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预防医学:医生的实践、信念及实施过程中感知到的障碍

Preventive medicine: physician practices, beliefs, and perceived barriers for implementation.

作者信息

Henry R C, Ogle K S, Snellman L A

出版信息

Fam Med. 1987 Mar-Apr;19(2):110-3.

PMID:3596091
Abstract

Despite increasing recognition of the need for physicians to practice preventive medicine, there is much evidence that performance is well below the ideal recommended by experts. The purpose of this study was to determine what preventive medicine activities physicians practice, whether their personal health practices and beliefs about preventive medicine correlate with professional practices of preventive medicine, and what barriers to practicing preventive medicine physicians identify. Results from a questionnaire mailed to a random sample of 430 family physicians indicated physicians practice health promotion for themselves more than revealed in earlier studies and that physicians frequently incorporate many preventive medicine activities into their professional practices. Several exceptions, however, were noted. When identifying barriers to practicing preventive medicine, respondents overwhelmingly selected lack of patient motivation more than any other factor.

摘要

尽管人们越来越认识到医生需要从事预防医学工作,但有大量证据表明,实际表现远低于专家建议的理想水平。本研究的目的是确定医生从事哪些预防医学活动,他们个人的健康行为以及对预防医学的信念是否与预防医学的专业行为相关,以及医生认为从事预防医学存在哪些障碍。一项对430名家庭医生的随机样本进行问卷调查的结果表明,医生为自己进行健康促进的情况比早期研究显示的更为普遍,并且医生经常将许多预防医学活动纳入其专业实践中。然而,也发现了一些例外情况。在确定从事预防医学的障碍时,受访者压倒性地选择了患者缺乏积极性这一因素,而非其他任何因素。

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