Hagiu Dragos-Paul, Entemeyer Laurine, Falcon Aurélien
Département de Médecine Générale, Faculté de Médecine Jacques Lisfranc, Université de Saint-Etienne, Saint-Etienne, France.
CIC-Inserm 1408, CHU de Saint-Etienne, Saint-Etienne, France.
BMC Prim Care. 2025 Apr 14;26(1):107. doi: 10.1186/s12875-025-02815-z.
Physical activity on prescription (PAP) is recognized as an effective preventive and therapeutic tool for various diseases, yet its application by general practitioners (GPs) varies widely. This study aims to analyse PAP usage practices among GPs in France, focusing on prescription frequency, targeted pathologies, and influencing factors. It also explores GPs' perceptions of facilitators and barriers to PAP.
A cross-sectional study was conducted between October 23, 2023, and April 23, 2024, collecting data from a sample of GPs across France. A structured questionnaire was used to assess the frequency of PAP usage, target populations, as well as GPs' knowledge and perceived barriers to prescribing PA. Descriptive and analytical methods were employed to analyse the data, and logistic regression was used to examine associations between physician characteristics, PAP practices, and key barriers to prescribing.
Among respondents, 39.1% reported prescribing PAP, with a median prescription rate of approximately twice per month. Reduced sedentary behaviour (< 4 h) was significantly associated with a higher frequency of PAP (pOR 3.6, p = 0.044). Knowledge of a nearby sport-health facility strongly predicted prescription (pOR 3.7 p < 0.001). Prescription support tools positively influenced prescribing rates (pOR 1.6 p = 0.041). In contrast, GPs unaware of any tools prescribed significantly less.
These findings suggest that improving access to sport-health facilities and providing GPs with effective support tools could significantly enhance PAP practices.
运动处方（PAP）被认为是预防和治疗多种疾病的有效工具，但其在全科医生（GP）中的应用差异很大。本研究旨在分析法国全科医生对运动处方的使用情况，重点关注处方频率、目标病理以及影响因素。同时，探讨全科医生对运动处方促进因素和障碍的看法。
于2023年10月23日至2024年4月23日进行了一项横断面研究，收集了来自法国各地全科医生样本的数据。使用结构化问卷评估运动处方的使用频率、目标人群，以及全科医生对开具运动处方的知识和感知障碍。采用描述性和分析性方法对数据进行分析，并使用逻辑回归分析医生特征、运动处方实践和开具处方的主要障碍之间的关联。
在受访者中，39.1%报告开具过运动处方，处方率中位数约为每月两次。久坐时间减少（<4小时）与运动处方频率较高显著相关（比值比3.6，p = 0.044）。了解附近的运动健康设施强烈预示着会开具处方（比值比3.7，p < 0.001）。处方支持工具对处方率有积极影响（比值比1.6，p = 0.041）。相比之下，不了解任何处方工具的全科医生开具的处方明显较少。
这些发现表明，改善运动健康设施的可及性并为全科医生提供有效的支持工具，可以显著提高运动处方的实践。
