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Biomedical subjects

K Jamrozik

Publications and source records attributed to K Jamrozik.

116 records · Page 7Linked to original sources
PubMed1982

Anti-smoking education in Oxfordshire general practices.

A postal questionnaire survey of 360 Oxfordshire general practitioners and health visitors on the subject of anti-smoking education was conducted in May-June 1980. Two mailings produced a response rate of 87 per cent. Involvement in anti-smoking education was felt to be more relevant for the doctors than for the health visitors. Health visitors thought that health education officers had a major role to play; they were also more likely than doctors to use literature as an aid in counselling smokers. In general, the mass media were not thought to be effective in helping individual smokers to give up the habit. Both doctors and health visitors were in favour of their professional organizations exerting pressure on Parliament, but only one respondent had ever written to an MP about smoking.

Community Health Nursing↗
PubMedDate not supplied

How can and do Australian doctors promote physical activity?

BACKGROUND: Physical inactivity is recognized as an important public health issue. Yet little is known about doctors' knowledge, attitude, skills, and resources specifically relating to the promotion of physical activity. Our survey assessed the current practice, perceived desirable practice, confidence, and barriers related to the promotion of physical activity in family practice. METHODS: A questionnaire was developed and distributed to all 1,228 family practitioners in Perth, Western Australia. RESULTS: We received a 71% response (n = 789). Family practitioners are most likely to recommend walking to sedentary adults to improve fitness and they are aware of the major barriers to patients participating in physical activity. Doctors are less confident at providing specific advice on exercise and may require further skills, knowledge, and experience. Although they promote exercise to patients through verbal advice in the consultation, few use written materials or referral systems. CONCLUSIONS: There are significant differences between self-reports of current practice and perceived desirable practice in the promotion of physical activity by doctors. Future strategies need to address the self-efficacy of family physicians and involve resources of proven effectiveness. The potential of referral systems for supporting efforts to increase physical activity by Australians should be explored.

Adult↗
PubMedDate not supplied

Hypertension management: a comparison of urban versus rural general practitioners in Western Australia.

1. We have conducted a survey of 75 rural and 75 urban randomly selected general practioners (GPs) in Western Australia to ascertain how closely current practice mirrors published Australian guidelines for the management of hypertension. 2. Fifty-one rural and 49 urban GPs completed the 19 item questionnaire. The two groups were well matched in terms of age and years in general practice. An assessment of the criteria utilized to diagnose hypertension revealed a tendency for much greater scatter in the cut points used to define systolic compared to diastolic hypertension, but no systematic difference between urban and rural GPs. 3. After an initial finding of mild hypertension the follow-up time to the next check-up was significantly longer for rural patients compared to urban patients (72 +/- 13 and 36 +/- 5 days respectively, P < 0.01). Urban GPs reviewed established hypertensive patients more commonly at 1-3 monthly intervals (89%) while rural GPs reviewed more commonly at 3-6 monthly intervals (86%). 4. In terms of target blood pressure (BP) for BP reduction, 67% rural compared to 83% urban GPs aimed for a systolic BP of < 140 mmHg (P = 0.06), while 95% of both groups aimed for diastolic BP < 90 mmHg. 5. The profile of first line antihypertensive agents most commonly used was also similar in both groups with 46% preferring angiotensin converting enzyme inhibitors, 18.5% diuretics, 18.5% beta blockers, 16% calcium entry blockers and 1% prazosin. 6. This study demonstrates a clear preference for the newer anti-hypertensive agents.(ABSTRACT TRUNCATED AT 250 WORDS)

Antihypertensive Agents↗
PubMedDate not supplied

Eastern Europe in transition: the dilemmas of health.

As the former Iron Curtain countries reconstruct, they must grapple with the health problems left by 40 years of public health neglect. Public health expert Konrad Jamrozik reports on his observations as a visiting fellow in Kraków, Poland, and asks: can they take the best and avoid the worst from the West?

Adolescent↗
PubMedDate not supplied

Going bush--helping medical students learn from aboriginal people.

OBJECTIVE: To help medical students learn about Aboriginal culture and health by introducing them to Aboriginal people living in rural and remote areas. SETTING: A seven-day field trip to Aboriginal communities and local health services in the eastern Goldfields Region of Western Australia. METHODS: Students interviewed local Aboriginal people, and representatives of community organisations and health service providers, and supplemented this information with their own field observations. The field research was used in completing three community health projects: one on infant health, another on environmental health, and a third on general beliefs of Aboriginal people about health and disease, prevention and treatment, and traditional and Western medicine. MAIN OUTCOME MEASURES: Knowledge about and attitudes towards Aboriginal people were assessed by anonymous questionnaires before and after the field trip. RESULTS: The field trip tripled (on average) the number of Aboriginal people with whom the students had ever had a conversation. Potentially important increases were seen in the proportion of students who could correctly name actions of doctors that Aboriginal people might find offensive. Seven of the nine students "strongly agreed" that their attitudes to Aboriginal people were more positive as a result of the trip, and the other two "agreed". All would recommend such a trip to their colleagues. CONCLUSIONS: By visiting Aboriginal communities, medical students can gain important insights into Aboriginal health problems and ways in which health services can be made more acceptable to Aboriginal people.

Acculturation↗