Promoting health and preventing disease in health care settings: an analysis of barriers.
Promoting health and preventing disease in health care settings: an analysis of barriers.
复制标题
在医疗保健环境中促进健康和预防疾病：障碍分析。
DOI：
10.1016/0091-7435(87)90011-9
复制
发表时间：
1987
影响因子：
5.1
通讯作者：
Orlandi,MA
中科院分区：
文献类型：
--
作者：
Orlandi,MA
改变生活方式，促进增进健康的行为，抑制损害健康的行为，已被美国外科医生推荐为我们改善国家健康的总体战略的一个组成部分。在考虑到这一建议的情况下，开发了各种创新，包括新知识、新产品和新服务，这些努力的一个主要目标是确定环境，以便在能够利用这些新方法的人群中有效传播和采用这些新方法。医院、诊所、社区卫生中心、健康维护组织和私人医生办公室等卫生保健机构在这方面提供了独特的可能性。虽然在学校和工作场所等其他环境中也存在促进健康和预防疾病的机会，但这些组织的主要目标与健康无关。尽管有明显的潜力，但我们的健康护理制度一般仍以治疗疾病而非促进健康为主要重点。本文回顾了健康促进和疾病预防的机会，在卫生保健环境，并确定了一系列的障碍，这样的努力。这些障碍是在一个框架内讨论，重点是传播和实施的知识转让过程中的关键步骤。克服这些障碍的战略内描述的一般联系理论。
Changes in lifestyle that promote health-enhancing behaviors and inhibit health-compromising behaviors have been recommended by the U.S. Surgeon General as an integral component of our general strategy for improving the health of the nation. A variety of innovations including new knowledge, new products, and new services have been developed with this recommendation in mind, and a major objective of these efforts is to identify settings for the effective diffusion and adoption of these new approaches into population groups that can make use of them. Health care settings such as hospitals, clinics, community health centers, health maintenance organizations, and private physicians' offices offer unique possibilities in this regard. Though opportunities exist for promoting health and preventing disease in other settings like schools and worksites, the primary objectives of such organizations are unrelated to health. Despite the obvious potential, however, our health care system has, in general, retained as its primary emphasis the treatment of disease rather than the enhancement of health. This article reviews the opportunities for health promotion and disease prevention in health care settings and identifies a range of barriers to such efforts. These barriers are discussed within a framework that focuses on dissemination and implementation as critical steps in the knowledge transfer process. Strategies for overcoming these barriers are described within the context of general linkage theory.