Plasmonic fluorescence enhancement of boron vacancy centers in h-BN with TiO2-Al nanowire hybrid cavities: a simulation study.

OBJECTIVE

To assess chronic obstructive pulmonary disease (COPD)-related clinical competency, confidence, and management practices among general practitioners (GPs) in Pudong community health centers.

METHODS

A cross-sectional survey was conducted. Stratified random sampling across four regional strata yielded 457 valid responses (99.34% response rate).

RESULTS

While 56.02% of GPs managed 11-30 COPD patients monthly, 96.06% reported COPD constituted <30% of their caseload. Clinical engagement was suboptimal: 80.74% performed spirometry ≤10 times annually, and 45.73% referred cough/dyspnea patients directly to specialists. Significant competency gaps were identified in inhaled pharmacotherapy, classification, CAT/mMRC usage, spirometry interpretation, and inhaler instruction. Confidence in management was low (mean score: 2.85/5). Regression analysis revealed that proficiency correlated with standardized residency training, COPD-specific continuing medical education (CME) attendance, and physician age. Both competency and confidence levels correlated positively with the frequency of management practices.

CONCLUSION

GPs in Pudong exhibit inadequate COPD knowledge depth, poor clinical application skills, and low decision-making confidence. These findings highlight the need for training programs integrating theoretical instruction with hands-on practice to support improvements in competency and promote standardized community-based COPD management.