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背景本研究旨在调查维多利亚州西部地区全科医疗服务网(WV PHN)服务人群中具有不良生活方式的比例及其所获得的临床建议和指导状况。方法以2011年4月—2015年3月改善公共卫生服务及评价(BEACH)项目的内容为资料来源,收集本研究数据。对WV PHN、维多利亚州及澳大利亚的全科医疗服务人群中具有不良生活方式比例及其所获临床建议和指导状况进行对比研究。结果尽管WV PHN服务人群肥胖率较高,但其所获得的饮食和运动方面的建议和指导显著少于整个维多利亚州和澳大利亚人群。WV PHN服务人群吸烟率高于澳大利亚总吸烟率,但其所获得的戒烟建议服务却与澳大利亚总人群无差别。WV PHN服务人群中有1/4酗酒。结论乡村全科医生需要支持、鼓励和资源,以能够经常为患者提供饮食及运动方面的建议。
Background The purpose of this study was to investigate the proportion of unhealthy lifestyles in the service population of WV PHN in Western Victoria and the clinical recommendations and guidance they received. Methods Data from the April 2011-March 2015 Improvement in Public Health Services and Evaluation (BEACH) project were used as sources to collect data from this study. Conduct a comparative study of the proportion of unhealthy lifestyles in the general service population in WV PHN, Victoria and Australia, and the clinical recommendations and guidance they received. Results Although the WV PHN service population had a higher obesity rate, recommendations and guidance on diet and exercise were significantly fewer than for the entire Victorian and Australian population. The WV PHN service population has a higher prevalence of smoking than Australia’s total smoking rate, but the smoking cessation services it offers are not different from the general population in Australia. One in four wives in the WV PHN service population. Conclusion Country GPs need support, encouragement and resources to be able to advise patients regularly on diet and exercise.