{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:29:43Z","timestamp":1753892983708,"version":"3.41.2"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>To identify the factors influencing changes in knowledge and experience of infectious disease prevention and control among physicians in Guangxis grassroots hospitals before and after the COVID-19 pandemic, thereby offering insights to enhance emergency response capabilities, disease prevention and control proficiency, and the overall effectiveness of grassroots medical institutions during epidemics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Utilizing random sampling, we conducted questionnaire surveys among primary care physicians from Guangxis primary medical institutions in June 2019 and October 2022, and analyzed the data with SPSS software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post-COVID-19, there was a significant increase in the scores for theoretical knowledge (77.10 \u00b1 14.83 vs. 63.10 \u00b1 15.11, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001) and understanding of infectious disease regulations (54.78 \u00b1 15.94 vs. 50.85 \u00b1 12.52, <jats:italic>p<\/jats:italic>\u202f=\u202f0.001) among grassroots hospital physicians compared to pre-COVID-19 levels, albeit with room for further improvement. The participation rate in emergency treatment of infectious diseases rose to 63.51% after COVID-19, from 58.33% of physicians lacking infectious disease training before the pandemic, which decreased to 35.60% post-pandemic. Currently, \u201ccommunity family medical observation\u201d is the most sought-after training content among Guangxis grassroots physicians (31.25%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The capacity for infectious disease prevention and control among Guangxis grassroots hospital physicians has significantly improved following COVID-19. The high engagement in related training and emergency response efforts reflects a strong sense of professional identity and commitment. Ongoing, needs-based infectious disease training is recommended to ensure that grassroots medical staff can optimally contribute to the management of infectious disease emergencies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1472331","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T05:17:01Z","timestamp":1748236621000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the evolution of infectious disease preparedness among a province with poor economy in China in the wake of 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