Veronica Schoj1, Raul Mejia2, Mariela Alderete1, Celia P Kaplan3, Lorena Peña2, Steven E Gregorich3, Ethel Alderete4, Eliseo J Pérez-Stable5. 1. Fundacion Interamericana del Corazon Argentina, Buenos Aires, Argentina. 2. Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina. 3. Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco. 4. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET); Universidad Nacional de Jujuy, Argentina. 5. Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina; Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco.
Abstract
BACKGROUND: Physician-implemented interventions for smoking cessation are effective but infrequently used. We evaluated smoking cessation practices among physicians in Argentina. METHODS: A self-administered survey of physicians from six clinical systems asked about smoking cessation counselling practices, barriers to tobacco use counselling and perceived quality of training received in smoking cessation practices. RESULTS: Of 254 physicians, 52.3% were women, 11.8% were current smokers and 52% never smoked. Perceived quality of training in tobacco cessation counselling was rated as very good or good by 41.8% and as poor/very poor by 58.2%. Most physicians (90%) reported asking and recording smoking status, 89% advised patients to quit smoking but only 37% asked them to set a quit date and 44% prescribed medications. Multivariate analyses showed that Physicians' perceived quality of their training in smoking cessation methods was associated with greater use of evidence-based cessation interventions. (OR = 6.5; 95% CI = 2.2-19.1); motivating patients to quit (OR: 7.9 CI 3.44-18.5), assisting patients to quit (OR = 9.9; 95% CI = 4.0-24.2) prescribing medications (OR = 9.6; 95% CI = 3.5-26.7), and setting up follow-up (OR = 13.0; 95% CI = 4.4-38.5). CONCLUSIONS: Perceived quality of training in smoking cessation was associated with using evidence-based interventions and among physicians from Argentina. Medical training programs should enhance the quality of this curriculum.
BACKGROUND: Physician-implemented interventions for smoking cessation are effective but infrequently used. We evaluated smoking cessation practices among physicians in Argentina. METHODS: A self-administered survey of physicians from six clinical systems asked about smoking cessation counselling practices, barriers to tobacco use counselling and perceived quality of training received in smoking cessation practices. RESULTS: Of 254 physicians, 52.3% were women, 11.8% were current smokers and 52% never smoked. Perceived quality of training in tobacco cessation counselling was rated as very good or good by 41.8% and as poor/very poor by 58.2%. Most physicians (90%) reported asking and recording smoking status, 89% advised patients to quit smoking but only 37% asked them to set a quit date and 44% prescribed medications. Multivariate analyses showed that Physicians' perceived quality of their training in smoking cessation methods was associated with greater use of evidence-based cessation interventions. (OR = 6.5; 95% CI = 2.2-19.1); motivating patients to quit (OR: 7.9 CI 3.44-18.5), assisting patients to quit (OR = 9.9; 95% CI = 4.0-24.2) prescribing medications (OR = 9.6; 95% CI = 3.5-26.7), and setting up follow-up (OR = 13.0; 95% CI = 4.4-38.5). CONCLUSIONS: Perceived quality of training in smoking cessation was associated with using evidence-based interventions and among physicians from Argentina. Medical training programs should enhance the quality of this curriculum.
Authors: Sabina Ulbricht; Sebastian E Baumeister; Christian Meyer; Carsten Oliver Schmidt; Anja Schumann; Hans-Jürgen Rumpf; Ulrich John Journal: Patient Educ Couns Date: 2008-09-24
Authors: Celia Patricia Kaplan; Eliseo J Pérez-Stable; Elena Fuentes-Afflick; Virginia Gildengorin; Susan Millstein; Maria Juarez-Reyes Journal: Arch Pediatr Adolesc Med Date: 2004-01
Authors: Francisco G Soto Mas; Héctor G Balcázar; Julia Valderrama Alberola; Chiehwen Ed Hsu Journal: BMC Public Health Date: 2008-01-08 Impact factor: 3.295