Cantwell Barbara, Clarke Carol, Bellman Jane
College of Dietitians of Ontario, Toronto, ON.
Can J Diet Pract Res. 2006 Autumn;Suppl:S54-7. doi: 10.3148/67.0.2006.s54.
Primary health care (PHC) reform, especially efforts to implement interdisciplinary teams, has implications for dietetic practice. A consistent, clear vision of the registered dietitian's (RD's) role in PHC is needed to develop a successful advocacy agenda.
The Dietitians of Canada (DC) Central and Southern Ontario Primary Health Care Action Group organized a four-step process to engage dietitians in developing an advocacy agenda for RD PHC services in Ontario. Two facilitated workshops brought together dietitian opinion leaders to enhance the understanding of current roles, find common ground, and develop a shared vision. All DC members were invited to review the draft vision, and feedback was integrated into a revised vision.
Registered dietitians saw PHC reform through many lenses, and were uncertain about how reforms would affect their practices. In a national review, the majority of reviewers (approximately 85% of 270) supported the draft vision; additional clarity was needed on resources and the breadth of services that RDs would provide.
Development of a PHC vision for RDs should be helpful in advocating for dietitian services in PHC.
初级卫生保健（PHC）改革，尤其是实施跨学科团队的努力，对营养实践具有重要意义。要制定成功的宣传议程，需要对注册营养师（RD）在初级卫生保健中的作用有一个一致、清晰的愿景。
加拿大营养师协会（DC）安大略省中部和南部初级卫生保健行动小组组织了一个四步流程，让营养师参与制定安大略省RD初级卫生保健服务的宣传议程。两场有主持人引导的研讨会召集了营养师意见领袖，以增进对当前角色的理解、找到共同点并形成共同愿景。所有DC成员都被邀请审查愿景草案，并将反馈意见纳入修订后的愿景。
注册营养师从多个角度看待初级卫生保健改革，并且不确定改革将如何影响他们的实践。在一次全国性审查中，大多数审查者（270人中约85%）支持该愿景草案；需要在资源以及RD将提供的服务范围方面进一步明确。
为RD制定初级卫生保健愿景应有助于在初级卫生保健中宣传营养师服务。
