Abstract：
BACKGROUND:The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses the knowledge, attitudes, and clinical practice of primary care clinicians in relation to addressing tobacco dependence among older people. METHODS:A cross-sectional survey of 427 NHS primary care clinicians in a large English city was conducted using modified version of a previously validated questionnaire. RESULTS:One hundred and seventy one clinicians (40 % response rate) completed the survey. While the majority (90.0 %) of respondents reported enquiring regularly about older patients' smoking status, just over half (59.1 %) reported providing older patients with smoking cessation support. A lack of awareness in relation to the prevalence and impact of smoking in later life were apparent: e.g. only 47 % of respondents were aware of that approximately 10 life years are lost due to smoking related disease, and only 59 % knew that smoking can reduce the effectiveness of medication prescribed for conditions common in later life. Self-reported attendance at smoking-related training was significantly associated with proactive clinical practice. CONCLUSIONS:There is a need to improve clinicians' knowledge, in relation to smoking and smoking cessation in older patients and to build clinician confidence in seizing teachable moments.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Huddlestone L,Walker GM,Hussain-Mills R,Ratschen Edoi
10.1186/s12875-015-0317-7subject
Has Abstractpub_date
2015-08-06 00:00:00pages
97issn
1471-2296pii
10.1186/s12875-015-0317-7journal_volume
16pub_type
杂志文章abstract：BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01157-2
更新日期：2020-05-14 00:00:00
abstract：BACKGROUND:In hypertensive patients, reducing plasma low-density lipoprotein cholesterol level (LDL-C) is one of the main interventions for preventing chronic cardiovascular diseases (CVD). However, LDL-C control remains generally insufficient, also in patients with hypertension. We analyzed Electronic Health Record (E...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01138-5
更新日期：2020-04-14 00:00:00
abstract：BACKGROUND:Physical activity (PA) counselling is an effective approach to promote PA in primary health care (PHC). Barriers to PA counselling in PHC include time constraints, lack of knowledge and skills of providers, and systemic barriers. Using electronic health (eHealth) has the potential to promote PA. This scoping...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01304-9
更新日期：2020-11-06 00:00:00
abstract：BACKGROUND:Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perce...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-7-26
更新日期：2006-04-26 00:00:00
abstract：BACKGROUND:The way GPs work does not appear to be adapted to the needs of depressive patients. Therefore we wanted to examine Swedish GPs' conceptions of depressive disorders and their treatment and GPs' ideas of factors that may influence their manner of work with depressive patients. METHODS:A postal questionnaire t...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-6-21
更新日期：2005-05-16 00:00:00
abstract：BACKGROUND:As in other countries, there is concern and some fragmentary evidence that GPs' central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gives a systematic account of GPs' involvement in accident care from 2008 to 2016 and identifies chang...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01170-5
更新日期：2020-06-05 00:00:00
abstract：BACKGROUND:Patients with psychosocial problems may benefit from a variety of community, educational, recreational and voluntary sector resources, but GPs often under-refer to these through lack of knowledge and time. This study evaluated the acceptability and effectiveness of graduate primary care mental health workers...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-9-27
更新日期：2008-05-07 00:00:00
abstract：BACKGROUND:Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine the clinical indications of ultrasound in Swiss general practice...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01209-7
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to pot...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-1062-0
更新日期：2019-12-06 00:00:00
abstract：BACKGROUND:Depression is prevalent in people with type 2 diabetes and affects both glycemic control and overall quality of life. The aim of this trial was to evaluate the effect of the antidepressant paroxetine on metabolic control, quality of life and mental well-being in mildly depressed women with type 2 diabetes. ...
journal_title：BMC family practice
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1186/1471-2296-4-7
更新日期：2003-05-14 00:00:00
abstract：BACKGROUND:Hallingdal is a rural region in southern Norway. General practitioners (GPs) refer acutely somatically ill patients to any of three levels of care: municipal nursing homes, the regional community hospital or the local general hospital. The objective of this paper is to describe the patterns of referrals to t...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-14-87
更新日期：2013-06-22 00:00:00
abstract：BACKGROUND:Prognosis has been described as an important but neglected branch of clinical science. While patients' views have been sought in the context of life-threatening illness, similar research is lacking for patients presenting with common, non-life-threatening musculoskeletal complaints. The aim of this study was...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-50
更新日期：2009-07-07 00:00:00
abstract：BACKGROUND:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-1100-y
更新日期：2020-02-05 00:00:00
abstract：BACKGROUND:Smoking rates among the general population in Bosnia and Herzegovina are extremely high, and national campaigns to lower smoking rates have not yet begun. As part of future activities of the Queen's University Family Medicine Development Program in the Balkans Region, technical assistance may be provided to ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-5-12
更新日期：2004-06-11 00:00:00
abstract：BACKGROUND:Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians con...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0743-4
更新日期：2018-05-14 00:00:00
abstract：BACKGROUND:Intimate partner violence (IPV) including physical, sexual and emotional violence, causes short and long term ill-health. Brief questions that reliably identify women experiencing IPV who present in clinical settings are a pre-requisite for an appropriate response from health services to this substantial pub...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-8-49
更新日期：2007-08-29 00:00:00
abstract：BACKGROUND:Frequent attenders (FAs) use a disproportionately large share of the resources of general practitioners (GPs) working in primary healthcare centres. The aim of this study was to estimate the proportion of FAs among all patients in the primary health care centres of a medium-sized city in Finland, and to exam...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0836-0
更新日期：2018-08-28 00:00:00
abstract：UNLABELLED:This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid. BACKGROUND:The results on clinical practice of introducing CPGs have been little studied in Spain. The strategy used to implement a CP...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-12-21
更新日期：2011-04-19 00:00:00
abstract：BACKGROUND:The QUALICOPC (Quality and Costs of Primary Care in Europe) study aims to evaluate the performance of primary care systems in Europe in terms of quality, equity and costs. The study will provide an answer to the question what strong primary care systems entail and which effects primary care systems have on t...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-115
更新日期：2011-10-20 00:00:00
abstract：BACKGROUND:The definition of primary care varies between countries. Swedish primary care has developed from a philosophic viewpoint based on quality, accessibility, continuity, co-operation and a holistic view. The meaning of holism in international literature differs between medicine and nursing. The question is, if t...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-8-8
更新日期：2007-03-08 00:00:00
abstract：BACKGROUND:While increasing attention is being paid to enabling terminal patients to remain at home until death, limited information is available on the circumstances in which people at home actually die. Therefore this study aims to describe patient characteristics, functional and cognitive status and physical and psy...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-4
更新日期：2012-01-19 00:00:00
abstract：BACKGROUND:Inappropriate use of antidepressants (AD), defined as either continuation in the absence of a proper indication or continuation despite the lack of therapeutic efficacy, applies to approximately half of all long term AD users. METHODS/DESIGN:We have designed a cluster randomized controlled clinical trial to...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-14-6
更新日期：2013-01-08 00:00:00
abstract：BACKGROUND:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-016-0476-1
更新日期：2016-07-21 00:00:00
abstract：BACKGROUND:Maintaining a maternity care system is one of the biggest issues in Japan due to the decreasing number of obstetricians, especially in remote areas and islands. The aim of this qualitative study was to explore the challenges in women's health and maternity care in remote areas and islands for primary care ph...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0806-6
更新日期：2018-07-18 00:00:00
abstract：BACKGROUND:The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a wh...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0580-x
更新日期：2017-02-24 00:00:00
abstract：BACKGROUND:Young people (12-24 years) visit general practice but may not have a 'regular' general practitioner (GP). Whether continuity of GP care influences experiences with, and barriers to, health care among young people is unknown. This paper explores the association between having a regular GP and experience of he...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01294-8
更新日期：2020-10-28 00:00:00
abstract：BACKGROUND:Families of children with rare diseases (i.e., not more than 5 out of 10,000 people are affected) are often highly burdened with fears, insecurities and concerns regarding the affected child and its siblings. Although families caring for children with rare diseases are known to be at risk for mental disorder...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01312-9
更新日期：2020-11-20 00:00:00
abstract：BACKGROUND:Preventive services and health promotion in terms of lifestyle counselling provided through primary health care (PHC) has the potential to reduce morbidity and mortality in the population. Health professionals in general are positive about and willing to develop a health-promoting and/or preventive role. A n...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-99
更新日期：2012-10-10 00:00:00
abstract：BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-014-0175-8
更新日期：2014-10-25 00:00:00
abstract：BACKGROUND:There is a high prevalence of potentially inappropriate prescriptions in primary care. This is associated with more frequent adverse events, lower quality of life and more frequent visits to hospital accident & emergency departments. The aim of the present study is to summarise available evidence on the effe...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01166-1
更新日期：2020-06-08 00:00:00
