尽早对临床医师知识掌握不足的情况开展培训工作。更多还原

【Abstract】 Objective To assess the awareness of knowledge regarding hepatitis C prevention and control among healthcare professionals in Zhejiang Province’s medical institutions, with the goal of informing strategic decisions.Methods A stratified random sampling strategy was implemented to select one hospital from each of the seven municipalities in Zhejiang Province. Clinical physicians were surveyed on-site, with questionnaires covering basic demographic information and their understanding of fundamental and professional knowledge about hepatitis C. Logistic regression analysis was used to identify factors influencing awareness rates. Results A total of 1 016 clinical physicians were surveyed. The awareness rate of fundamental knowledge about hepatitis C was 87.1%. Multivariate analysis showed that physicians who had undergone hepatitis C training in the past year demonstrated a better grasp of basic knowledge compared to those who had not(a OR=0.467, 95%CI: 0.303-0.719). Physicians at provincial hospitals exhibited a better understanding of basic knowledge than those at county-level hospitals(a OR=0.353, 95%CI: 0.184-0.678). However,surgeons(a OR=1.751, 95%CI: 1.014-3.026) and specialists in obstetrics, gynecology, and pediatrics(a OR=1.763, 95%CI:1.052-2.956) showed lower awareness than internists. Awareness of professional knowledge among clinical physicians was 23.4%, with particularly low awareness of the classification and diagnostic criteria for hepatitis C, at just 7.5% and 13.9%,respectively. Further analysis revealed that female physicians had a higher level of professional knowledge than their male counterparts(a OR=1.463, 95%CI: 1.029-2.081);physicians at tertiary-level hospitals were more knowledgeable than those at primary-level hospitals(a OR=2.022, 95%CI: 1.253-3.262); and those who had received training in the past year had a better understanding of professional knowledge(a OR=3.419, 95%CI: 2.477-4.720). Conclusions While clinical physicians in Zhejiang Province have a relatively strong foundation in basic hepatitis C knowledge, there is a significant gap in their professional knowledge, especially regarding diagnostic classification and criteria. Targeted training initiatives to address these deficiencies are urgently needed.更多还原