Abstract:
BACKGROUND:The goal of this study is to better understand factors related to physician treatment of tobacco as a chronic medical condition. METHODS:In the fall of 2000, we conducted a mail survey of primary care physicians in a large mid-western health plan. The response rate was 61% (750/1235). The survey assessed physician attitude, perceived clinic support, training, and self-reported tobacco treatment practices. RESULTS:Twenty-nine percent of physicians reported incomplete or minimal care. Thirty-nine percent reported providing assistance without follow-up, while 21% reported providing follow-up to tobacco users making quit attempts. Only 12% of physicians reported assistance and follow-up for all tobacco users. Controlling for differences in physician and clinic characteristics, more positive physician attitudes decreased incomplete or minimal care (OR = 4.62 most positive tertile vs. least positive, P < 0.001) but did not increase follow-up activities. Higher perceived clinic support increased follow-up care (OR = 2.69, highest tertile vs. lowest, P < 0.001). Physician training was associated with increased provision of ongoing care (OR = 1.88 per additional hour of training, P < 0.001). CONCLUSIONS:Physician attitudes, clinic support, and training are related to different steps in the adoption of more complete tobacco use treatment. These findings support the need for multifaceted approaches to improve tobacco treatment as a chronic medical condition.
journal_name
Prev Medjournal_title
Preventive medicineauthors
An LC,Bernhardt TS,Bluhm J,Bland P,Center B,Ahluwalia JS,Foldes SS,Magnan S,Manley Mdoi
10.1016/j.ypmed.2003.11.016subject
Has Abstractpub_date
2004-05-01 00:00:00pages
574-85issue
5eissn
0091-7435issn
1096-0260pii
S0091743503003293journal_volume
38pub_type
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