Medical Residents' and Practicing Physicians' e-Cigarette Knowledge and Patient Screening Activities: Do They Differ?
Medical Residents' and Practicing Physicians' e-Cigarette Knowledge and Patient Screening Activities: Do They Differ?
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医疗居民和执业医师的电子烟知识和患者筛查活动：它们有所不同吗？
DOI：
10.1177/2333392816678493
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发表时间：
2016-01
影响因子：
1.6
通讯作者：
Bellamy GR
中科院分区：
文献类型：
--
作者：
Geletko KW;Myers K;Brownstein N;Jameson B;Lopez D;Sharpe A;Bellamy GR
本研究的目的是比较初级保健专业的住院医生和执业医生对电子烟的认识和看法。我们想要确定从医学院毕业的年数是否对筛查实践、给患者的建议以及所使用的信息来源类型有影响。全州范围内的佛罗里达州初级保健住院医师（n = 61）和执业医生（n = 53）完成了一项在线或纸质调查，测量了患者筛查和医生建议、信念和与电子烟相关的知识。采用χ2关联检验、线性回归模型和逻辑回归模型来评估参与者组内和组间的差异。执业医师比住院医师更有可能相信，将电子烟作为香烟替代品的患者患癌症的风险更低（P = 0.0003）。住院医生更有可能从同事那里获得有关电子烟的信息（P = 0.0001）。没有观察到与电子烟知识或患者建议相关的统计学显著差异。执业的初级保健医生接受与电子烟相关的好处和成本，而初级保健的住院医生则更加沉默。需要在当前的医学教育课程和医疗提供者培训中纳入有关使用电子烟的潜在健康风险和益处的有针对性的教育，以提高提供者讨论有关使用该产品的问题的信心。
The purpose of this study was to compare medical residents and practicing physicians in primary care specialties regarding their knowledge and beliefs about electronic cigarettes (e-cigarettes). We wanted to ascertain whether years removed from medical school had an effect on screening practices, recommendations given to patients, and the types of informational sources utilized. A statewide sample of Florida primary care medical residents (n = 61) and practicing physicians (n = 53) completed either an online or paper survey, measuring patient screening and physician recommendations, beliefs, and knowledge related to e-cigarettes. χ2 tests of association and linear and logistic regression models were used to assess the differences within- and between-participant groups. Practicing physicians were more likely than medical residents to believe e-cigarettes lower cancer risk in patients who use them as an alternative to cigarettes (P = .0003). Medical residents were more likely to receive information about e-cigarettes from colleagues (P = .0001). No statistically significant differences were observed related to e-cigarette knowledge or patient recommendations. Practicing primary care physicians are accepting both the benefits and costs associated with e-cigarettes, while medical residents in primary care are more reticent. Targeted education concerning the potential health risks and benefits associated with the use of e-cigarettes needs to be included in the current medical education curriculum and medical provider training to improve provider confidence in discussing issues surrounding the use of this product.