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为促进身体活动,基层医疗与体育部门合作中的促进因素和障碍:一项系统文献综述。

Facilitators and barriers in the collaboration between the primary care and the sport sector in order to promote physical activity: A systematic literature review.

作者信息

Leenaars K E F, Smit E, Wagemakers A, Molleman G R M, Koelen M A

机构信息

Wageningen University & Research Centre, Department of Social Sciences, Health and Society Group, P.O. Box 8130, EW Wageningen, The Netherlands.

Academic Collaborative Centre AMPHI, Primary Health Care, Radboud university medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.

出版信息

Prev Med. 2015 Dec;81:460-78. doi: 10.1016/j.ypmed.2015.10.010. Epub 2015 Oct 29.

DOI:10.1016/j.ypmed.2015.10.010
PMID:26522091
Abstract

INTRODUCTION

The aim of this review was to identify collaborative initiatives between the primary care and the sport sector in order to promote physical activity (PA), and barriers and facilitators in these initiatives.

METHOD

Pubmed, SportDiscus, Web of Science, and SOCindex were systematically searched for publications published between 2000 and June 2014. Publications reporting on collaboration between the primary care and the sport sector to promote PA were included. Publications reporting on non-empirical data were excluded, except for study protocols.

RESULTS

The search process yielded 1352 publications. After selection, 40 publications were included. Twenty-eight different initiatives were divided into four forms of collaboration, and two approaches to promote PA were distinguished with different kinds of facilitators and barriers. In the referral of patients, sport professionals' lack of medical knowledge, and health professionals' lack of time, were seen as barriers. In networks to organize activities to promote PA among the community, different shared interests and different cultures were seen as barriers.

CONCLUSION

This review showed that performance of intersectoral collaboration and the collaboration between both sectors are still unexplored. This review provides a first step towards an insight into collaboration and factors that facilitate or hinder collaboration between these sectors.

摘要

引言

本综述的目的是确定初级保健部门与体育部门之间为促进身体活动(PA)而开展的合作举措,以及这些举措中的障碍和促进因素。

方法

系统检索了Pubmed、SportDiscus、科学网和SOCindex中2000年至2014年6月期间发表的文献。纳入了报告初级保健部门与体育部门为促进身体活动而开展合作的文献。除研究方案外,排除了报告非实证数据的文献。

结果

检索过程共获得1352篇文献。筛选后,纳入了40篇文献。28项不同的举措被分为四种合作形式,并区分了两种促进身体活动的方法,以及不同类型的促进因素和障碍。在患者转诊方面,体育专业人员缺乏医学知识以及卫生专业人员缺乏时间被视为障碍。在组织社区体育活动促进身体活动的网络中,不同的共同利益和不同的文化被视为障碍。

结论

本综述表明,部门间合作的表现以及这两个部门之间的合作仍未得到充分探索。本综述为深入了解这些部门之间的合作以及促进或阻碍合作的因素迈出了第一步。

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