National Survey of Energy Balance Related Care among Primary Care Physicians

国家癌症研究所的饮食、体力活动和体重控制实践医生调查的目标是获得与饮食、体力活动和体重控制服务相关的初级保健医生(PCP)的特征、知识、态度和实践的最新、具有全国代表性的数据。调查数据将被用来描述现有的医生执业情况，了解咨询和转介的障碍，并为改善成人和儿童对这些服务的利用提供信息。这项调查支持并促进了NCI、NIH和DHHS监测和评估提供者的癌症控制知识、态度和做法及其对人口健康的影响的工作。它还有助于加强对国家统计研究所支持的全国一般人口调查中收集的数据的了解。此外，它还将能够监测实现DHHS目标的进展情况、NIH肥胖研究计划以及NCI与改善成人和儿童的饮食、体力活动和体重控制相关的能量平衡研究优先事项。这项调查有三个主要目的。首先是制定在医生执业中使用能量平衡风险评估、咨询和转诊服务的国家基线。这将有助于理解当前的做法。第二个目标是确定经常将这些活动纳入病人护理的医生的特点，以便计划新的倡议，在医生群体中更广泛地传播这些做法。作为这一目标的一部分，调查调查了医生的态度、他们的健康状况和行为，以及他们对与饮食、体力活动和体重相关的指南的了解。第三个也是最终目标是了解初级保健医生的实践特征(例如，使用电子医疗记录、提醒和实践概况)和支持和/或以其他方式影响能量平衡咨询活动的系统因素(例如，报销做法、转介来源的可用性和财务激励)。由于主题的复杂性，需要最大限度地减少受访者的负担，以及需要适当地调查治疗不同患者群体的医生，调查由三份问卷组成。两份是医生问卷，分别针对1200名主要治疗成人的医生(400名内科医生、400名产科/妇科医生和400名家庭医生)和800名主要治疗儿童的医生(400名儿科医生和400名家庭医生)。第三份问卷侧重于实践和系统问题，将由2000名执业医师或代理人(例如执业管理员、护士、医生助理、办公室经理)在接受成人或儿童问卷的同一实践中填写。成人、儿童和行政结构问卷都是通过邮寄的方式进行的，目标是获得总共4000份完整的问卷。

The goal of the National Cancer Institute's Physician Survey of Practices on Diet, Physical Activity, and Weight Control is to obtain current, nationally representative data on primary care physicians' (PCP's) characteristics, knowledge, attitudes, and practices related to services provided for diet, physical activity and weight control. Data from the survey will be used to profile existing physician practice, understand barriers to counseling and referral, and to inform methods for improving the utilization of these services for adults and children. The survey supports and furthers the work of the NCI, NIH, and DHHS to monitor and evaluate providers' cancer control knowledge, attitudes, and practices and their impact on population health. It also helps enhance understanding of data collected in national surveys of the general population supported by NCI. Further, it will enable monitoring of progress toward achieving DHHS goals, NIH obesity research plans, and NCI energy balance research priorities related to improving diet, physical activity and weight control among adults and children. There are three major aims of the survey. The first is to develop a national baseline on the use of energy balance risk assessment, counseling and referral services in physician practice. This will help understand current practices. The second aim is to identify the characteristics of physicians who routinely incorporate these activities in patient care in order to plan new initiatives to spread these practices more widely within the physician community. As part of this aim, the survey investigates physician attitudes, their health status and behaviors, as well as their knowledge of guidelines related to diet, physical activity and weight. The third and final aim is to understand PCPs' practice characteristics (e.g., the use of electronic medical records, reminders, and practice profiles) and system factors (e.g., reimbursement practices, availability of referral sources, and financial incentives) that support and/or otherwise influence energy-balance counseling activities. Due to the complexity of the topic, the need to minimize respondent burden, and the need to appropriately survey physicians who treat different patient populations, the survey is comprised of three questionnaires. Two are Physician Questionnaires respectively targeting 1200 PCPs who primarily treat adults (400 internists, 400 obstetricians/gynecologists, and 400 family physicians) and 800 PCPs who primarily treat children (400 pediatricians and 400 family physicians). The third questionnaire focuses on practice and systems issues and will be completed by 2000 PCPs or proxies (e.g. practice administrator, nurse, physician's assistant, office manager) in the same practices receiving an Adult or Child Questionnaire. The Adult, Child, and Administrative Stucture Questionnaires are all administered by mail, and the goal is to obtain a total of 4000 completes.