Maheux B, Pineault R, Lambert J, Béland F, Berthiaume M
Department of Social and Preventive Medicine, Université de Montréal, Québec, Canada.
Am J Prev Med. 1989 Jul-Aug;5(4):201-6.
We used data on a stratified random sample of 809 Quebec physicians to determine the extent to which the integration of prevention into medical practice was related to physicians' sociodemographic background, area of specialization, medical practice characteristics, and professional attitudes. Among factors positively associated with physicians' preventive practices were favorable attitudes toward prevention, patient education and patient-oriented activities, being in primary care medicine or in a medical specialty such as cardiology, gastroenterology, or pneumology, practicing in a public community health center on a salary basis, working in a group practice, having an office-based practice, devoting time to research activities, being older, and being a woman. Specialization in neurology, hematology, dermatology, nephrology, obstetrics-gynecology, and most notably surgery was negatively associated with preventive practices, as was working in an emergency room. Overall, the study variables explained 33% of the variance in physicians' preventive practices. The study underlines the prevailing role of attitudes in predicting physicians' preventive practices.
我们使用了对809名魁北克医生的分层随机样本数据，以确定预防措施融入医疗实践的程度与医生的社会人口背景、专业领域、医疗实践特征和职业态度之间的关系。与医生预防措施呈正相关的因素包括对预防、患者教育和以患者为导向活动的积极态度，从事初级保健医学或心脏病学、胃肠病学或肺病学等医学专业，在公共社区卫生中心拿薪水工作，在团体诊所执业，有基于办公室的执业方式，投入时间进行研究活动，年龄较大以及为女性。神经学、血液学、皮肤病学、肾脏病学、妇产科，最显著的是外科专业与预防措施呈负相关，在急诊室工作也是如此。总体而言，研究变量解释了医生预防措施差异的33%。该研究强调了态度在预测医生预防措施方面的主导作用。
