Department of Family Medicine, University of Manitoba, 408-727 McDermot Ave, Winnipeg, MB R3P 3E5, Canada.
Can Fam Physician. 2012 Jan;58(1):e62-9.
To determine family physicians' practice of, knowledge about, and attitudes toward delivering preventive care during periodic health examinations (PHEs).
A stratified sample of 5013 members of the College of Family Physicians of Canada were randomly selected to receive a questionnaire by mail. Descriptive analysis was performed on a national data set of 1010 respondents.
Canada.
A sample of family physicians from each Canadian province.
Physicians were asked questions about whether they addressed aspects of preventive care, such as tobacco smoking, nutrition, physical activity, alcohol intake, and sun exposure with patients during PHEs. The questions were designed to gauge attitudes and identify barriers to the provision of preventive care.
Most respondents (87% to 89%) indicated that they were comfortable counseling their patients about issues such as nutrition, physical activity, and alcohol consumption; however, many of these respondents did not refer their patients to specialists or provide them with additional resources to educate patients about the health risks of their conditions. While tobacco smoking risks and cessation were addressed by most family physicians (79%) during PHEs, other topics, such as sun exposure, were often overlooked.
The results of this survey indicate that while many family physicians follow the evidence-based guidelines for preventive care, current levels of preventive care in the primary care setting are below national standards. It is critical that Canadians receive optimal preventive care to improve the outlook of the chronic disease burden on the health care system.
确定家庭医生在定期健康检查（PHEs）期间提供预防保健的实践、知识和态度。
对加拿大家庭医生学院的 5013 名成员进行分层抽样，随机选择 1010 名受访者通过邮件接收问卷。对全国数据集进行描述性分析。
加拿大。
来自加拿大每个省的家庭医生样本。
医生被问及他们是否在 PHEs 期间与患者讨论预防保健方面的问题，例如吸烟、营养、体育活动、饮酒和日晒。这些问题旨在衡量态度并确定提供预防保健的障碍。
大多数受访者（87%至 89%）表示，他们对营养、体育活动和饮酒等问题为患者提供咨询感到舒适；然而，这些受访者中的许多人并未将患者转介给专家，也未为他们提供额外资源以教育患者了解其病情的健康风险。尽管大多数家庭医生（79%）在 PHEs 期间讨论了吸烟风险和戒烟问题，但其他主题，如日晒，往往被忽视。
这项调查的结果表明，尽管许多家庭医生遵循预防保健的循证指南，但初级保健环境中的预防保健水平低于国家标准。加拿大人需要接受最佳的预防保健，以改善慢性病对医疗保健系统的负担。
