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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Physicians' attitudes and preventive care delivery: insights from the DOPC study.
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Physicians' attitudes and preventive care delivery: insights from the DOPC study.

机译：医师的态度和预防保健服务：来自DOPC研究的见解。

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BACKGROUND.: Interventions that modify physician attitudes to enhance preventive service delivery are common, yet other factors may be relatively more important in determining whether these services are provided. We assessed associations between physicians' attitudes and delivery of preventive care, compared with factors related to the patient, visit, or practice. METHODS.: One hundred twenty-eight primary care physicians rated the importance of five preventive services and their effectiveness at delivering them. We assessed whether their patients had received cervical smears, prostate-specific antigen (PSA) testing, smoking cessation advice, recommendation to use aspirin to prevent myocardial infarction, or weight-maintenance counseling, when appropriate. Multilevel models assessed associations between physician attitudinal characteristics and a patient's likelihood of being up to date for each service. RESULTS.: Importance of PSA screening and tobacco cessation counseling were weakly associated with patients' receipt of preventive care; no association between attitudes and other services was observed. Factors such as having a visit for well care and use of prevention flowcharts were associated with delivery of preventive services to a greater extent. CONCLUSIONS.: Physicians' attitudes toward prevention are necessary, but not sufficient in ensuring the delivery of preventive services. Future interventions should address visit- and practice-specific factors more closely associated with preventive care.
机译：背景：干预改变医生的态度以增强预防服务的交付是普遍的，但是在确定是否提供这些服务时，其他因素可能相对更为重要。我们比较了与患者，就诊或执业相关的因素，比较了医生的态度与预防保健的相关性。方法：128位初级保健医生对五项预防性服务的重要性及其提供服务的有效性进行了评估。我们评估了他们的患者是否接受了宫颈涂片检查，前列腺特异性抗原（PSA）测试，戒烟建议，建议使用阿司匹林预防心肌梗塞或在适当时进行体重减轻咨询。多级模型评估了医生的态度特征与患者每次服务更新的可能性之间的关联。结果：PSA筛查和戒烟咨询的重要性与患者接受预防保健的相关性很弱。没有观察到态度与其他服务之间的关联。诸如就诊就医和使用预防流程图等因素在很大程度上与预防服务的提供有关。结论：医师对预防的态度是必要的，但不足以确保提供预防性服务。未来的干预措施应针对与预防保健密切相关的针对访问和实践的因素。

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