Analysis of the Quality of Diagnosis and Treatment of Helicobacter Pylori Infection in Shanghai Community Health Service Institutions

Abstract

Background The level and quality of diagnosis and treatment of Helicobacter pylori (Hp) infections in Shanghai's community health service institutions is unclear, and there is a lack of systematic evaluation and monitoring. Objective To understand the current status of diagnosis, treatment and management of Hp infection in community health centers in Shanghai, to evaluate the quality of diagnosis and treatment, and to explore the problems and improvement measures. Methods A questionnaire was distributed to a total of 249 community health centers in 16 administrative districts of Shanghai and 3 875 general practitioners (GPs) working in the community health centers from May to June 2022 to investigate the standardization of prescriptions for the eradication of Hp infections in the community health centers, the detection of Hp infections, the provision of drugs for the eradication of Hp infections, the management of Hp infections, the difficulties of Hp infections in the treatment of Hp infections, as well as the knowledge of community-based GPs on the diagnosis and treatment of Hp infections. Results The result of the prescription eradication program for Hp infection in primary health care facilities in Shanghai was only 32.0 percent correct. The proportion of health service centers with the ability to conduct Hp infection testing in primary healthcare institutions in Shanghai is high, nearly 80.0%. Most of the community health service centers were able to equip the basic medicines needed for the eradication of Hp, but the rate of bismuth equipment was low, 54.6%. The rate of Hp diagnosis and treatment standard supervision was 80.0%. The demand for the training of standardized diagnosis and treatment of Hp infections was high, accounting for 66.7%. The main difficulties in Hp infection diagnosis and treatment were incomplete drug provision, insufficient doctor's diagnosis and treatment ability and insufficient equipment. Community general practitioners do not have enough basic knowledge about the diagnosis and treatment of Hp infection. Conclusion The capacity to conduct Hp testing needs to be further strengthened in primary care organizations in Shanghai, especially in remote community health service centers, including the purchase of more Hp-related testing equipment and reagents, and the completion of related medications needed for the eradication of Hp. In addition, it is necessary to further strengthen the standardized diagnosis and treatment training of Hp infection for community health centers, improve the diagnosis and treatment ability of general practitioners on Hp infection, and at the same time, strengthen the supervision of Hp diagnosis and treatment standardization, so as to further improve the diagnosis and treatment ability of community general practitioners on Hp infection.

Keywords

• helicobacter pylori|community health service centers|diagnosis and treatment standard|quality of diagnosis and treatment|systems management|shanghai