Literature DB >> 8745866

Who should give lifestyle advice in general practice and what factors influence attendance at health promotion clinics? Survey of patients' views.

J Eggleston, J Gallagher, M Gallagher, T Hares, E Murray, N Naroz, T Owen, P Price, L Pym, L Reed.   

Abstract

BACKGROUND: Health promotion activity in general practice has increased greatly since 1990. A large proportion of this work is undertaken by practice nurses. Little is known about patients' views about the providers of health promotion or their views about general practice health promotion clinics. AIM: A study was carried out in 1992 to determine patients' views about the provision of health promotion advice by general practitioners and practice nurses and their views about attending health promotion clinics.
METHOD: A postal questionnaire was sent to a random sample of 1750 patients aged 16 years and over from five general practices in south Tyneside. The questionnaire explored patients' preferences regarding health promotion advice from the general practitioner or practice nurse in relation to four areas of lifestyle advice and factors that might encourage patients to attend a health promotion clinic.
RESULTS: A response rate of 75% was obtained from 1639 eligible patients. Receiving health promotion advice from either the general practitioner or the practice nurse was the most commonly preferred option expressed by patients overall. The ability of health promotion clinic staff to deal with patients' concerns about their illness and short waiting times were more likely to influence patients' attendance at health promotion clinics than the presence of a general practitioner or practice nurse.
CONCLUSION: In the present study, many patients found health advice received from practice nurses and general practitioners equally acceptable. However, it was the ability of health professionals to respond to patients' health concerns in the health promotion clinic rather than the type of health professional running the clinic that was important for patients.

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Year:  1995        PMID: 8745866      PMCID: PMC1239471     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


  14 in total

1.  Provision of health promotion clinics in relation to population need: another example of the inverse care law?

Authors:  S J Gillam
Journal:  Br J Gen Pract       Date:  1992-02       Impact factor: 5.386

2.  The rise of the practice nurse.

Authors:  B Stilwell
Journal:  Nurs Times       Date:  1991 Jun 12-18

3.  Unexpected problems raised in prevention clinics.

Authors:  P D Toon; L J Dawson; K Elliott
Journal:  J R Coll Gen Pract       Date:  1987-04

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Journal:  J R Coll Gen Pract       Date:  1979-04

5.  Facilitating prevention in primary care.

Authors:  E Fullard; G Fowler; M Gray
Journal:  Br Med J (Clin Res Ed)       Date:  1984-12-08

6.  Preferences of healthy and ill patients for style of general practitioner care: implications for workload and financial incentives under the new contract.

Authors:  M M al-Bashir; D Armstrong
Journal:  Br J Gen Pract       Date:  1991-01       Impact factor: 5.386

7.  Are general practitioners doing enough to promote healthy lifestyle? Findings of the Medical Research Council's general practice research framework study on lifestyle and health.

Authors:  P G Wallace; P J Brennan; A P Haines
Journal:  Br Med J (Clin Res Ed)       Date:  1987-04-11

8.  'Advise yes, dictate no'. Patients' views on health promotion in the consultation.

Authors:  N C Stott; R M Pill
Journal:  Fam Pract       Date:  1990-06       Impact factor: 2.267

9.  Practice nurses: characteristics, workload and training needs.

Authors:  F M Ross; P J Bower; B S Sibbald
Journal:  Br J Gen Pract       Date:  1994-01       Impact factor: 5.386

10.  Lifestyle advice in general practice: rates recalled by patients.

Authors:  C Silagy; J Muir; A Coulter; M Thorogood; P Yudkin; L Roe
Journal:  BMJ       Date:  1992-10-10
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Authors:  Christopher Snowden; Ellen Lynch; Leah Avery; Catherine Haighton; Denise Howel; Valentina Mamasoula; Eilish Gilvarry; Elaine McColl; James Prentis; Craig Gerrand; Alison Steel; Nicola Goudie; Nicola Howe; Eileen Kaner
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Authors:  Cornel Pater; Carl Ditlef Jacobsen; Arnfinn Rollag; Leiv Sandvik; Jan Erikssen; Else Karin Kogstad
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