caa a22 4500 397519052 CHVBK 20180308164627.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/intqhc/7.4.333 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.4.333 Preventive and Promotive Medicine in Ambulatory Clinical Practice: a Prospective Simulated Patient Study [Elektronische Daten] [Y. Y. WONG, M. NORDIN, A. B. SULEIMAN] Objective: This study examines the extent to which preventive and promotive advice is integrated into the clinical practice of doctors. Study design: Using a cross-sectional descriptive survey design, the study compares the performance of doctors in giving healthy lifestyle advice for five clinical conditions, their perceived practice and their rating on the importance of disseminating selected key lifestyle messages. Data extraction methods: A total of 28 volunteers were trained to simulate the five clinical conditions which required related health advice and to rate the doctors' performance with the use of a prepared checklist. Simulated patient ratings of 343 doctor-patient encounters provided the data on doctors' health promotion efforts for the selected clinical conditions. A post-visit self-administered questionnaire survey of a sub-sample of 100 doctors gave an insight into their opinions and perceived practice. Principal findings: Only in 49% of the instances was a health promotion message given. The doctors' encouraging interest in health education and health promotion and their positive perceptions of their volume of healthy lifestyle counselling were not borne out in actual clinical practice. Conclusions: The results Indicate that the extent of preventive and promotive health education in both the public and private health sectors is unacceptably low. The matter needs to be addressed through training programmes as well as the formulation of clear health promotion priorities and strategies in Malaysia. © 1996 Elsevier Science Ltd Articles nationallicence Health promotion nationallicence simulated patient nationallicence healthy lifestyle nationallicence integrate nationallicence doctor-patient encounter nationallicence WONG Y. Y. Lecturer in Health Education, Public Health Institute Malaysia aut NORDIN M. Lecturer in Health Education, Public Health Institute Malaysia aut SULEIMAN A. B. Consultant Paediatrician, Sultanah Aminah Hospital Johor Bahru, Malaysia aut International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 333-341 1353-4505 7:4<333 1995 7 intqhc https://doi.org/10.1093/intqhc/7.4.333 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.4.333 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- WONG Y. Y. Lecturer in Health Education, Public Health Institute Malaysia aut NATIONALLICENCE 700 1- NORDIN M. Lecturer in Health Education, Public Health Institute Malaysia aut NATIONALLICENCE 700 1- SULEIMAN A. B. Consultant Paediatrician, Sultanah Aminah Hospital Johor Bahru, Malaysia aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 333-341 1353-4505 7:4<333 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford