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Related Experiment Videos

Physicians' attitudes and reported practices toward smoking intervention

R J Goldberg1, I S Ockene, J K Ockene

  • 1Department of Medicine, University of Massachusetts Medical School, Worcester 01655.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|January 1, 1993
PubMed
Summary
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Physician attitudes toward smoking intervention vary by specialty, with internists and family physicians more likely to intervene than surgeons. Key barriers include time, patient receptivity, and lifestyle factors, highlighting the need for targeted support for smoking cessation efforts.

Area of Science:

  • Medical Education
  • Public Health
  • Clinical Practice

Background:

  • Physician intervention is crucial for patient smoking cessation.
  • Understanding specialty-specific differences in attitudes and practices is essential for improving cessation support.
  • Smoking remains a significant public health concern, necessitating effective clinical strategies.

Purpose of the Study:

  • To investigate variations in smoking intervention attitudes and practices among internal medicine, family practice, and surgical physicians.
  • To identify factors influencing physicians' decisions to intervene with patients who smoke.
  • To explore perceived obstacles to delivering smoking cessation advice.

Main Methods:

  • A survey was administered to 224 physicians from internal medicine, family practice, and surgical specialties at one medical school.

Related Experiment Videos

  • Data collected included physician attitudes toward smoking cessation, reported intervention practices, and perceived barriers.
  • Statistical analysis was used to compare responses across physician groups.

    • Main Results:

    • Internists and family physicians reported higher rates of intervention with smoking patients compared to surgeons (50%).
    • All physician groups considered smoking cessation highly important for patients with chronic diseases.
    • Physicians were more likely to intervene with younger patients, those with reversible conditions, receptive patients, and those with prior quit attempts.

    Conclusions:

    • Significant differences exist among physician specialties regarding smoking intervention efforts.
    • Time constraints, patient receptivity, and lifestyle issues are major barriers to delivering smoking cessation interventions.
    • Reinforcing the role of physicians, particularly surgeons, in assisting patients to stop smoking is recommended.