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物理治疗师对卫生服务利用和寻医行为的熟悉程度和信念。

Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour.

机构信息

Rocky Mountain University of Health Professions, Provo, United States; Duke University, Division of Physical Therapy, Department of Orthopaedics, Durham, United States.

Center for the Intrepid, San Antonio, United States; Baylor Doctoral Physical Therapy Program, Waco, United States.

出版信息

Braz J Phys Ther. 2018 Jul-Aug;22(4):336-343. doi: 10.1016/j.bjpt.2018.02.002. Epub 2018 Feb 21.

DOI:10.1016/j.bjpt.2018.02.002
PMID:29503116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6095045/
Abstract

BACKGROUND

Physical therapists' familiarity, perceptions, and beliefs about health services utilization and health seeking behaviour have not been previously assessed.

OBJECTIVES

The purposes of this study were to identify physical therapists' characteristics related to familiarity of health services utilization and health seeking behaviour, and to assess what health seeking behaviour factors providers felt were related to health services utilization.

METHODS

We administered a survey based on the Andersen behavioural model of health services utilization to physical therapists using social media campaigns and email between March and June of 2017. In addition to descriptive statistics, we performed binomial logistic regression analysis. We asked respondents to rate familiarity with health services utilization and health seeking behaviour and collected additional characteristic variables.

RESULTS

Physical therapists are more familiar with health services utilization than health seeking behaviour. Those who are familiar with either construct tend to be those who assess for health services utilization, use health services utilization for a prognosis, and believe that health seeking behaviour is measurable. Physical therapists rated need and enabling factors as having more influence on health services utilization than predisposing and health belief factors.

CONCLUSION

Physical therapists are generally familiar with health services utilization and health seeking behaviour; however, there appears to be a disconnect between what is familiar, what is perceived to be important, and what can be assessed for both health services utilization and health seeking behaviour.

摘要

背景

目前尚未评估物理治疗师对卫生服务利用和寻医行为的熟悉程度、看法和信念。

目的

本研究的目的是确定与卫生服务利用和寻医行为熟悉程度相关的物理治疗师特征,并评估提供者认为哪些寻医行为因素与卫生服务利用相关。

方法

我们于 2017 年 3 月至 6 月期间,通过社交媒体活动和电子邮件向物理治疗师发放了基于卫生服务利用安德森行为模型的调查问卷。除了描述性统计数据外,我们还进行了二项逻辑回归分析。我们要求受访者对卫生服务利用和寻医行为的熟悉程度进行评分,并收集了其他特征变量。

结果

物理治疗师对卫生服务利用比寻医行为更熟悉。那些对任一结构熟悉的人往往会评估卫生服务利用情况、将卫生服务利用用于预测结果,并认为寻医行为是可衡量的。物理治疗师认为需要和促成因素对卫生服务利用的影响大于倾向因素和健康信念因素。

结论

物理治疗师普遍熟悉卫生服务利用和寻医行为;然而,在熟悉程度、认为重要程度以及对卫生服务利用和寻医行为进行评估的能力之间似乎存在脱节。

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