James M, Christie D, English B
Discipline of Environmental and Occupational Health, Faculty of Medicine, University of Newcastle, Waratah, NSW.
Med J Aust. 1994 Apr 4;160(7):417-20.
To determine the appropriate content and format of a farm health and safety training program for rural health professionals, and to explore issues in rural health care relevant to the health and safety education of the farming community.
Qualitative research by focus group and individual interviews with health care professionals and members of the farming community.
Four rural New South Wales towns, with a range of agricultural activities.
One hundred and sixteen health care professionals and 58 people who lived or worked on farms were interviewed.
Suggestions were made for field days and seminars to provide information on agricultural hazards. Doctors were the most common first contact for health care but were rarely involved in preventive health care. Members of the farming community largely believed that they got the health care that they requested from their doctors. Community health teams provided preventive health care but rarely received referrals from doctors. Doctors often saw the farming community according to a stereotype of "the man on the land" that discouraged preventive health care interventions.
Current patterns of health care service in rural communities inhibit the opportunities for effective farm health and safety education. A training program in farm health and safety could meet the needs of rural health professionals and the community if it encouraged greater use of a wider range of health care professionals as providers of preventive health care.
确定针对农村卫生专业人员的农场健康与安全培训计划的适当内容和形式，并探讨农村医疗保健中与农业社区健康与安全教育相关的问题。
通过焦点小组以及对医疗保健专业人员和农业社区成员进行个人访谈开展定性研究。
新南威尔士州的四个农村城镇，农业活动多样。
对116名医疗保健专业人员以及58名在农场生活或工作的人员进行了访谈。
提出了举办田间日活动和研讨会以提供农业危害信息的建议。医生是医疗保健中最常见的首诊对象，但很少参与预防性医疗保健。农业社区成员大多认为他们从医生那里得到了他们所要求的医疗服务。社区卫生团队提供预防性医疗保健，但很少收到医生的转诊。医生常常根据“田间劳作的男性”这一刻板印象来看待农业社区，这不利于开展预防性医疗保健干预。
农村社区当前的医疗服务模式限制了有效开展农场健康与安全教育的机会。如果农场健康与安全培训计划鼓励更多地利用更广泛的医疗保健专业人员来提供预防性医疗保健，那么它可以满足农村卫生专业人员和社区的需求。
