Department of Family Medicine, University of Medical Sciences Poznan, 49 Przybyszewskiego Street, 60-355 Poznan, Poland.
Health Promot Int. 2011 Jun;26(2):171-6. doi: 10.1093/heapro/daq047. Epub 2010 Aug 27.
The delivery of preventive services in GPs' surgeries falls below recommended levels. Different attempts are performed to change the situation. The introduction in the UK in 2004 of a new GP contract based on a QOF fundamentally changed the way that primary practitioners are paid. Success of this intervention caused international interest in using financial incentives as a method of improving general practice. Polish primary care is still under development. In contemplating reform and the possible introduction of some of these British solutions in Poland, it would be valuable to compare what British and Polish GPs' think about prevention and see how their opinions can be affected by context in which they work. The aim of the survey involving 65 British and 65 Polish GPs was to compare what are their views of health promotion. The questionnaire solicited information on doctors' demographic characteristics, attitudes toward prevention, time they think they spend on preventive procedures and perceptions of the importance of 13 selected preventive procedures. Most British and Polish GPs answered that prevention is very important and they spend 10-30% of each consultation on it. Almost all doctors rated blood pressure measurement as important. For British GPs BMI, blood glucose, lipid profile, anti-alcohol and anti-smoking advice were important, in contrast to Polish doctors. In the presence of clear clinical guidelines, age and gender do not affect doctors' opinion on the importance of preventive procedures. Procedures in which GPs are directly involved are more important for them.
家庭医生诊所中的预防服务提供情况低于建议水平。为改变这种情况，人们进行了不同的尝试。2004 年在英国推出的一项新的基于 QOF 的家庭医生合同，从根本上改变了初级医生的薪酬方式。这一干预措施的成功引起了国际社会对使用经济激励措施来改善全科医生实践的兴趣。波兰的初级保健仍在发展中。在考虑改革和可能在波兰引入其中一些英国解决方案时，比较英国和波兰的家庭医生对预防的看法，并了解他们的意见如何受到工作环境的影响，将是很有价值的。这项涉及 65 名英国和 65 名波兰家庭医生的调查旨在比较他们对健康促进的看法。该问卷收集了医生人口统计学特征、预防态度、他们认为自己用于预防程序的时间以及对 13 项选定预防程序重要性的看法等信息。大多数英波家庭医生都表示，预防非常重要，他们会在每次咨询中花费 10-30%的时间进行预防。几乎所有的医生都认为测量血压很重要。与波兰医生不同的是，英国医生认为 BMI、血糖、血脂谱、反酗酒和反吸烟建议很重要。在有明确临床指南的情况下，年龄和性别并不影响医生对预防程序重要性的看法。家庭医生直接参与的程序对他们来说更为重要。
