Abstract
The prevention scheme called “Rezept für Bewegung” (Physical Activity on Prescription,
PAP) enables physicians to formally prescribe participation in health-oriented sports
programs to their patients. The PAP scheme aims to strengthen the binding character
of physicians’ patient counselling for physical activity. The research objective was
to investigate the physicians’ awareness and their use of PAP as a prevention tool
in patient counselling, as well as perceived barriers to implementation.
A cross-sectional total population mail questionnaire survey was performed in two
districts of Bavaria. 2,821 physicians in private practice were contacted; the response
rate was 32.7 %. Descriptive data analysis of 923 questionnaires was carried out using
SPSS.
Only 26.4 % of the respondents (244/923) were familiar with the PAP scheme, and only
7.7 % (71/923) used PAP at least once a month when counselling their patients. Key
barriers to implementation include lack of information on the prevention scheme, a
limited choice of local matching sports programs and an unclear commitment of health
insurances to reimburse patients for participation fees. Every third physician distrusts
PAP to be an efficient way of improving physical activity in patients.
To foster the implementation of PAP in the future, awareness-raising campaigns and
an expansion of sports programs might be helpful. In order to strengthen the physicians’
confidence in the effectiveness of preventive patient counselling on physical activity,
existing research evidence needs to be spread among physicians.
Zusammenfassung
Im Rahmen der Präventionsmaßnahme „Rezept für Bewegung“ können Ärzte ihren Patienten
die Teilnahme an gesundheitsorientierten Sportangeboten auf Rezept verschreiben. Das
Rezept für Bewegung zielt damit darauf ab, mehr Verbindlichkeit in der ärztlichen
Präventionsberatung herzustellen. In der vorliegenden Studie wurde untersucht, ob
niedergelassene Ärzte das Rezept für Bewegung kennen, wie sie es im Rahmen ihrer Patientenberatung
anwenden und welche wahrgenommenen Barrieren sie für eine Umsetzung in der Praxis
sehen.
In einer Vollerhebung wurden in zwei bayerischen Regierungsbezirken 2.821 niedergelassene
Ärzte mit einem standardisierten Fragebogen befragt. Bei einer Rücklaufquote von 32.7%
konnten 923 Fragebögen in die deskriptive Datenanalyse mit SPSS eingeschlossen werden.
Nur 26.4% der befragten Ärzte (244/923) kennen das Rezept für Bewegung und nur 7.7%
(71/923) wenden das Rezept mindestens einmal im Monat im Rahmen ihrer Patientenberatung
an. Hinderungsgründe sind vor allem fehlende Informationen über die Maßnahme, eine
geringe Auswahl an passenden Sportangeboten vor Ort und die Unsicherheit, inwieweit
die Krankenkassen die Teilnahmegebühren an Patienten rückerstatten. Jeder dritte Arzt
bezweifelt, dass das Rezept für Bewegung ein effektiver Weg zur Förderung von körperlich-sportlicher
Aktivität bei Patienten ist.
Informationskampagnen zur Sensibilisierung der Ärzte und eine Ausweitung des Sportangebots
scheinen deshalb sinnvolle Maßnahmen, um die Implementation des Rezepts für Bewegung
zukünftig zu stärken. Ärzte sollten zudem gezielt über die Evidenz zu ärztlicher Präventionsberatung
informiert werden, um ihre Zuversicht in die Effektivität ihrer Beratungsleistung
zu stärken.
Keywords
Schlüsselwörter
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Article info
Publication history
Published online: February 24, 2018
Accepted:
February 2,
2018
Received in revised form:
January 29,
2018
Received:
August 25,
2017
Identification
Copyright
© 2018 Published by Elsevier Inc.
