Baum F, Kalucy E, Lawless A, Barton S, Steven I
Department of Public Health, School of Medicine, Flinders University of South Australia, Adelaide.
Aust N Z J Public Health. 1998 Apr;22(2):200-5. doi: 10.1111/j.1467-842x.1998.tb01172.x.
This paper describes the health promotion role of doctors in two medical practice settings: women's and community health centres, and fee-for-service practice. It proposes the establishment of divisions of primary health care in Australia which would be multi-disciplinary and focus on community-wide health issues. The paper is based on data from an interview survey of medical practitioners who had worked in metropolitan Adelaide women's and community health centres and from a questionnaire survey of GPs in private practice. The types of health promotion activity by the doctors in the different settings are discussed. It is concluded that private practice GPs are involved primarily in providing health education advice to individual patients. Doctors within women's and community health centres are more likely to report involvement in group health promotion activity and broader community development initiatives. The study concludes that health promotion which focuses on the health of the local community is best conducted within multidisciplinary health centres. GPs in private practice are limited by the structure of their setting (particularly the fee-for-service basis and reliance on a single discipline) to health promotion which focuses on the needs of individual patients.
妇女与社区健康中心以及按服务收费的医疗实践。它提议在澳大利亚设立初级卫生保健部门，该部门将是多学科的，并专注于社区范围内的健康问题。本文基于对曾在阿德莱德大都市妇女与社区健康中心工作的医生进行的访谈调查数据，以及对私人执业全科医生的问卷调查数据。讨论了不同环境中医生的健康促进活动类型。得出的结论是，私人执业全科医生主要参与向个体患者提供健康教育建议。妇女与社区健康中心的医生更有可能报告参与群体健康促进活动和更广泛的社区发展倡议。该研究得出结论，专注于当地社区健康的健康促进最好在多学科健康中心内进行。私人执业的全科医生因其工作环境的结构（特别是按服务收费的基础以及对单一学科的依赖）而局限于专注个体患者需求的健康促进。
