Brannan Michael, Hughes-Short Matt
Public Health England, Physical Activity Team.
Br J Gen Pract. 2020 Jun;70(suppl 1). doi: 10.3399/bjgp20X711341.
Healthcare professionals (HCPs) are estimated to see nearly 500 000 patients during their career. Evidence demonstrates that one in four patients would be more active if advised by their GP. However, there is a lack of engagement between HCPs and patients regarding the benefits of physical activity (PA). PA is not discussed with 80% of patients, with 75% of GPs feeling they lack knowledge to advise their patients.
Moving Healthcare Professionals Programme (MHPP) aims include increasing awareness and skills in PA for prevention and management of ill health; changing clinical practice in the promotion of activity; and evaluating impact to identify 'what works'.
GPs were recruited as Physical Activity Clinical Champions (PACCs) to deliver peer-to-peer training to HCPs nationally. Additionally, relationships were developed with undergraduate medical schools to embed PA into curriculum. A PA advice pad was developed as a local GP pilot, while the 'Moving Medicine' online resource was created.
Over 22 000 HCPs were trained to date, with evaluation demonstrating an increase in knowledge, skills and confidence, and over 18 000 completions of our eLearning modules. PA coverage was expanded across the undergraduate curriculum at multiple medical schools, while feedback on the e-advice pad pilot has informed a further digital pilot. Additionally, there were >3000 monthly users of 'Moving Medicine'.
This work demonstrated scope for significant improvements in HCP engagement in multiple clinical settings. Working with GPs has proved crucial to this success across various workstreams, with their participation a continued focus moving into Phase 2.
据估计，医疗保健专业人员（HCPs）在其职业生涯中会接待近50万名患者。有证据表明，四分之一的患者如果得到全科医生的建议，会更积极地参与（健康管理）。然而，在体育活动（PA）的益处方面，HCPs与患者之间缺乏互动。80%的患者没有与医生讨论过PA，75%的全科医生觉得自己缺乏向患者提供建议的知识。
“推动医疗保健专业人员计划”（MHPP）的目标包括提高HCPs在预防和管理疾病方面对PA的认识和技能；改变在促进活动方面的临床实践；以及评估影响以确定“什么有效”。
招募全科医生作为体育活动临床倡导者（PACC），为全国的HCPs提供 peer-to-peer培训。此外，还与本科医学院建立了合作关系，将PA纳入课程。开发了一个PA建议手册作为当地全科医生的试点项目，同时创建了“移动医学”在线资源。
迄今为止，已有超过22000名HCPs接受了培训，评估显示他们在知识、技能和信心方面有所提高，并且有超过18000人完成了我们的在线学习模块。多个医学院的本科课程中PA的覆盖范围得到了扩大，而对电子建议手册试点的反馈为进一步的数字试点提供了参考。此外，“移动医学”每月有超过3000名用户。
这项工作表明，在多个临床环境中，HCPs的参与度有显著提高的空间。事实证明，与全科医生合作对于在各个工作流程中取得这一成功至关重要，他们的参与将在进入第二阶段后继续成为重点。
