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Titolo:
Factors influencing discussion of smoking between general practitioners and patients who smoke: a qualitative study
Autore:
Coleman, T; Murphy, E; Cheater, F;
Indirizzi:
Univ Leicester, Leicester Gen Hosp, Dept Gen Practice & Primary Hlth Care,Leicester LE5 4PW, Leics, England Univ Leicester Leicester Leics England LE5 4PW er LE5 4PW, Leics, England Univ Nottingham, Sch Sociol & Social Policy, Nottingham NG7 2RD, England Univ Nottingham Nottingham England NG7 2RD , Nottingham NG7 2RD, England
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 452, volume: 50, anno: 2000,
pagine: 207 - 210
SICI:
0960-1643(200003)50:452<207:FIDOSB>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH PROMOTION; QUANTITATIVE METHODS; ADVICE; CONSULTATIONS; PREVENTION; DOCTORS; VIEWS; ATTITUDES; GPS;
Keywords:
smoking; health advice; doctor-patient relationship; patient attitude;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Coleman, T Univ Leicester, Leicester Gen Hosp, Dept Gen Practice & PrimaryHlth Care,Gwendolen Rd, Leicester LE5 4PW, Leics, England Univ Leicester Gwendolen Rd Leicester Leics England LE5 4PW and
Citazione:
T. Coleman et al., "Factors influencing discussion of smoking between general practitioners and patients who smoke: a qualitative study", BR J GEN PR, 50(452), 2000, pp. 207-210

Abstract

Background Anti-smoking advice from general practitioners (GPs) is effective and recent evidence-based guidelines urge GPs to advise all patients against smoking at every opportunity. GPs do not exploit many opportunities todiscuss smoking with patients and the reasons for this are unclear. Aim. To elicit, relate, and interpret GPs' accounts of why they discuss smoking with some patients and not others. Method. Thirty-nine Leicestershire GPs were purposively selected so as to have a range of attitudes towards discussing smoking with patients. Each GPhad one surgery session video-recorded and afterwards participated in a qualitative, semi-structured interview. Prior to each interview,:GPs were shown a video-recording of one of their consultations with a smoker to enhancetheir recall of events. Results. Being aware of patients' smoking status did not necessarily result in GPs discussing smoking with patients, GPs were keen to preserve good doctor-patient relationships and avoid negative responses from patients oncethe topic of smoking had been raised, and this was felt to be best achieved by restricting most discussions about smoking to situations where patients presented with smoking related problems and in circumstances where the doctors perceived the doctor-patient relationship was strong. Doctors also thought it important to address patients' agendas relating to the current consultation before discussing smoking. Conclusions. General practitioners have strong reasons for preferring to discuss smoking when patients present with smoking-related problems. Those wishing to increase the amount of advice-giving by GPs might be more successful if they: encouraged GPs to make greater use of problem-orientated opportunities to discuss smoking.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 00:38:24