Does external support from divisions increase preventive activities in rural Australian general practice?
Erica L James PhD, is a lecturer, Department of Public Health, La Trobe University, Bendigo, Victoria. Lynette Talbot MHlthSci, is Senior Lecturer, Department of Public Health, La Trobe University, Bendigo, Victoria. Chris Fishley RN, is a project officer, Bendigo and District Division of General Practice, Victoria. General practitioners can play an important role in disease prevention and health promotion. However, there are a number of barriers including structural disincentives (limited time, remuneration issues, fragmented approaches to policy, lack of health promotion education for GPs, insufficient staff support, lack of reminder/recall systems); practitioner barriers including GP ambivalence about the effectiveness of health promotion activities, and difficulties in evaluating outcomes, and patient barriers. Possible ways of overcoming these barriers include taking a multidisciplinary approach, technological and structural assistance, engaging practice staff, and linking with ot
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