Guide to clinical preventive services: a challenge to physician resourcefulness

Guide to clinical preventive services: a challenge to physician resourcefulness
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临床预防服务指南:对医生足智多谋的挑战

DOI:
10.1300/j018v12n03_03
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发表时间:
1993
影响因子:
2.8
通讯作者:
D. Haber
D. Haber
中科院分区:
医学3区
文献类型:
--
作者:
D. Haber

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医生的足智多谋程度,即,熟练和迅速地处理新情况的能力对于在短暂的办公室访问的限制内改变患者的健康行为是重要的。然而,在15名因对预防医学感兴趣而被选中的初级保健医生中,这种质量是短缺的。医生倾向于依靠单一的方法来改变患者的特定健康行为,限制转诊到社区服务和其他健康专家,几乎完全依赖于恐惧来激励患者,并对改变老年患者的健康行为表示相当悲观。医生们一致报告说,他们的教育不足和缺乏报销影响了他们如何为病人提供咨询。一个很好的地方,开始,以纠正这种情况是所需的阅读指南,临床预防服务的医学生和居民,并继续教育的机会,实践.
The physician's degree of resourcefulness, i.e., the ability to deal skillfully and promptly with new situations, is important for changing the health behaviors of patients within the constraints of a brief office visit. This quality, however, was in short supply among 15 primary care physicians selected for their interest in preventive medicine. The physicians tended to rely on a single approach for changing specific health behaviors of patients, restricted referrals to community services and other health specialists, relied almost exclusively on fear for motivating patients and expressed considerable pessimism about changing the health behaviors of older patients. The physicians uniformly reported that their inadequate education and the lack of reimbursement influenced how they counseled their patients. A good place to begin to rectify this situation is the required reading of the Guide to Clinical Preventive Services for medical students and residents, and continuing education opportunities for practic...
DOI: 10.1037//0022-006x.52.4.591
发表时间: 1984
影响因子: 5.9
作者:
Atkins,CJ;Kaplan,RM;Timms,RM;Reinsch,S;Lofback,K
通讯作者: Lofback,K