Gemson D H, Elinson J
Division of Sociomedical Sciences, Columbia University School of Public Health, New York, NY 10032.
Am J Prev Med. 1986 Jul-Aug;2(4):226-34.
We conducted a telephone survey of 120 randomly selected primary care physicians in New York City. This survey, which was completed in October 1984, concerned physicians' recommendations for health promotion and disease prevention. The recommendations by these physicians were often at variance with the recommendations of nationally recognized organizations such as the American Cancer Society and the American College of Physicians. Multivariate analysis revealed that board-certified physicians, U.S. medical graduates, and younger physicians agreed more frequently with the recommendations of national organizations. The physicians surveyed agreed upon the need to include health promotion and disease prevention in their practices. Eighty-seven percent agreed with the statement, "Physicians should probably practice more preventive medicine than they presently do." Reasons given for the failure to practice more prevention included lack of time (70 percent), inadequate reimbursement (60 percent), and "unclear recommendations" (58 percent). Approximately four out of five of the physicians felt a task force was needed to "clarify recommendations" for preventive medicine. The findings of this survey suggest a need for increased physician training and education in disease prevention and health promotion.
我们对纽约市随机抽取的120名初级保健医生进行了电话调查。这项于1984年10月完成的调查，涉及医生对健康促进和疾病预防的建议。这些医生的建议往往与美国癌症协会和美国医师学院等全国公认组织的建议不一致。多变量分析显示，获得委员会认证的医生、美国医学毕业生和年轻医生更频繁地认同全国性组织的建议。接受调查的医生一致认为有必要在其医疗实践中纳入健康促进和疾病预防。87%的人同意“医生可能应该比目前更多地开展预防医学工作”这一说法。未能更多开展预防工作的原因包括时间不足（70%）、报销不足（60%）以及“建议不明确”（58%）。大约五分之四的医生认为需要一个特别工作组来“明确预防医学的建议”。这项调查的结果表明，有必要加强医生在疾病预防和健康促进方面的培训和教育。
