Mann K V, Putnam R W
Can Fam Physician. 1990 Apr;36:665-70.
We conducted a study to explore physician perceptions of factors that facilitate or inhibit the integration of preventive activities into primary care, particularly regarding the reduction of cardiovascular risk. Fifty randomly selected family physicians practising in the Maritimes were interviewed. Physicians described both ideal and actual practice in relation to reducing high blood pressure, reducing elevated serum cholesterol, and helping patients quit smoking. Perceived barriers related to 1) knowledge, attitudes, and perceptions (e.g., lack of counselling skills, lack of belief in the efficacy of the activities); 2) conditions in which the activities occur (e.g., lack of available and accessible referral, lack of time); and 3) reactions of others to the activities (e.g., lack of patient compliance).
我们开展了一项研究，以探究医生对促进或阻碍将预防活动纳入初级保健的因素的看法，特别是在降低心血管风险方面。我们采访了随机挑选的50名在沿海省份执业的家庭医生。医生们描述了在降低高血压、降低血清胆固醇升高以及帮助患者戒烟方面的理想做法和实际做法。感知到的障碍涉及：1）知识、态度和观念（例如，缺乏咨询技巧、对活动效果缺乏信心）；2）活动开展的条件（例如，缺乏可用且便捷的转诊途径、时间不足）；3）其他人对活动的反应（例如，患者缺乏依从性）。
