Eggleston J, Gallagher J, Gallagher M, Hares T, Murray E, Naroz N, Owen T, Price P, Pym L, Reed L
Br J Gen Pract. 1995 Dec;45(401):669-71.
Health promotion activity in general practice has increased greatly since 1990. A large proportion of this work is undertaken by practice nurses. Little is known about patients' views about the providers of health promotion or their views about general practice health promotion clinics.
A study was carried out in 1992 to determine patients' views about the provision of health promotion advice by general practitioners and practice nurses and their views about attending health promotion clinics.
A postal questionnaire was sent to a random sample of 1750 patients aged 16 years and over from five general practices in south Tyneside. The questionnaire explored patients' preferences regarding health promotion advice from the general practitioner or practice nurse in relation to four areas of lifestyle advice and factors that might encourage patients to attend a health promotion clinic.
A response rate of 75% was obtained from 1639 eligible patients. Receiving health promotion advice from either the general practitioner or the practice nurse was the most commonly preferred option expressed by patients overall. The ability of health promotion clinic staff to deal with patients' concerns about their illness and short waiting times were more likely to influence patients' attendance at health promotion clinics than the presence of a general practitioner or practice nurse.
In the present study, many patients found health advice received from practice nurses and general practitioners equally acceptable. However, it was the ability of health professionals to respond to patients' health concerns in the health promotion clinic rather than the type of health professional running the clinic that was important for patients.
自1990年以来，全科医疗中的健康促进活动大幅增加。这项工作的很大一部分由执业护士承担。对于患者对健康促进提供者的看法或他们对全科医疗健康促进诊所的看法，人们知之甚少。
1992年开展了一项研究，以确定患者对全科医生和执业护士提供健康促进建议的看法以及他们对参加健康促进诊所的看法。
向泰恩赛德南部五个全科医疗诊所的1750名16岁及以上患者的随机样本发送了邮政问卷。该问卷探讨了患者在四个生活方式建议领域中对全科医生或执业护士提供健康促进建议的偏好，以及可能促使患者参加健康促进诊所的因素。
1639名符合条件的患者的回复率为75%。总体而言，从全科医生或执业护士那里获得健康促进建议是患者最常选择的选项。与全科医生或执业护士在场相比，健康促进诊所工作人员处理患者对疾病的担忧的能力以及较短的等待时间更有可能影响患者参加健康促进诊所。
在本研究中，许多患者发现从执业护士和全科医生那里获得的健康建议同样可以接受。然而，对患者来说重要的是健康专业人员在健康促进诊所中回应患者健康问题的能力，而不是经营诊所的健康专业人员的类型。
