Mihalynuk Tanis V, Knopp Robert H, Scott Craig S, Coombs John B
Interdisciplinary Nutritional Sciences Program, School of Public Health and Community Medicine, University of Washington, Seattle 98195, USA.
Fam Med. 2004 Nov-Dec;36(10):722-6.
This study's objective was to assess patient nutrition inquiries and related physician resources to identify the nutrition topics about which physicians most need information for patients and practice.
A survey was mailed to a 50% random sample of Washington Academy of Family Physicians (WAFP) members (n=778) to identify the top 10 patient nutrition inquiries that the physician would like to be better equipped to answer. The responding physicians' use of nutrition resources (journals, pamphlets, Web resources, toll-free numbers, and referrals to registered dietitians) was also recorded.
A total of 306 (39.3%) physicians responded. The majority wanted more information on weight management (66.5%), followed by information on herbals, botanicals, and other complementary and alternative medicines (CAM) (36.4%) and vitamin and mineral supplements (24.4%). Other common nutrition inquiries for which respondents wanted more information included diet for prevention of disease, high protein-low carbohydrate diets, and childhood nutrition. A minority of respondents used nutrition Web resources and toll-free numbers. Nearly all respondents reported referring patients to registered dietitians.
Physicians in our survey expressed a need for information on topics such as obesity, CAM, and life cycle and disease-specific diets. Medical nutrition educators should consider the educational needs of the practicing physician.
本研究的目的是评估患者营养咨询情况及相关医生资源,以确定医生在患者和临床实践方面最需要了解信息的营养主题。
向华盛顿家庭医师学会(WAFP)50%的随机样本成员(n = 778)邮寄调查问卷,以确定医生希望能更好地回答的前10大患者营养咨询问题。还记录了回复医生对营养资源(期刊、宣传册、网络资源、免费电话以及转介给注册营养师)的使用情况。
共有306名(39.3%)医生回复。大多数医生希望获得更多关于体重管理的信息(66.5%),其次是关于草药、植物药和其他补充与替代医学(CAM)的信息(36.4%)以及维生素和矿物质补充剂的信息(24.4%)。受访者希望获得更多信息的其他常见营养咨询问题包括疾病预防饮食、高蛋白低碳水化合物饮食以及儿童营养。少数受访者使用营养网络资源和免费电话。几乎所有受访者都报告曾将患者转介给注册营养师。
我们调查中的医生表示需要有关肥胖、补充与替代医学以及生命周期和特定疾病饮食等主题的信息。医学营养教育工作者应考虑执业医生的教育需求。