Physicians and smoking cessation. A survey of office procedures and practices in the Community Intervention Trial for Smoking Cessation.
Physicians and smoking cessation. A survey of office procedures and practices in the Community Intervention Trial for Smoking Cessation.
复制标题
医生和戒烟。
DOI：
10.1001/archfami.3.4.341
复制
发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Pomrehn,P
中科院分区：
文献类型：
--
作者：
Lindsay,EA;Ockene,JK;Hymowitz,N;Giffen,C;Berger,L;Pomrehn,P
目的：获得医生开展的控烟活动以及医生办公室控烟政策和做法的基线测量。设计：通过邮件调查向11个社区的所有初级保健医生询问他们的烟草控制做法。随机选择每个社区的30个办事处并通过电话采访，以确定办公室的政策和做法。环境：两项调查都评估了11个干预社区的初级保健环境。结果：医生的调查（48%）表明，医生报告对吸烟者进行干预的时间超过70%，但干预很少包括改变吸烟所需的关键行为因素。接受过正式戒烟培训的医生报告说，他们相信自己比没有接受过培训的医生准备得更充分，而且他们花更多的时间为病人提供咨询。办公室调查（回应率为83.2%）显示，大部分诊所和办公室均有无烟政策，许多办公室亦提供有关戒烟的印刷资料。然而，很少有办公室有工作人员来协调戒烟活动。这些调查将在戒烟社区干预试验的干预阶段后重复进行，以评估咨询实践和办公室政策的变化。结论：参与培训和干预与更多的戒烟活动之间存在正相关关系。医生认为他们愿意帮助吸烟者，但很少有人提供的只是戒烟的建议。
Objective: To obtain a baseline measure of tobacco con-trol activities carried out by physicians and of tobacco control policies and practices in physician offices.Design: All primary care physiciansin 11 communities were asked througha mail survey about their tobacco con-trol practices. Thirtyoffices in each communitywere ran-domly selected and interviewed by telephone to deter-mine office policies and practices.Setting: Both surveys assessed primary care settings in the 11 intervention communities.Results: The physicians' survey (responserate, 48%) in-dicated that physicians report intervention with smok-ers more than 70% of the time, but the interventions rarely include key behavioral elements necessary for smoking modification. Physicians who received formal training in smoking cessation reported that they believed themselves to be more prepared and that they spent more time counseling patients than physicians who were not trained. The office survey (response rate, 83.2%) indicated that smoke-free policies are in place in most clinics and offices and that many offices pro-vide printed materials on smoking cessation. However, few offices had staff to coordinate smoking cessation activities. These surveys will be repeated following the intervention phase of the Community InterventionTrial for Smoking Cessation to assess changes in coun-seling practices and office policies.Conclusion: There is a positive relationshipbetween at-tendingtrainingand interveningwith more cessation ac-tivities. Physiciansperceive themselves as preparedto help smokers, but few are providing more than advice to stop smoking.