Vis enkel innførsel

dc.contributor.authorVan Eerd, Eva A.M.
dc.contributor.authorRisør, Mette Bech
dc.contributor.authorSpigt, Marcus
dc.contributor.authorGodycki-Ćwirko, Maciek
dc.contributor.authorAndreeva, Elena
dc.contributor.authorFrancis, Nick
dc.contributor.authorWollny, Anja
dc.contributor.authorMelbye, Hasse
dc.contributor.authorvan Schayck, Onno
dc.contributor.authorKotz, Daniel
dc.date.accessioned2017-11-08T08:24:44Z
dc.date.available2017-11-08T08:24:44Z
dc.date.issued2017-06-23
dc.description.abstractSmoking cessation is the only effective intervention to slow down the accelerated decline in lung function in smokers with chronic obstructive pulmonary disease. Nevertheless, physicians often do not routinely provide evidence-based smoking cessation treatment to their patients. To understand underlying reasons, we explored how physicians engage in smoking cessation treatment in their chronic obstructive pulmonary disease patients. In total, 21 focus group discussions were held with general practitioners and pulmonologists in seven different countries in Europe and Asia. We generated three themes, whereby some of the issues concerned smokers in general: first, ‘physicians’ frustration with chronic obstructive pulmonary disease patients who smoke’. These frustrations interfered with the provision of evidence-based treatment and could result in this group of patients being treated unequally. Second: ‘physicians’ limited knowledge of, and negative beliefs about, smoking cessation treatment’. This hindered treating smokers effectively. Third: ‘healthcare organisational factors that influence the use of smoking cessation treatments’. Money and time issues, as well as the failure to regard smoking as a disease, influenced how physicians engaged in smoking cessation treatment. Our results indicate that there is a number of barriers to the provision of effective smoking cessation treatment in patients with chronic obstructive pulmonary disease and smokers in general. Introducing an informative smoking cessation programme, including communication skills and ethical issues, in the vocational and postgraduate medical training may help to address these barriers. This is important in order to increase engagement with smoking cessation treatment and to improve quality of chronic obstructive pulmonary disease care.en_US
dc.descriptionSource at <a href=http://dx.doi.org/10.1038/s41533-017-0038-6> http://dx.doi.org/10.1038/s41533-017-0038-6 </a>en_US
dc.identifier.citationVan Eerd EA, Risør MB, Spigt M, Godycki-Ćwirko M, Andreeva E, Francis N, Wollny A, Melbye H, van Schayck O, Kotz D. Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study. Npj Primary Care Respiratory Medicine. 2017;27en_US
dc.identifier.issn2055-1010
dc.identifier.otherFRIDAID 1478541
dc.identifier.other10.1038/s41533-017-0038-6
dc.identifier.urihttp://hdl.handle.net/10037/11706
dc.language.isoengen_US
dc.publisherNature Publishing Groupen_US
dc.relation.journalNpj Primary Care Respiratory Medicine
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.titleWhy do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel