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首页> 外文期刊>BMC Family Practice >Counseling on lifestyle habits in the United States and Sweden: a report comparing primary care health professionals’ perspectives on lifestyle counseling in terms of scope, importance and competence
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Counseling on lifestyle habits in the United States and Sweden: a report comparing primary care health professionals’ perspectives on lifestyle counseling in terms of scope, importance and competence

机译：美国和瑞典的生活方式习惯咨询：一份报告，比较了初级保健专业人员在范围，重要性和能力方面对生活方式咨询的看法

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Background The role of primary care professionals in lifestyle counseling for smoking, alcohol consumption, physical activity, and diet is receiving attention at the national level in many countries. The U. S. and Sweden are two countries currently establishing priorities in these areas. A previously existing international research collaboration provides a unique opportunity to study this issue. Methods Data from a national survey in Sweden and a study in rural Upstate New York were compared to contrast the perspectives, attitudes, and practice of primary care professionals in the two countries. Answers to four key questions on counseling for tobacco use, alcohol consumption, physical activity, and eating habits were compared. Results The response rates were 71% (n?=?180) and 89% (n?=?86) in the Sweden and the U.S. respectively. U.S. professionals rated counseling "very important" significantly more frequently than Swedish professionals for tobacco (99% versus 92%, p? Conclusions The study demonstrates large differences between the extent that Swedish and American primary care professionals report being engaged in counseling on lifestyle issues, how important they perceive counseling to be, and what expertise they possess in this regard. Explanations might be found in inter-professional attitudes, the organization of healthcare, including the method of reimbursement, traditions of preventive healthcare, and cultural differences between the two countries. Further studies are needed to explore these questions, with the aim of facilitating improved lifestyle counseling in primary care.
机译：背景技术在许多国家，初级保健专业人员在吸烟，饮酒，体育锻炼和饮食的生活方式咨询中的作用正受到国家的关注。美国和瑞典是目前在这些领域确定优先事项的两个国家。先前存在的国际研究合作为研究此问题提供了独特的机会。方法比较了瑞典的一项全国调查和纽约州北部郊区的一项研究的数据，以对比这两个国家初级保健专业人员的观点，态度和做法。比较了有关吸烟，饮酒，体育锻炼和饮食习惯的咨询四个关键问题的答案。结果瑞典和美国的回应率分别为71％（n = 180）和89％（n = 86）。美国专业人员对烟草咨询的评价“重要”的频率要比瑞典专业人员高得多（分别为99％和92％，p？结论）该研究表明瑞典和美国的初级保健专业人员报告从事生活方式咨询的程度之间存在很大差异，他们认为咨询的重要性，以及他们在这方面拥有什么专业知识，可以从专业人士的态度，医疗保健的组织（包括报销方法，预防性医疗保健的传统以及两国之间的文化差异）中找到解释。为了进一步改善初级保健中的生活方式咨询，需要进一步的研究来探讨这些问题。

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