01891nas a2200385 4500000000100000008004100001260001300042653001000055653000900065653001000074653002400084653002800108653001100136653002400147653004200171653002000213653001100233653001200244653000900256653001600265653002100281653002100302100001100323700001000334700000900344700001200353700001200365245017200377856005900549300001000608490000700618050003200625520083400657022001401491 2000 d c2000 Mar10aAdult10aAged10aChina10aClinical Competence10aDelivery of Health Care10aFemale10aHealth Care Surveys10aHealth Knowledge, Attitudes, Practice10aHealth Services10aHumans10aleprosy10aMale10aMiddle Aged10aRural Population10aUrban Population1 aChen S1 aHan C1 aLi B1 aZheng R1 aZhang L00aA survey on knowledge and skills in the early diagnosis of leprosy in general health services at different levels in Shandong Province, The People's Republic of China. uhttp://leprev.ilsl.br/pdfs/2000/v71n1/pdf/v71n1a08.pdf a57-610 v71 aInfolep Library - available3 a
In the late phase of a leprosy control programme, problems arise with regard to the early detection and treatment of a small number of new incident cases. We describe a study in the province of Shandong, People's Republic of China, on the knowledge and skills regarding leprosy of general health service staff, including rural doctors, paramedical doctors at township level, doctors from county general and provincial hospitals and dermatologists. The results showed that there is a continuing need for suitable training programmes for medical staff in the general health services. Most dermatologists had good levels of knowledge and skills and more than 80% of new cases have been diagnosed in skin clinics in this province since 1990. Their participation in early diagnosis and training of staff should be strengthened.
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