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全科医生给从澳大利亚来的旅行者的健康建议。

Health advice given by general practitioners for travellers from Australia.

机构信息

Parkview Medical Centre, Toongabbie, Sydney, Australia.

出版信息

Travel Med Infect Dis. 2003 Feb;1(1):47-52. doi: 10.1016/S1477-8939(02)00004-2.

Abstract

OBJECTIVES

To investigate the prevalence of travel health advice and written documentation reported to be given by general practitioners to travellers from Australia.

DESIGN AND SETTING

A postal questionnaire was sent to general practitioners (GPs).

PARTICIPANTS

433 GPs were randomly selected from the register of the Medical Directory of Australia from the areas of western Sydney and Townville.

RESULTS

Two hundred and thirteen questionnaires (49.2%) were returned. Approximately two-thirds of the sample was male (133/207,64.3%) and one-third female (74/207,35.7%). The mean age of the GPs was 46.7 (SD+/-12.1) years. The GPs reportedly saw an average of 3.9 (SD+/-11.8) travellers per week. Most GPs (160/202,79.2%) reported that they spent between 5-25 min for pre-travel consultations. GPs generally reported giving advice to travellers on travel vaccines, malaria prophylaxis, personal protective measures against insect bites, geographic diseases, clothing, and sexually transmitted infections. The majority of GPs did not routinely give information on travel insurance, unsafe sex, barotrauma, in-flight exercise, jet lag or first aid knowledge. Most GPs reported not routinely giving written documentation in the form of written travel health advice, a doctor's letter or a travellers' vaccination record.

CONCLUSIONS

GPs report seeking core information needed for formulating travel health advice. GPs also provided travellers with health advice on most of the areas, which need to be covered in the pre-travel consultation. More GPs may wish to consider advising travellers about the importance of travel insurance and managing common maladies of travellers, such as motion sickness, barotrauma, and jet lag. With limited time in general practice to advise travellers, more GPs should consider providing written advice and documentation for travel, including a travellers' vaccination record.

摘要

目的

调查澳大利亚旅行医生向旅行者提供旅行健康建议和书面文件的报告流行率。

设计和设置

向旅行医生(GP)邮寄问卷。

参与者

从澳大利亚医学名录的西部悉尼和 Townville 地区随机选择 433 名 GP。

结果

213 份问卷(49.2%)被退回。样本中约有三分之二是男性(133/207,64.3%),三分之一是女性(74/207,35.7%)。GP 的平均年龄为 46.7(SD+/-12.1)岁。GP 报告称,他们平均每周接待 3.9(SD+/-11.8)名旅行者。大多数 GP(160/202,79.2%)表示,他们为每次旅行咨询花费 5-25 分钟。GP 通常向旅行者提供旅行疫苗、疟疾预防、防蚊叮咬的个人防护措施、地理疾病、服装和性传播感染方面的建议。大多数 GP 没有例行提供旅行保险、不安全性行为、气压伤、飞行中运动、时差或急救知识方面的信息。大多数 GP 报告没有例行提供书面文件,如书面旅行健康建议、医生信函或旅行者疫苗接种记录。

结论

GP 报告称,他们寻求制定旅行健康建议所需的核心信息。GP 还向旅行者提供了大多数需要在旅行咨询中涵盖的健康建议。可能有更多的 GP 希望考虑向旅行者建议旅行保险的重要性,以及处理旅行者常见疾病,如晕车、气压伤和时差。由于在普通实践中向旅行者提供建议的时间有限,更多的 GP 应该考虑为旅行提供书面建议和文件,包括旅行者疫苗接种记录。

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