Schneider D
Department of Urban Studies and Community Health, Rutgers University, New Brunswick, NJ 08903.
J Am Board Fam Pract. 1994 Sep-Oct;7(5):387-94.
In this study family physicians and pediatricians were asked to rank public health goals for children for the year 2000 and to assign responsibility for implementing these goals.
All members of the New Jersey chapters of the American Academy of Pediatrics and the American Academy of Family Physicians were sent a one-time mail questionnaire. Statistical analysis of responses, a review of written comments, and follow-up telephone interviews completed the study.
About 500 physicians returned the surveys (25 percent response rate). The highest ranked public health goals were reducing tobacco, alcohol, and other drug abuse; improving physical activity and fitness; immunizing against and controlling infectious diseases; and improving maternal and infant health. Physicians assigned prevention efforts to the federal government, the family, and the individual.
Family physicians and pediatricians routinely interact with two of the parties to whom they assign prevention responsibility--the individual and the family. The ability of physicians to influence these parties will increase if universal access to primary care and preventive services becomes law. This means they will also be in a unique position to influence high-priority public health goals for children.
在本研究中，家庭医生和儿科医生被要求对2000年儿童公共卫生目标进行排序，并确定实现这些目标的责任主体。
向美国儿科学会新泽西分会和美国家庭医生学会的所有成员发送了一次性邮寄问卷。对回复进行统计分析、审查书面评论并进行后续电话访谈，从而完成了本研究。
约500名医生回复了调查问卷（回复率为25%）。排名最高的公共卫生目标是减少烟草、酒精和其他药物滥用；增加体育活动和提高身体素质；预防和控制传染病；以及改善母婴健康。医生们将预防工作的责任分配给联邦政府、家庭和个人。
家庭医生和儿科医生日常与他们所确定的预防责任主体中的两方——个人和家庭进行互动。如果普及初级保健和预防服务成为法律，医生影响这些主体的能力将会增强。这意味着他们在影响儿童高度优先的公共卫生目标方面也将处于独特的地位。
