Travers Catherine M, Martin-Khan Melinda G, Lie David C
Academic Unit in Geriatric Medicine, University of Queensland, Brisbane, QLD 4102, Australia.
Aust Health Rev. 2009 Aug;33(3):461-6. doi: 10.1071/ah090461.
Only limited research has been undertaken to identify factors that impede or facilitate the implementation of evidence-based health promotion, prevention and early intervention (PPEI) activities within primary practice. We examined recent Australian initiatives that encouraged primary care practitioners to implement PPEI activities to reduce the risk of chronic disease, particularly those that have focused on lifestyle risk factors. The aim was to identify barriers and facilitators to the uptake of these activities to inform the Australian National Dementia Prevention Strategy. Barriers that were consistently reported across evaluations and that appear to be of most concern to Australian general practitioners include the issues of financial remuneration and time constraints secondary to heavy work commitments. Factors that were effective in overcoming barriers included the integration of interventions within existing activities, the specification of a clear, funded role for practice nurses and the support of the Australian General Practice Network. It was concluded that these factors should be considered if PPEI activities for dementia are to be successfully incorporated within primary care.
仅有有限的研究致力于确定阻碍或促进在初级医疗实践中实施循证健康促进、预防和早期干预（PPEI）活动的因素。我们审视了澳大利亚近期鼓励初级保健从业者开展PPEI活动以降低慢性病风险的举措，尤其是那些聚焦于生活方式风险因素的举措。目的是确定开展这些活动的障碍和促进因素，以为《澳大利亚国家痴呆症预防战略》提供信息。在各项评估中均有一致报告且似乎最令澳大利亚全科医生担忧的障碍包括经济报酬问题以及因繁重工作任务导致的时间限制。有效克服障碍的因素包括将干预措施纳入现有活动、明确规定执业护士有资金支持的角色以及澳大利亚全科医生网络的支持。得出的结论是，如果要在初级保健中成功纳入针对痴呆症的PPEI活动，就应考虑这些因素。
