Luquis Raffy R, Paz Harold L
Penn State Harrisburg, Middletown, PA, USA
Aetna, Hartford, CT, USA.
Health Promot Pract. 2015 Sep;16(5):745-55. doi: 10.1177/1524839914561516. Epub 2014 Dec 1.
The Patient Protection and Affordable Care Act's emphasis on health promotion and prevention activities required an examination of the current practices of primary care providers in these areas. A total of 196 primary care providers completed a survey to assess current health promotion and prevention attitudes, practices, and barriers. Results of this study showed that family physicians in Pennsylvania recognize the importance of and their role in providing health promotion and prevention and offer advice in key behavioral and disease prevention areas. Results from the study suggest that their ability to provide these services is hindered by a lack of time and the heavy workload. Although most family physicians provided advice to patients in several health promotion and prevention areas, few participants reported that they referred patients to other health professionals. Finally, when it comes to preventive services, participants ranked blood pressure screening, tobacco use screening, and tobacco use cessation interventions as the most important services. Effective implementation of the Patient Protection and Affordable Care Act will require necessary resources and support of primary care providers to help patients achieve healthier lives.
《患者保护与平价医疗法案》对健康促进和预防活动的重视，要求对初级保健提供者在这些领域的现行做法进行审视。共有196名初级保健提供者完成了一项调查，以评估当前的健康促进和预防态度、做法及障碍。该研究结果表明，宾夕法尼亚州的家庭医生认识到提供健康促进和预防的重要性及自身角色，并在关键行为和疾病预防领域提供建议。研究结果显示，他们提供这些服务的能力受到时间不足和工作量繁重的阻碍。尽管大多数家庭医生在多个健康促进和预防领域向患者提供了建议，但很少有参与者报告称他们会将患者转介给其他健康专业人员。最后，在预防性服务方面，参与者将血压筛查、烟草使用筛查及戒烟干预列为最重要的服务。有效实施《患者保护与平价医疗法案》将需要必要的资源以及初级保健提供者的支持，以帮助患者过上更健康的生活。
