Fowler G, Mant D, Fuller A, Jones L
University Department of Community Medicine and General Practice, Radcliffe Infirmary, Oxford.
Lancet. 1989 Jun 3;1(8649):1253-5. doi: 10.1016/s0140-6736(89)92342-8.
The World Health Organisation and the International Agency against Cancer in 1988 published joint guidelines on smoking cessation for primary health care teams. A booklet entitled Help Your Patient Stop was produced in the United Kingdom as a model for the international dissemination of these guidelines. This booklet was sent to UK general practitioners by post; about 4 weeks later, a random sample of 5000 were asked to complete a postal questionnaire about the booklet and their smoking habits. The response rate was 75%. About half (50.5%) remembered receiving the booklet, 27.7% had read it, and only 8.8% could write down any of the three essential activities in smoking cessation which the booklet was intended to promote and which were printed in bold letters on the inside back cover. Although the booklet itself might be an adequate model for other countries, unless dissemination and marketing of the information it contains can be improved, its achievement will be limited. However, the survey did have one optimistic feature: only 13.5% of general practitioners reported that they smoke; and only a third of those who gave full details of their smoking habit smoke cigarettes.
1988年，世界卫生组织和国际癌症研究机构发布了针对初级卫生保健团队的戒烟联合指南。英国制作了一本名为《帮助你的患者戒烟》的小册子，作为这些指南国际传播的范例。这本小册子通过邮寄的方式分发给英国的全科医生；大约4周后，随机抽取5000名全科医生，要求他们填写一份关于这本小册子及其吸烟习惯的邮政调查问卷。回复率为75%。大约一半（50.5%）的人记得收到过这本小册子，27.7%的人读过，只有8.8%的人能写出小册子旨在推广的戒烟三项基本活动中的任何一项，这些活动印在封底内页的粗体字上。尽管这本小册子本身可能是其他国家的一个合适范例，但除非能改进其中所含信息的传播和推广，否则其成效将很有限。不过，这项调查有一个乐观的方面：只有13.5%的全科医生报告自己吸烟；在那些详细说明了自己吸烟习惯的人中，只有三分之一的人吸香烟。
