Hammig Bart, Jozkowski Kristen
University of Arkansas, Fayetteville, AR, USA
University of Arkansas, Fayetteville, AR, USA.
Clin Pediatr (Phila). 2015 Jul;54(8):752-8. doi: 10.1177/0009922815584943. Epub 2015 Apr 29.
The current study assessed factors associated with health education counseling during well-child visits.
Data from the 2007-2010 National Ambulatory Medical Care Survey (NAMCS) were used to examine well-child visits made to physicians' offices in the United States. Logistic regression models examined the relationship between the provision of health education counseling and selected covariates. Health education provisions measured included injury prevention, nutrition, exercise, tobacco use, and weight reduction.
A total of 4837 well-child visits were identified during the study period, which is equivalent to a weighted estimate of 43.4 million well-child visits annually. Multivariate analyses indicated that the length of the well-child visit was the predominant factor associated with delivery of health education counseling.
Provider education and counseling of patients concerning health behaviors were implemented at a low level. Time spent with the patient was associated with the majority of health education counseling. Implications for pediatric practice are discussed.
本研究评估了儿童健康检查期间与健康教育咨询相关的因素。
使用2007 - 2010年国家门诊医疗护理调查（NAMCS）的数据，对美国医生办公室进行的儿童健康检查进行研究。逻辑回归模型检验了健康教育咨询的提供与选定协变量之间的关系。所测量的健康教育内容包括伤害预防、营养、运动、烟草使用和减肥。
在研究期间共识别出4837次儿童健康检查，相当于每年加权估计有4340万次儿童健康检查。多变量分析表明，儿童健康检查的时长是与提供健康教育咨询相关的主要因素。
针对患者健康行为的提供者教育和咨询实施水平较低。与患者相处的时间与大多数健康教育咨询相关。讨论了对儿科实践的影响。
