Elliot D L, Goldberg L, Toffler W L
Department of Medicine, Oregon Health Sciences University, Portland.
Prev Med. 1994 Mar;23(2):253-6. doi: 10.1006/pmed.1994.1035.
Medical school faculty members influence students' health promotion beliefs by their patient care activities and personal health habits. We characterized the medical school environment by defining faculty's health promotion and early disease detection attitudes and practices. The data disclose faculty needs and suggest a new paradigm to alter medical students' health promotion beliefs and care patterns.
An observational study of all academic faculty was conducted at a medical school using self-report survey data collected with a confidential questionnaire. The survey instrument assessed faculty demographics, 27 behaviors, and 23 beliefs concerning health promotion.
Eighty-four percent of faculty (575 of 683) responded. Although agreement was moderate to good between lifestyle beliefs and personal behaviors, the concordance between personal adherence to and beliefs concerning the recommended physical examinations and laboratory tests was only fair (kappa 0.21 to 0.40).
Faculty's health promotion and disease detection beliefs and behaviors were inconsistent. Observing this discrepancy may relate to students' establishment of attitudes and practices. Modifying faculty's personal behaviors and altering the medical school environment might enhance students' commitment toward preventive care.
医学院教员通过其患者护理活动和个人健康习惯影响学生的健康促进观念。我们通过界定教员的健康促进和早期疾病检测态度及行为来描述医学院环境。这些数据揭示了教员的需求，并提出了一种改变医学生健康促进观念和护理模式的新范式。
在一所医学院对所有学术教员进行了一项观察性研究，使用通过保密问卷收集的自我报告调查数据。该调查工具评估了教员的人口统计学特征、27种行为以及23种关于健康促进的观念。
84%的教员（683人中的575人）做出了回应。虽然生活方式观念与个人行为之间的一致性从中度到良好，但个人对推荐的体格检查和实验室检查的依从性与观念之间的一致性仅为一般（kappa值为0.21至0.40）。
教员的健康促进和疾病检测观念及行为不一致。观察到这种差异可能与学生态度和行为的形成有关。改变教员的个人行为并改善医学院环境可能会增强学生对预防保健的投入。
