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评估雅典和比雷埃夫斯三个初级保健中心成年人预防医学试点计划的运作情况:一项横断面研究。

Assessment of the operation of a pilot program of preventive medicine for adults in three primary care centers of Athens and Piraeus: a cross-sectional study.

机构信息

Primary Health Care centre of Neos Kosmos, Machis Analatou, Neos Kosmos, Greece.

Microbial Molecular Genetics Laboratory, Institute of Biosciences and Applications, NCSR Demokritos, Agia Paraskevi, Greece.

出版信息

J Prev Med Hyg. 2021 Jan 14;61(4):E621-E627. doi: 10.15167/2421-4248/jpmh2020.61.4.1445. eCollection 2020 Dec.

Abstract

OBJECTIVE

To evaluate the operation of the pilot Program of Preventive Medicine for Adults (PPMA) from the provision of healthcare services in three primary health care centers of Athens and Piraeus (Greece).

DESIGN

An observational, cross-sectional study was undertaken. A structured questionnaire was used to collect data.

SETTING

Three public primary health centers of Athens, Greece.

PARTICIPANTS

142 participants, 40-55 years of age, with no previously identified/diagnosed health issues (overall healthy) that should not have undergone any type of screening in the past 12 months.

MEASURES AND RESULTS

The majority of participants were female (75.4%), aged 40-45 years (43.7%), Greek nationals (88%), employed (62.7%) and high school graduates (52.8%). 68.3% of participants scheduled an appointment in the first two days and 58.9% waited up to 5 minutes in the waiting room. The paramedical personnel scored higher evaluation (4.94) than the doctor (4.61), but all health care centers received a very high general evaluation (4.87). Multiple linear regression showed significant association between the evaluation of the pilot PPMA, the evaluation of health visitor/nurse (B = .240) and the communication of results to participants (B = .245).

CONCLUSIONS

Findings show an extremely positive evaluation of the pilot PPMA, a result that can be used by healthcare managers for the expansion of the screening program to the general population.

摘要

目的

评估成人预防医学试点计划(PPMA)在雅典和比雷埃夫斯(希腊)的三个初级保健中心提供医疗服务的效果。

设计

进行了一项观察性、横断面研究。使用结构化问卷收集数据。

地点

希腊雅典的三个公立初级保健中心。

参与者

142 名年龄在 40-55 岁、无先前确定/诊断健康问题(总体健康)的参与者,他们在过去 12 个月内不应接受任何类型的筛查。

措施和结果

大多数参与者为女性(75.4%),年龄在 40-45 岁(43.7%),希腊国民(88%),就业(62.7%)和高中毕业生(52.8%)。68.3%的参与者在前两天预约,58.9%的参与者在等候室等待不超过 5 分钟。辅助医务人员的评分(4.94)高于医生(4.61),但所有保健中心的总体评价都非常高(4.87)。多元线性回归显示,试点 PPMA 的评价与健康访问者/护士的评价(B=.240)和向参与者传达结果之间存在显著关联(B=.245)。

结论

研究结果表明,对试点 PPMA 的评价非常积极,这一结果可供医疗保健管理人员用于将筛查计划扩展到普通人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c0/7888401/e1ef945f60af/jpmh-2020-04-e621-g001.jpg

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