Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic., Australia; and Corresponding author. Email:
Wicking Dementia Research and Education Centre, The University of Tasmania, Hobart, Tas., Australia.
Aust J Prim Health. 2021 Dec;27(6):479-484. doi: 10.1071/PY21122.
There is a push for greater promotion of dementia risk reduction (DRR) by primary care practitioners (PCPs). The aims of this study were to understand the views of non-medically trained Australian contributors in a Massive Open Online Course (MOOC) about dementia prevention regarding the role of PCPs in promoting DRR and to consider the implications of those views for developing implementation strategies. Discussion board posts of MOOC enrollees were analysed regarding the actions that organisations, communities and/or governments should take to help people work towards DRR. Of the 1641 eligible contributors to the discussion, 160 (10%) indicated that PCPs had a role in promoting DRR. This subset of participants particularly wanted earlier identification of risk by PCPs and a discussion about DRR. Some participants thought PCPs did not currently prioritise DRR, lacked knowledge about DRR and faced Medicare and resource restrictions to promoting DRR. We suggest that PCPs need: better publicity for their role in promoting DRR; to prioritise DRR; knowledge about DRR; and to take advantage of existing opportunities to promote DRR quickly. The findings of this study should be considered when attempting to implement DRR guidelines in primary care.
推动初级保健医生（PCP）更多地宣传痴呆风险降低（DRR）。本研究的目的是了解非医学培训的澳大利亚 MOOC 参与者对 PCP 在促进 DRR 方面的作用的看法，并考虑这些观点对制定实施策略的影响。对 MOOC 学员的讨论板帖子进行了分析，探讨了组织、社区和/或政府应采取哪些行动来帮助人们努力降低 DRR。在 1641 名符合条件的讨论参与者中，有 160 名（10%）表示 PCP 在促进 DRR 方面发挥了作用。这部分参与者特别希望 PCP 能更早地识别风险，并讨论 DRR。一些参与者认为 PCP 目前没有优先考虑 DRR，缺乏 DRR 方面的知识，并且在推广 DRR 方面受到医疗保险和资源的限制。我们建议 PCP 需要：更好地宣传他们在促进 DRR 方面的作用；将 DRR 作为优先事项；了解 DRR 知识；并利用现有的机会迅速推广 DRR。在尝试在初级保健中实施 DRR 指南时，应考虑本研究的结果。
