Clinician assessment, advice and referral for multiple health risk behaviors: Prevalence and predictors of delivery by primary health care nurses and allied health professionals

PATIENT EDUCATION AND COUNSELING

卷:94

Article

McElwaine, Kathleen M.^1,2,3  Freund, Megan^1,2,3  Campbell, Elizabeth M.^1,2,3  Slattery, Carolyn¹  Wye, Paula M.^1,2,4  Lecathelinais, Christophe¹  Bartlem, Kate M.^1,3,4  Gillham, Karen E.^1,3  Wiggers, John H.^1,2,3 

[1] Populat Hlth, Newcastle, NSW, Australia

[2] Univ Newcastle, Fac Hlth, Newcastle, NSW 2300, Australia

[3] Clin Res Ctr, Hunter Med Res Inst, Newcastle, NSW, Australia

[4] Univ Newcastle, Fac Sci & Informat Technol, Newcastle, NSW 2300, Australia

关键词: Community health services;    Delivery of health care;    Heath prevention;    Health risk behaviors;    Health care providers;   

DOI  :  10.1016/j.pec.2013.10.017

来源: Elsevier

【 摘 要 】

Objective: Primary care clinicians have considerable potential to provide preventive care. This study describes their preventive care delivery. Methods: A survey of 384 community health nurses and allied health clinicians from in New South Wales, Australia was undertaken (2010-11) to examine the assessment of client risk, provision of brief advice and referral/follow-up regarding smoking inadequate fruit and vegetable consumption, alcohol misuse, and physical inactivity; the existence of preventive care support strategies; and the association between supports and preventive care provision. Results: Preventive care to 80% or more clients was least often provided for referral/follow-up (24.745.6% of clinicians for Individual risks, and 24.2% for all risks) and most often for assessment (34.4-69.3% of clinicians for individual risks, and 24.4% for all risks). Approximately 75% reported having 9 or fewer of 17 supports. Provision of care was associated with: availability of a paper creening tool; training; GP referral letter; and number of supports. Conclusion: The delivery of preventive care was limited, and varied according to type of care and risk. Supports were variably associated with elements of preventive care. Practice implications: Further research is required to increase routine preventive care delivery and the availability of supports. Crown Copyright (C) 2013 Published by Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free