以行动促行动:对初级医疗保健专业人员实施皇家全科医师学院积极实践宪章倡议的观点进行探索性研究

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Callum J. Leese, Robert H. Mann, Hussain Al-Zubaidi, Emma J. Cockcroft
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引用次数: 0

摘要

经常进行体育锻炼(PA)可带来广泛的身体、心理和社会益处。尽管在英国,初级保健是影响 PA 行为的关键点,但研究表明,在初级保健中,PA 干预措施的应用并不理想。为解决这一问题,英国皇家全科医师学院(RCGP)制定并实施了《积极实践宪章》(APC)。本研究的目的是从初级医疗保健专业人员(PHPs)的角度出发,评估他们对《积极实践宪章》倡议的认知影响和可接受性。本研究设计了一项在线探索性横断面调查,旨在从 PHPs 的角度评估 APC 计划的影响、经验和挑战。该调查由 RCGP 通过电子邮件向全英 184 家注册的 APC 诊所发放。对来自 21 家 APC 实践机构的员工(n = 33)的回复进行了审查。APC 诊所采用的措施包括:教育计划、与 PA 提供者合作、转诊系统和基础设施投资。他们认为这样做的好处包括:提高了对 PA 的认识、增强了员工凝聚力、改善了福利。然而,由于实施障碍,包括缺乏参与、时间、资源和资金,员工认为 APC 的效果有限。这是首次对英国全国范围内的全科医生实践活动进行的评估。尽管对 RCGP APC 的支持存在响应率方面的限制,但评估强调了其实施过程中面临的挑战。尽管如此,RCGP 的广泛影响力,以及所列举的员工和患者受益情况,都表明了 APC 计划的巨大潜力。鉴于需要在全国范围内解决缺乏运动的问题,进一步发展 APC 提供了一个可能的解决方案,但还需要进一步的研究来克服实施过程中遇到的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A movement for movement: an exploratory study of primary healthcare professionals’ perspectives on implementing the Royal College of General Practitioners’ active practice charter initiative
Regular physical activity (PA) results in extensive physical, psychological, and social benefits. Despite primary care being a key point of influence for PA behaviours in the UK, research indicates poor application of PA interventions in this context. To address this, the Royal College of General Practitioners’ (RCGP) developed and implemented the Active Practice Charter (APC). The aim of the study was to evaluate the perceived impact and acceptability of the APC initiative from the perspective of primary healthcare professionals (PHPs). An online exploratory cross-sectional survey was designed to assess the perceived impact, experiences, and challenges of the APC initiative, from the perspective of PHPs. The survey was distributed by the RCGP via email to 184 registered APC practices across the UK. Responses were reviewed from staff (n = 33) from 21 APC practices. Initiatives used by APC practices included: educational programmes, partnerships with PA providers, referral systems, and infrastructure investment. Perceived benefits included: increased awareness about PA, staff cohesion, and improved well-being. However, staff felt the APC had limited effect due to implementation barriers, including: a lack of engagement, time, resources, and funding. This is the first evaluation of any nationwide UK-based initiative engaging GP practices in promoting PA. Acknowledging the limitations in response rate, although support exists for the RCGP APC, the evaluation highlights challenges to its implementation. Nonetheless, the wide reach of the RCGP, combined with the cited staff and patient benefits, demonstrates the significant potential of the APC initiative. Given the need to address physical inactivity nationally, further development the APC offers a possible solution, with further research required to overcome the challenges to implementation.
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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