关键词: 基层医生, 老年人, 健康管理服务能力, 影响因素

Abstract: Objective: To analyze the current status and influencing factors of geriatric health management service capacity of
primary care physicians in Yuxi City, and to provide decision-making references for improving their geriatric health management
service capacity. Methods: A self-designed questionnaire was used to survey primary care physicians in Yuxi City. Binary Logistic
regression analysis was applied to identify factors influencing their geriatric health management service capacity. Results: A total of
1 450 physicians（ accounting for 82.48%） possessed five or more geriatric health management service capabilities. Physicians over 45
years old had significantly higher rates of mastering various capabilities than those under 30 years old（ P<0.016 7）. Rural primary care
physicians had a higher rate of mastering hypertension and diabetes diagnosis and treatment capabilities than their urban counterparts
（P<0.05）. The most deficient capabilities among primary care physicians were diagnosis and treatment of hypertension and diabetes,
and handling of cardiovascular and cerebrovascular emergencies. Educational level, professional qualification, and practice setting
were identified as factors influencing their geriatric health management service capacity （P<0.05）. Conclusion: Primary care
institutions in Yuxi City face talent shortages and an aging workforce. Capabilities in chronic disease management and handling
cardiovascular and cerebrovascular emergencies require improvement. Guided by policies, efforts should be made to expand
development prospects for primary care physicians, focus on training rural doctors, and comprehensively enhance their geriatric health
management capacity.

Key words: primary care physicians, the elderly, health management service capability, influencing factors