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实践中降低痴呆症风险:澳大利亚医疗服务提供者的知识、意见和观点。

Dementia risk reduction in practice: the knowledge, opinions and perspectives of Australian healthcare providers.

作者信息

Zheng Lidan, Godbee Kali, Steiner Genevieve Z, Daylight Gail, Ee Carolyn, Hill Thi Yen, Hohenberg Mark I, Lautenschlager Nicola T, McDonald Keith, Pond Dimity, Radford Kylie, Anstey Kaarin J, Peters Ruth

机构信息

UNSW Psychology, Sydney, NSW, Australia; and Neuroscience Research Australia, Randwick, NSW, Australia; and UNSW Ageing Futures Institute, The University of New South Wales, Sydney, NSW, Australia; and Corresponding author.

Department of General Practice, Melbourne Medical School, University of Melbourne, Parkville, Vic., Australia.

出版信息

Aust J Prim Health. 2021 Feb;27:136-142. doi: 10.1071/PY20189.

Abstract

This study examined Australian primary healthcare providers' knowledge about dementia risk factors and risk reduction and their perspectives on barriers and enablers to risk reduction in practice. Primary healthcare providers were recruited through Primary Health Networks across Australia (n =51). Participants completed an online survey that consisted of fixed-responses and free-text components to assess their knowledge, attitudes and current practices relating to dementia risk factors and risk reduction techniques. The results showed that Australian primary healthcare providers have good knowledge about the modifiable risk factors for dementia; however, face several barriers to working with patients to reduce dementia risk. Commonly reported barriers included low patient motivation and healthcare system level limitations. The most commonly reported recommendations to helping primary healthcare providers to work with patients to reduce dementia risk included increasing resources and improving dementia awareness and messaging. While the results need to be interpreted in the context of the limitations of this study, we conclude that collaborative efforts between researchers, clinicians, policy makers and the media are needed to support the uptake of risk reduction activities in primary care settings.

摘要

本研究调查了澳大利亚初级医疗保健提供者对痴呆症风险因素及风险降低的了解情况,以及他们对实践中降低风险的障碍和促进因素的看法。通过澳大利亚各地的初级卫生保健网络招募了初级医疗保健提供者(n = 51)。参与者完成了一项在线调查,该调查包括固定回答和自由文本部分,以评估他们对痴呆症风险因素和风险降低技术的知识、态度和当前做法。结果表明,澳大利亚初级医疗保健提供者对痴呆症的可改变风险因素有较好的了解;然而,在与患者合作以降低痴呆症风险方面面临若干障碍。常见的障碍包括患者积极性低和医疗系统层面的限制。为帮助初级医疗保健提供者与患者合作降低痴呆症风险而最常报告的建议包括增加资源以及提高对痴呆症的认识和宣传。虽然需要结合本研究的局限性来解释结果,但我们得出结论,研究人员、临床医生、政策制定者和媒体之间需要开展合作,以支持在初级保健环境中开展风险降低活动。

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