Attarian L, Fleming M, Barron P, Strecher V
J Community Health. 1987 Spring;12(1):31-9. doi: 10.1007/BF01321395.
Physicians who specialize in family medicine and general practice have the potential to assume a major role in helping patients change their health promotion practices. Little is known about the proportion of routine consultation time devoted to primary prevention counseling or the factors that influence the provision of this kind of patient education. A survey of General and Family Practitioners was conducted to determine the extent to which these physicians perform health promotion counseling as well as their perceptions regarding constraints affecting their efforts, confidence in their ability to change patient's behaviors, and the training required to enhance their efforts. Differences, with respect to their health promotion practices, between General and Family Practitioners, were also examined. One hundred and ninety-five physicians completed the survey for a response rate of 68%. When year of graduation from medical school was controlled there was little difference in the health promotion practices of General and Family Practitioners. This study suggests residency training in the specialty of family medicine does not provide residents with the knowledge, confidence and skills to perform health prevention counseling at a level different than that practiced by General Practitioners.
专门从事家庭医学和普通科医疗的医生有潜力在帮助患者改变其健康促进行为方面发挥主要作用。对于用于初级预防咨询的常规诊疗时间比例，以及影响此类患者教育提供的因素，我们了解甚少。对普通科医生和家庭医生进行了一项调查，以确定这些医生进行健康促进咨询的程度，以及他们对影响其工作的限制因素的看法、对改变患者行为能力的信心，以及加强其工作所需的培训。还研究了普通科医生和家庭医生在健康促进实践方面的差异。195名医生完成了调查，回复率为68%。当控制医学院毕业年份时，普通科医生和家庭医生在健康促进实践方面几乎没有差异。这项研究表明，家庭医学专业的住院医师培训并没有为住院医师提供与普通科医生不同水平的进行健康预防咨询的知识、信心和技能。
