Epidemiology and Global Health, Department of Public Health and Clinical Medicine.
J Multidiscip Healthc. 2010 Nov 26;3:213-24. doi: 10.2147/JMDH.S14900.
The objective of this study is to analyze the commitment to a more health-promoting health service and to illuminate important barriers for having a health-promoting role in daily practice, among Swedish health care professionals.
Out of a total of 3751 health professionals who are working daytime in clinical practice in the province of Västerbotten, 1810 were invited to participate in a survey. The health professionals represented eight different occupational groups: counselors, dieticians, midwives, nurses, occupational therapists, physical therapists, psychologists, and physicians. A questionnaire that operationalized perceptions found in a previous qualitative study was mailed to residential addresses of the participants.
The majority believed that health services play a major role in long-term health development in the population and saw a need for health orientation as a strategy to provide more effective health care. Willingness to work more in health promotion and disease prevention was reported significantly more often by women than men, and by primary health care personnel compared to hospital personnel. Among the professional groups, psychologists, occupational therapists, and physiotherapists most frequently reported willingness. The most common barriers to health promotion roles in daily practice were reported to be heavy workload, lack of guidelines, and unclear objectives.
This study found strong support for reorientation of health services in the incorporation of a greater health promotion. A number of professions that are not usually associated with health promotion practices are knowledgeable and wish to focus more on health promotion and disease prevention. Management has a major role in creating opportunities for these professionals to participate in health promotion practices. Men and physicians reported less positive attitudes to a more health-promoting health service and often possess high positions of power. Therefore, they may play an important role in the process of change toward more health promotion in health services.
本研究旨在分析瑞典医疗保健专业人员对更促进健康的卫生服务的承诺，并阐明在日常实践中发挥促进健康作用的重要障碍。
在韦斯特博滕省白天从事临床实践的 3751 名卫生专业人员中，共有 1810 人应邀参加了一项调查。卫生专业人员代表八个不同的职业群体：顾问、营养师、助产士、护士、职业治疗师、物理治疗师、心理学家和医生。一份问卷寄给了参与者的居住地址，该问卷将之前定性研究中发现的感知操作化。
大多数人认为卫生服务在人口的长期健康发展中发挥着重要作用，并认为健康导向是提供更有效卫生保健的一种策略。与男性相比，女性更愿意更多地参与促进健康和预防疾病，与医院人员相比，初级保健人员更愿意这样做。在专业群体中，心理学家、职业治疗师和物理治疗师最常报告愿意。报告的日常实践中促进健康角色的最常见障碍是工作量大、缺乏指导方针和目标不明确。
本研究发现，强烈支持重新调整卫生服务，将更大的健康促进纳入其中。一些通常与健康促进实践无关的专业人员具有知识，并希望更多地关注健康促进和疾病预防。管理层在为这些专业人员提供参与健康促进实践的机会方面发挥着重要作用。男性和医生对更促进健康的卫生服务的态度较为消极，而且往往拥有较高的权力地位。因此，他们可能在卫生服务向更多健康促进转变的过程中发挥重要作用。
