Department of Public Health Sciences, University of North Carolina Charlotte, 9201 University CityBoulevard, Charlotte, NC 28223, USA.
Health Promot Int. 2010 Dec;25(4):464-73. doi: 10.1093/heapro/daq043. Epub 2010 Jul 11.
In most countries, physicians and other health-care providers play key roles in promoting health. Accumulating scientific evidence suggests that providers may soon want to include cognitive health among the areas they promote. Cognitive health is the maintenance of cognitive abilities that enable social connectedness, foster a sense of purpose, promote independent living, allow recovery from illness or injury and promote effective coping with functional deficits. The US Centers for Disease Control and Prevention has established health promotion about cognitive health as a policy priority, with health providers included as one key group to participate in this effort. This study presents results from focus groups and interviews with primary care physicians (n = 28) and midlevel health-care providers (physician assistants and nurse practitioners, n = 21) in three states of the US. Providers were asked about their sources of information on cognitive health and for their ideas on how best to communicate with primary care providers about research on cognitive health. In results, providers cited online sources, popular media and continuing medical education as their most common sources of information about cognitive health. Popular media sources were used both proactively and reactively to respond to patient inquiries. Differences in sources of information were noted for physicians as compared with midlevel providers, and for rural and urban providers. Several potential ways to disseminate information about cognitive health were identified. Effective messaging is likely to require multiple strategies to reach diverse groups of primary care providers, and to include continuing medical education.
在大多数国家，医生和其他医疗保健提供者在促进健康方面发挥着关键作用。越来越多的科学证据表明，提供者可能很快希望将认知健康纳入他们所倡导的领域之一。认知健康是维持认知能力的过程，使人们能够保持社交联系、培养目标感、促进独立生活、从疾病或伤害中恢复以及有效地应对功能缺陷。美国疾病控制与预防中心已将认知健康促进作为一项政策重点，将医疗保健提供者作为参与这一努力的一个关键群体。本研究展示了对来自美国三个州的初级保健医生（n = 28）和中级医疗保健提供者（医生助理和执业护士，n = 21）的焦点小组和访谈的结果。要求提供者介绍他们获取认知健康信息的来源，并就如何最好地与初级保健提供者就认知健康研究进行沟通提出意见。结果表明，提供者提到了在线资源、大众媒体和继续医学教育作为他们获取认知健康信息的最常见来源。大众媒体资源被用于主动和被动地回应患者的咨询。与中级提供者相比，医生和农村及城市提供者的信息来源存在差异。确定了几种传播认知健康信息的潜在方法。有效的信息传递可能需要多种策略来覆盖不同的初级保健提供者群体，并包括继续医学教育。
