Clinician assessment, advice and referral for multiple health risk behaviors: Prevalence and predictors of delivery by primary health care nurses and allied health professionals

被引：20

作者：

McElwaine, Kathleen M. ^{[1
,2
,3
]}

Freund, Megan ^{[1
,2
,3
]}

Campbell, Elizabeth M. ^{[1
,2
,3
]}

Slattery, Carolyn ^{[1
]}

Wye, Paula M. ^{[1
,2
,4
]}

Lecathelinais, Christophe ^{[1
]}

Bartlem, Kate M. ^{[1
,3
,4
]}

Gillham, Karen E. ^{[1
,3
]}

Wiggers, John H. ^{[1
,2
,3
]}

机构：

[1] Populat Hlth, Newcastle, NSW, Australia

[2] Univ Newcastle, Fac Hlth, Newcastle, NSW 2300, Australia

[3] Clin Res Ctr, Hunter Med Res Inst, Newcastle, NSW, Australia

[4] Univ Newcastle, Fac Sci & Informat Technol, Newcastle, NSW 2300, Australia

来源：

PATIENT EDUCATION AND COUNSELING | 2014年 / 94卷 / 02期

基金：

英国医学研究理事会;

关键词：

Community health services; Delivery of health care; Heath prevention; Health risk behaviors; Health care providers; SMOKING-CESSATION KNOWLEDGE; PHYSICAL-ACTIVITY; GENERAL-PRACTITIONERS; INTERVENTIONS; GUIDELINES; MANAGEMENT; ATTITUDES; SERVICES; SYSTEMS; WOMEN;

D O I：

10.1016/j.pec.2013.10.017

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Primary care clinicians have considerable potential to provide preventive care. This study describes their preventive care delivery. Methods: A survey of 384 community health nurses and allied health clinicians from in New South Wales, Australia was undertaken (2010-11) to examine the assessment of client risk, provision of brief advice and referral/follow-up regarding smoking inadequate fruit and vegetable consumption, alcohol misuse, and physical inactivity; the existence of preventive care support strategies; and the association between supports and preventive care provision. Results: Preventive care to 80% or more clients was least often provided for referral/follow-up (24.745.6% of clinicians for Individual risks, and 24.2% for all risks) and most often for assessment (34.4-69.3% of clinicians for individual risks, and 24.4% for all risks). Approximately 75% reported having 9 or fewer of 17 supports. Provision of care was associated with: availability of a paper creening tool; training; GP referral letter; and number of supports. Conclusion: The delivery of preventive care was limited, and varied according to type of care and risk. Supports were variably associated with elements of preventive care. Practice implications: Further research is required to increase routine preventive care delivery and the availability of supports. Crown Copyright (C) 2013 Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：193 / 201

页数：9

共 96 条

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