Center for Health and Public Policy Studies, University of California Berkeley, Berkeley, California, USA.
Am J Prev Med. 2010 Dec;39(6):555-8. doi: 10.1016/j.amepre.2010.08.004.
Physician organizations such as medical groups and independent practice associations can play a vital role in health promotion through the adoption of effective health promotion practices such as health risk assessments, patient reminder systems, and health promotion education programs.
To examine organizational changes in a cohort of physician organizations and changing health promotion practices.
Data for a cohort of 369 physician organizations in the U.S. with 20 or more physicians were collected between September 2000 and September 2001 and subsequently from March 2006 to March 2007. Paired-sample t tests were used to identify changes in physician organization characteristics and the use of nine health promotion practices between 2000-2001 and 2006-2007.
Compared to 2000-2001, the cohort of physician organizations in 2006-2007 was larger, more likely to be owned by physicians; less likely to be owned by a hospital, health system, or HMO; more profitable; and more likely to use electronic information technology. Between 2000-2001 and 2006-2007, physician organizations increased the use of health risk appraisals to contact high-risk patients and increased the use of reminders for eye exams for diabetic patients. During the same time period, physician organizations decreased the use of nutrition and weight-loss health promotion programs.
The adding and dropping of programs among physician organizations is due to many factors, including changing regulatory environments, market conditions, populations, and new health promotion technologies. In the coming years, incentives and regulatory policy should encourage the adoption of effective health promotion practices by physician organizations.
医疗机构，如医疗集团和独立执业协会，可以通过采用健康风险评估、患者提醒系统和健康促进教育计划等有效的健康促进措施，在健康促进方面发挥重要作用。
调查一组医师组织的组织变化和不断变化的健康促进措施。
在 2000 年 9 月至 2001 年 9 月期间和随后的 2006 年 3 月至 2007 年 3 月期间，收集了美国 369 个拥有 20 名或更多医生的医师组织的队列数据。采用配对样本 t 检验来确定 2000-2001 年和 2006-2007 年期间医师组织特征和 9 种健康促进措施的使用变化。
与 2000-2001 年相比，2006-2007 年的医师组织队列规模更大，更有可能由医生拥有；不太可能由医院、医疗系统或 HMO 拥有；更有利可图；并且更有可能使用电子信息技术。在 2000-2001 年和 2006-2007 年期间，医师组织增加了使用健康风险评估来联系高危患者，并增加了提醒糖尿病患者进行眼部检查的次数。在此期间，医师组织减少了营养和减肥健康促进计划的使用。
医师组织中方案的增减是由于许多因素造成的，包括不断变化的监管环境、市场条件、人群和新的健康促进技术。在未来几年，激励措施和监管政策应鼓励医师组织采用有效的健康促进措施。
