Bornstein Shari, Markos James R, Murad M Hassan, Mauck Karen, Molella Robin
Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic Alix School of Medicine, Rochester, MN.
Mayo Clin Proc Innov Qual Outcomes. 2021 Feb;5(1):11-22. doi: 10.1016/j.mayocpiqo.2020.08.011. Epub 2020 Nov 19.
To assess the core knowledge of health indicators, federal health programs, and public health functions in practicing clinicians along with perceptions of their education and engagement with public health.
A paper survey in booklet form was administered to attendees at 2 general medical conferences in May 2019. The survey was divided into 5 sections: knowledge of health systems and policy, knowledge of public health concepts and function, public health engagement, public health education, and demographics.
One hundred two surveys were received from 402 attendees (response rate, 24.3%). Most were male (56%), older than 50 years (51%), and physicians (86%). Respondents had a fairly good knowledge of federal health programs (77%) and public health functions (84%), but less than half had a personal interaction with public health in the past 2 years (45%) or were aware of how to work with public health organizations in their community (46%). Only a few respondents rated their public health training as good or excellent during their primary degree (7%) or graduate medical education (15%), and most (75%) were interested in learning more about public health and health policy.
Respondents had generally good foundational knowledge of federal health programs and public health functions, although some gaps were identified. Inclusion of health policy and public health topics in continuing medical education would be well received by clinicians. To improve collaboration between public health and medicine, public health should personally engage clinicians more and explain how they can work together to improve population health.
评估执业临床医生对健康指标、联邦健康项目及公共卫生职能的核心知识，以及他们对公共卫生教育和参与情况的看法。
2019年5月，以手册形式对两场普通医学会议的参会者进行了纸质问卷调查。该调查分为5个部分：卫生系统与政策知识、公共卫生概念与职能知识、公共卫生参与、公共卫生教育及人口统计学。
402名参会者中收到了102份调查问卷（回复率为24.3%）。大多数为男性（56%），年龄超过50岁（51%），且为医生（86%）。受访者对联邦健康项目（77%）和公共卫生职能（84%）有较好的了解，但在过去两年中，不到一半的人曾与公共卫生有过个人互动（45%），或知晓如何与所在社区的公共卫生组织合作（46%）。只有少数受访者认为他们在本科阶段（7%）或毕业后医学教育阶段（15%）接受的公共卫生培训良好或优秀，且大多数人（75%）有兴趣更多地了解公共卫生和卫生政策。
尽管发现了一些差距，但受访者对联邦健康项目和公共卫生职能总体上有良好的基础知识。继续医学教育中纳入卫生政策和公共卫生主题会受到临床医生的欢迎。为改善公共卫生与医学之间的合作，公共卫生应更多地与临床医生进行个人接触，并解释如何共同努力改善人群健康。
