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基于社区的健康教育:全科医生对其角色的认知及参与意愿

Community based health education: general practitioners' perceptions of their role and willingness to participate.

作者信息

Girgis A, Sanson-Fisher R

机构信息

NSW Cancer Council Cancer Education Research Program (CERP), Newcastle.

出版信息

Aust N Z J Public Health. 1996 Aug;20(4):381-5. doi: 10.1111/j.1467-842x.1996.tb01050.x.

Abstract

This study aimed to: 1. determine general practitioners' perceptions of their appropriateness to conduct community based health education; 2. assess the proportion of general practitioners who had undertaken group health education in the previous 12 months, and identify the factors that discourage and encourage this activity; and 3. identify appropriate health areas and the community groups that general practitioners would be prepared to address if provided with educational packages on the topic. A random sample of 181 general practitioners (66.5 per cent response rate) completed a mailed questionnaire. General practitioners rated health promotion officers (32.6 per cent) and general practitioners (30.9 per cent) as the most appropriate health care providers to undertake community based health education activities. Of the general practitioners, 38 per cent had undertaken community health education in the previous 12 months, with lack of time, lack of earnings while away from the practice, and lack of confidence in public speaking being the main reasons for not undertaking this activity. Being specifically invited to address groups, being provided with an information package on the topic, and being paid for their time were the three factors most likely to encourage this activity. Skin, cervical and breast cancer, blood pressure and cholesterol, and asthma were the topics general practitioners were most willing to speak on. Although this survey suggests that general practitioners would be willing to undertake this community health education, research is needed on whether they are the most appropriate and effective group for this.

摘要

本研究旨在

  1. 确定全科医生对自身开展社区健康教育适宜性的看法;2. 评估在过去12个月中开展过群体健康教育的全科医生比例,并找出阻碍和促进这项活动的因素;3. 确定如果为全科医生提供关于该主题的教育包,他们愿意涉及的合适健康领域和社区群体。对181名全科医生进行随机抽样(回复率为66.5%),他们完成了一份邮寄问卷。全科医生将健康促进官员(32.6%)和全科医生(30.9%)评为开展社区健康教育活动最合适的医疗服务提供者。在全科医生中,38%在过去12个月中开展过社区健康教育,没时间、离开诊所期间没有收入以及缺乏公开演讲的信心是不开展这项活动的主要原因。被特别邀请去对群体演讲、获得关于该主题的信息包以及因付出时间而获得报酬是最有可能促进这项活动的三个因素。皮肤癌、宫颈癌和乳腺癌、血压和胆固醇以及哮喘是全科医生最愿意谈论的主题。尽管这项调查表明全科医生愿意开展这种社区健康教育,但对于他们是否是最适合和最有效的群体,仍需进行研究。

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