Bass M J
Department of Family Medicine, University of Western Ontario, London.
Can J Public Health. 1996 Nov-Dec;87 Suppl 2:S71-4.
Dissemination research in primary care should focus on getting information our and changing practice. Family physicians have a strong orientation toward prevention and are a trusted source of advice for patients but often lack an infrastructure to assist in prevention. Physicians provide such preventive care as: health enhancement, risk avoidance, risk reduction, early identification, and complication reduction. Within this framework important research questions are raised within five areas: the system of care, office organization, the professional, the patient, and education. Increasing the capacity for research should focus on the need for multi-disciplinary teams; longitudinal community-based cohort studies; inter-provincial studies; funded multiple-partner research programs; practitioners organized with a regional focus; and support for fellowships and investigators. The success of dissemination depends on its respect for the context and priorities of both practitioners and the public.
基层医疗中的传播研究应侧重于传播信息并改变医疗实践。家庭医生具有强烈的预防导向，是患者信赖的建议来源，但往往缺乏协助预防的基础设施。医生提供诸如健康促进、风险规避、风险降低、早期识别和并发症减少等预防保健服务。在此框架内，在五个领域提出了重要的研究问题：医疗系统、诊所组织、专业人员、患者和教育。提高研究能力应关注对多学科团队的需求；基于社区的纵向队列研究；省际研究；资助多方合作研究项目；以区域为重点组织从业者；以及对奖学金和研究人员的支持。传播的成功取决于其对从业者和公众的背景及优先事项的尊重。
