The Library
Talking about smoking in primary care medical practice—results of experimental studies from the US, UK and Germany
Tools
Tools
Tools
von dem Knesebeck, Olaf, Hoehne, Anke, Link, Carol, Marceau, Lisa, Adams, Ann, Roland, Martin, Campbell, Stephen, Siegrist, Johannes and McKinlay, John (2012) Talking about smoking in primary care medical practice—results of experimental studies from the US, UK and Germany. Patient Education and Counseling, Vol.89 (No.1). pp. 51-56. doi:10.1016/j.pec.2012.04.011 ISSN 0738-3991.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1016/j.pec.2012.04.011
Abstract
Objective
To analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.
Methods
We conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient–actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.
Results
Female and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.
Conclusions
Although all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited.
Practice implications
Findings have implications for medical education and professional training of physicians as well as for the organization and financing of health care.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | Patient Education and Counseling | ||||
| Publisher: | Elsevier Ireland Ltd. | ||||
| ISSN: | 0738-3991 | ||||
| Official Date: | October 2012 | ||||
| Dates: |
|
||||
| Volume: | Vol.89 | ||||
| Number: | No.1 | ||||
| Page Range: | pp. 51-56 | ||||
| DOI: | 10.1016/j.pec.2012.04.011 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
