The family doctor and health promotion - Polish experience and perspectives

Mierzecki, Artur; Gąsiorowski, Jakub; Pilawska, H

doi:10.3109/13814780009094305

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…GPs consider health promotion and chronic disease prevention as important aspects of their work [19,20]. However, they notice obstacles in their implementation such as lack of time and insufficient financial support [21].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Znyk

Polańska

Wojtysiak

et al. 2019

IJERPH

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The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities among physicians were also determined. The cross-sectional study was conducted in the Piotrkowski district among 200 GPs. The questionnaire covered socio-demographic data and lifestyle characteristics of the physicians, their role as healthy lifestyle providers, and whether they assess lifestyle characteristics of their patients and perform healthy lifestyle counselling. More than 60% of the GPs did not evaluate lifestyle features during their patients’ examination. In total, 56% of the GPs provided healthy lifestyle recommendations among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations, and 73% of GPs provided recommendations to patients with chronic diseases related to lifestyle. The study showed that the chance to assess lifestyle characteristics of the patients was significantly higher for the GPs who believed that they were obliged to do so (OR = 6.5; p = 0.002). The chance to recommend a healthy lifestyle among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations was 5.9 times higher among the GPs working in the public sector (p < 0.001) and 16.3 times higher for these who believed that they had sufficient knowledge to provide the advice (p = 0.02). The following predictors of providing a healthy lifestyle counselling among patients with diagnosed chronic lifestyle-related diseases were identified: conviction that a GPs is obligated to provide it (OR = 4.4; p = 0.02), sufficient knowledge (OR = 8.7; p = 0.01), and following health recommendations by themselves (OR = 3.9; p = 0.04). Conclusions: The identified predictors are crucial for the development of appropriate strategies aiming at increasing GPs’ involvement in preventive measures and consequently at improving the population’s health.

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Section: Introductionmentioning

confidence: 99%

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Znyk

Polańska

Wojtysiak

et al. 2019

IJERPH

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“…It is also the one with specific responsibility for HP; amongst its institutions the very important role is attached to primary care (PC) and different professionals. In project countries PC was often a subject of analyses in respect to HP [3,[42][43][44]. It is often underlined that HS are still focused mainly on treatment or diagnosis processes [45].…”

Section: Resultsmentioning

confidence: 99%

Health Promotion for Older People Performed in Health Sector

Mokrzycka

2022

ebph

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Background Health sector plays important role in health promotion for older population (HP4OP). The institutions involved constitute a very differentiated sphere: variety of models, structures, financing methods, different forms of providers and payers. HP4OP requires engagement of health sector and medical/public health professionals. Methods Literature review was used: systematic reviews for English-language papers on HP4OP and sectorial institutions activities (incl.PubMed and the healthPROelderly database). Questionnaires, individual interviews and templates were provided for collecting information from country experts. Due to the low feedback for template distribution personal interviews and desk research methods were used. Results Health sector institutions have been indicated and analysed proving the importance of primary care role, institutional and inter-sectorial cooperation, specifically with local governments and NGOs. The important results showed that the medical professional’s approach has to be changed. Moreover, innovations, new technologies used by professionals and patients may significantly improve activities of health sector oriented on effective and long lasting HP4OP. Conclusions: The research performed provided a set of information for the description of the sectorial role in HP4OP, including barriers and limitations, the prerequisites for the cooperation, good practices regarding health promotion projects/ programs focused on old population. The paper, based on EU project, presents the overall picture of health sector involvement in HP4OP and the statement that various institutional arrangements in EU do not contravene the idea of good practices applicability and importance for the effective implementation of HP4OP programs.

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“…Patients expect their family doctor to help prevent or delay disease as well as to treat existing disorders [1-3]. Family doctors themselves consider health promotion and disease prevention to be important aspects of their work [4,5]. However, they report numerous obstacles to their effective participation in this field of activity, such as lack of time and insufficient financial reimbursement [6].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of an older patient on the role of the family doctor in health promotion: a qualitative case study

et al. 2013

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IntroductionHealth promotion and disease prevention are important aspects of primary health care. However, limited data are available concerning the opinions of older patients towards the respective services offered by family doctors. The aim of the present study was to evaluate an older patient's perception of the role of the family doctor in promoting his health, and identify those components that are difficult to examine in quantitative research.MethodsA qualitative case study of an 80-year-old man using an in-depth interview was carried out. The interview transcript was analyzed thematically. Our patient was an 80-year-old university-educated man, with stable social and financial circumstances, living with his wife. He had retired early on grounds of ill health (tuberculosis) and had received a disability pension prior to formal retirement. At the time of the interview, his medical problems included mild prostatic hypertrophy, scoliosis and hypertension. He considered his health status to be satisfactory. He had changed family doctor five years prior to the interview, as he had been dissatisfied with the care provided.ResultsWe found that our patient expected the family doctor to be aware of, and to discuss, the following issues: physical activity, diet, management of stress and mental health, use of alcohol and tobacco, personal hygiene, health screening, use of medication, and social activity. At the same time, our patient perceived the doctor's role as supplementary to his own in terms of the appraisal and maintenance of his health.ConclusionsOur findings provide evidence of what is important in the promotion of health among older people.

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The family doctor and health promotion - Polish experience and perspectives

Cited by 4 publications

References 4 publications

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Health Promotion for Older People Performed in Health Sector

Perceptions of an older patient on the role of the family doctor in health promotion: a qualitative case study

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