Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany.

Aim: Practicing physicians have a special position as disseminators of community-based prevention for children. However, it is unclear to what extent physicians inform parents about programs. The study investigated: To what extent do physicians disseminate information about community-based preventio...

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Publicado en:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 31; no. 5; pp. 701 - 710
Autores principales: Kreffter, Katharina, Götz, Simon, Lisak-Wahl, Stefanie, Nguyen, Thuy Ha, Dragano, Nico, Weyers, Simone
Formato: Artículo
Publicado: Springer Nature May2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
      vid: 31
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      pub: Springer Nature
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        163164857
        10.1007/s10389-021-01601-2
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        atl: Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany.
      aug:
        au:
          Kreffter, Katharina
          Götz, Simon
          Lisak-Wahl, Stefanie
          Nguyen, Thuy Ha
          Dragano, Nico
          Weyers, Simone
        affil: Faculty of Medicine, University Hospital Duesseldorf, Centre for Health and Society, Institute of Medical Sociology, Moorenstrasse 5, 40225, Duesseldorf, Germany
      su:
        Germany
        Community health services
        Physicians
        Research funding
      sug:
        subj:
          Community health services
          Physicians
          Germany
          Residential Mental Health and Substance Abuse Facilities
          Other local, municipal and regional public administration
          Other Individual and Family Services
          All Other Outpatient Care Centers
          Community health centres
          Offices of Physicians (except Mental Health Specialists)
          Offices of physicians
          Research funding
      keyword:
        Child health
        Community networks
        Information dissemination
        Prevention
        Socioeconomic factors
        Child health
        Community networks
        Information dissemination
        Prevention
        Socioeconomic factors
      ab: Aim: Practicing physicians have a special position as disseminators of community-based prevention for children. However, it is unclear to what extent physicians inform parents about programs. The study investigated: To what extent do physicians disseminate information about community-based prevention for children aged 0–7? Do differences exist along family's socioeconomic position (SEP) and immigrant background? Subject and methods: We conducted a retrospective cohort study in a German school entrance examination. Parents were invited to participate in a survey on community-based prevention with information about their awareness and information source. SEP was measured by parental education, immigrant background by country of birth. For nine services types, we counted how often parents named physicians and other professional groups as information sources. To estimate social differences, we calculated adjusted odds ratios (OR) with 95% confidence interval (CI). Results: Survey participants included 6480 parents (response 65.49%). Compared to other information sources, physicians were mentioned less frequently. For example, regarding language therapy, 31.2% of parents were informed by healthcare/social services, and 4.4% by physicians. Lower educated parents were less frequently informed by physicians about counseling services (OR 0.58; 95% CI 0.46–0.73) compared to higher educated parents. Parents with immigrant background were informed less often about parenting skills courses (OR 0.79; 95% CI 0.70–0.90) compared to parents without immigrant background, but more often about language therapy (OR 1.47; 95% CI 1.13–1.91). No further social differences were observed. Conclusion: The role of physicians as disseminators for community-based prevention is expandable. They should promote parenting skills courses in a socially sensitive way.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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