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英国全科医生对儿童伤害预防的态度:一项全国性邮寄问卷调查

General practitioners' attitudes to child injury prevention in the UK: a national postal questionnaire.

作者信息

Carter Y H, Morgan P S, Lancashire R J

机构信息

Department of General Practice, University of Birmingham, Medical School, Edgbaston, UK.

出版信息

Inj Prev. 1995 Sep;1(3):164-8. doi: 10.1136/ip.1.3.164.

Abstract

OBJECTIVE

To survey the level of interest and involvement in child injury prevention among general practitioners and their practice teams, and to identify factors associated with current interest.

DESIGN

Postal survey of a random sample of United Kingdom (UK) medical practitioners.

SETTING

Medical practices throughout the UK.

SUBJECTS

957 general practitioners (50% of the total sample) who responded to the survey questionnaire.

OUTCOMES

Answer to questions about role in injury prevention.

RESULTS

Despite a response rate of only 50%, this study is the largest to examine the role of general practitioners in child injury prevention. Seven hundred and twenty five (77%) of the respondents considered injury prevention to be part of the general practitioner's role, but only 260 (28%) felt that they did enough in this area. Time was cited as the most significant limiting factor. Women doctors, rural practitioners, members of the Royal College of General Practitioners, and doctors with previous personal experience of serious accidents all had more positive attitudes to injury prevention as a routine part of their activities (p < 0.05). Practices providing first aid training for staff were also associated with an interest in injury prevention. The most appropriate times for offering prevention advice were thought to be during child health surveillance clinics and during treatment of an accident.

CONCLUSIONS

Awareness about injury prevention opportunities might be improved by emphasising the roles of individual team members and by better addressing the training needs of the whole team.

摘要

目的

调查全科医生及其执业团队对儿童伤害预防的关注程度和参与情况,并确定与当前关注度相关的因素。

设计

对英国执业医生的随机样本进行邮寄调查。

地点

全英国的医疗机构。

研究对象

957名回复调查问卷的全科医生(占总样本的50%)。

结果

关于伤害预防中角色问题的答案。

结果

尽管回复率仅为50%,但本研究是调查全科医生在儿童伤害预防中作用的规模最大的研究。725名(77%)受访者认为伤害预防是全科医生职责的一部分,但只有260名(28%)觉得他们在这方面做得足够。时间被认为是最主要的限制因素。女医生、乡村医生、皇家全科医师学院成员以及有过严重事故亲身经历的医生,对将伤害预防作为日常活动的一部分都持更积极的态度(p<0.05)。为员工提供急救培训的医疗机构也与对伤害预防的关注有关。提供预防建议的最合适时间被认为是在儿童健康监测诊所期间和事故治疗期间。

结论

通过强调团队中每个成员的作用以及更好地满足整个团队的培训需求,可能会提高对伤害预防机会的认识。

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本文引用的文献

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The role of the teacher in child accident prevention.
J Public Health Med. 1994 Mar;16(1):23-8. doi: 10.1093/oxfordjournals.pubmed.a042930.
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Promoting children's home safety.促进儿童家庭安全。
Br Med J (Clin Res Ed). 1982 Oct 23;285(6349):1177-80. doi: 10.1136/bmj.285.6349.1177.
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The doctor's role in the prevention of accidents.医生在预防事故中的作用。
Arch Dis Child. 1988 Mar;63(3):235-7. doi: 10.1136/adc.63.3.235.
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Accident prevention.事故预防
BMJ. 1991 Aug 24;303(6800):462-4. doi: 10.1136/bmj.303.6800.462.

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