Herbert C P
University of British Columbia, Department of Family Practice, Faculty of Medicine, Vancouver, Canada.
Patient Educ Couns. 1995 Jul;25(3):277-82. doi: 10.1016/0738-3991(94)00667-b.
Many attempts have been made recently in North America to increase the activities of physicians in clinical prevention and health promotion. This article reviews: (1) the development of guidelines by both the Canadian Task Force on the Periodic Health Examination and the U.S. Preventive Services Task Force; (2) attempts at dissemination and implementation; (3) definitions of health promotion concepts, including clinical health promotion; (4) factors facilitating and limiting the incorporation of clinical prevention and health promotion into family practice; and (5) principles of learning and behavior change which can assist family physicians to practise clinical health promotion. Family physicians are best advised to focus on facilitating behavior change with their own patients, utilizing a triage strategy to determine which patients to target.
最近在北美，人们多次尝试提高医生在临床预防和健康促进方面的积极性。本文回顾了：（1）加拿大定期健康检查特别工作组和美国预防服务特别工作组制定指南的情况；（2）传播和实施指南的尝试；（3）健康促进概念的定义，包括临床健康促进；（4）促进和限制将临床预防和健康促进纳入家庭医疗的因素；（5）有助于家庭医生开展临床健康促进的学习和行为改变原则。建议家庭医生最好专注于促使自己的患者改变行为，采用分诊策略来确定针对哪些患者。
