Prevention and health promotion in clinical practice:: the views of general practitioners in Europe

被引：218

作者：

Brotons, C ^{[1
]}

Björkelund, C ^{[1
]}

Bulc, M ^{[1
]}

Ciurana, R ^{[1
]}

Godycki-Cwirko, M ^{[1
]}

Jurgova, E ^{[1
]}

Kloppe, P ^{[1
]}

Lionis, C ^{[1
]}

Mierzecki, A ^{[1
]}

Piñeiro, R ^{[1
]}

Pullerits, L ^{[1
]}

Sammut, MR ^{[1
]}

Sheehan, M ^{[1
]}

Tataradze, R ^{[1
]}

Thireos, EA ^{[1
]}

Vuchak, J ^{[1
]}

机构：

[1] Sardenya Primary Care Ctr, Barcelona 08025, Spain

来源：

PREVENTIVE MEDICINE | 2005年 / 40卷 / 05期

关键词：

attitudes; prevention; health promotion; clinical practice; general practice;

D O I：

10.1016/j.ypmed.2004.07.020

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];

摘要：

Background. Disease prevention and health promotion are important tasks in the daily practice of all general practitioners (GPs). The objective of this study was to explore the knowledge and attitudes of European GPs in implementing evidence-based health promotion and disease prevention recommendations in primary care, to describe GPs' perceived barriers to implementing these recommendations and to assess how GPs' own health behaviors affect their work with their patients. Methods. A postal multinational survey was carried out from June to December 2000 in a random sample of GPs listed from national colleges of each country. Results. Eleven European countries participated in the study, giving a total of 2082 GPs. Although GPs believe they should advise preventive and health promotion activities, in practice, they are less likely to do so. About 56.02% of the GPs answered that carrying-out prevention and health promotion activities are difficult. The two most important barriers reported were heavy workload/lack of time and no reimbursement. Associations between personal health behaviour and attitudes to health promotion or activities in prevention were found. GPs who smoked felt less effective in helping patients to reduce tobacco consumption than non-smoking GPs (39.34% versus 48.18%, P < 0.01). GPs who exercised felt that they were more effective in helping patients to practice regular physical exercise than sedentary GPs (59.14% versus 49.70%, P < 0.01). Conclusions. Significant gaps between GP's knowledge and practices persist in the use of evidence-based recommendations for health promotion and disease prevention in primary care. (c) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.

引用

页码：595 / 601

页数：7

共 21 条

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