Johns M B, Hovell M F, Ganiats T, Peddecord K M, Agras W S
Division of Health Promotion, Graduate School of Public Health, San Diego State University, CA 92182.
Am J Prev Med. 1987 Nov-Dec;3(6):346-57.
This paper examines the potential role of the primary care physician in health promotion, specifically the use of behavioral change technologies to modify risk behavior. The primary care physician's strategic position to help people modify risk behavior is discussed, and the available data on the health promotion attitudes and services of these physicians are reviewed. The principles and procedures of behavior modification underlie not only the model proposed for risk assessment and reduction, but are applied to the task of changing and maintaining physician behavior as well. Cost-effectiveness research and the role of reimbursement for primary care prevention services are discussed. Recommendations are made for future health policies, practices, training, and research that might encourage preventive behavioral services in primary care.
本文探讨了初级保健医生在健康促进中的潜在作用，特别是利用行为改变技术来改变风险行为。讨论了初级保健医生在帮助人们改变风险行为方面的战略地位，并回顾了有关这些医生的健康促进态度和服务的现有数据。行为改变的原则和程序不仅是所提出的风险评估和降低模型的基础，也应用于改变和维持医生行为的任务。还讨论了成本效益研究以及初级保健预防服务报销的作用。针对未来可能鼓励初级保健中预防性行为服务的健康政策、实践、培训和研究提出了建议。
