McEwen A, West R, Owen L, Raw M
Cancer Research UK, Health Behaviour Unit, University College London, 2-16 Torrington Place, WC1E 6BT London, UK.
Public Health. 2005 Apr;119(4):262-8. doi: 10.1016/j.puhe.2004.05.016.
Increasing the rate of smoking cessation remains a major public health goal. To help achieve this in the UK, National Health Service (NHS) smoking cessation services have been established to provide treatment for smokers wanting help with stopping. Referrals from general practitioners (GPs) are crucial to the success of these clinics. This study aimed to assess English GPs' self-reported interactions with, and attitudes towards, their local smoking cessation services.
Postal survey assessing the attitudes of GPs in England towards, and formal interactions with, NHS smoking cessation services.
A questionnaire was posted to a random sample of 544 GPs in England (response rate 63%). GPs' self-reported interactions with smoking cessation services and their attitudes towards these clinics were assessed. GPs were also asked what factors determined whether they prescribed nicotine-replacement therapy (NRT) and Buproprion (Zyban), and what was the extent and nature of their smoking cessation interventions with their patients.
Most GPs (94%) reported that they were aware of the specialist smoking cessation service in their area. Seventy percent of GPs supported the continuation of current funding for specialist smoking cessation services. Seventy percent reported that they referred patients to these services, and 55% had staff within their practices trained as community smoking cessation advisors. Most GPs (79%) reported 'clinical need' as a determinant of whether they prescribed NRT/Zyban, and a few GPs cited 'budgetary constraints' as a factor (15%). Ninety-eight percent of GPs reported that they record smoking status when new patients join their practice, and they advise smokers to stop 'at least every now and then'.
GPs support the existence and continuation of specialist smoking cessation services, and most reported that they refer patients to them. Virtually every GP reported that they record smoking status when new patients join their practice, and they advise smokers to stop 'at least every now and then'.
提高戒烟率仍是一项主要的公共卫生目标。为了在英国助力实现这一目标，已设立国民保健服务（NHS）戒烟服务，为希望获得戒烟帮助的吸烟者提供治疗。全科医生（GP）的转诊对于这些诊所的成功至关重要。本研究旨在评估英国全科医生自我报告的与当地戒烟服务的互动情况及其对这些服务的态度。
通过邮寄调查问卷评估英格兰全科医生对NHS戒烟服务的态度以及与之的正式互动情况。
向英格兰544名全科医生的随机样本邮寄了一份问卷（回复率63%）。评估了全科医生自我报告的与戒烟服务的互动情况及其对这些诊所的态度。还询问了全科医生哪些因素决定他们是否开具尼古丁替代疗法（NRT）和安非他酮（Zyban），以及他们对患者进行戒烟干预的程度和性质。
大多数全科医生（94%）报告称他们知晓所在地区的专业戒烟服务。70%的全科医生支持继续为专业戒烟服务提供当前资金。70%的人报告称他们会将患者转诊至这些服务机构，55%的诊所内有工作人员接受过社区戒烟顾问培训。大多数全科医生（79%）报告称“临床需求”是他们开具NRT/Zyban的决定因素，少数全科医生将“预算限制”作为一个因素（15%）。98%的全科医生报告称他们在新患者加入诊所时记录吸烟状况，并且他们建议吸烟者“至少偶尔”戒烟。
全科医生支持专业戒烟服务的存在和延续，大多数人报告称他们会将患者转诊至这些服务机构。几乎每位全科医生都报告称他们在新患者加入诊所时记录吸烟状况，并且他们建议吸烟者“至少偶尔”戒烟。
