Woller S C, Smith S S, Piasecki T M, Jorenby D E, Helberg C P, Love R R, Fiore M C
Ctr for Tobacco Research & Intervention, UW-Madison, USA.
Wis Med J. 1995;94(5):266-72.
To determine the level of intervention provided by primary care physicians to individuals who smoke.
45 primary care clinics throughout the upper Midwest.
6,086 men and women (M:F = 1:2), ages 50 to 68, who sought medical care at any one of the 45 primary care clinics and completed two questionnaires regarding preventive medical services received during the previous 3 years (1990-1993).
Of patients who smoke, 92% reported that their clinician had asked about their smoking status. Additionally, 86% reported being informed at their clinic of the dangers of tobacco use. A smaller percentage of individuals (60.1%) reported being explicitly advised on how to quit, and fewer still (27.2%) reported being referred to a stop smoking program.
While most clinicians inquire about their patients' smoking status and recommend they quit, there currently exists a deficiency in the translation of these recommendations into concise, explicit instructions on how to quit. By increasing the frequency of clinicians giving specific advice about how to quit, the overall success rate of the public health campaign against tobacco use will be greatly enhanced.
确定初级保健医生为吸烟人群提供的干预水平。
中西部上游地区的45家初级保健诊所。
6086名男性和女性（男:女 = 1:2），年龄在50至68岁之间，他们在45家初级保健诊所中的任何一家寻求医疗服务，并完成了两份关于过去3年（1990 - 1993年）所接受预防性医疗服务的问卷。
在吸烟患者中，92%报告称其临床医生询问过他们的吸烟状况。此外，86%报告称在诊所被告知吸烟的危害。报告得到如何戒烟明确建议的个体比例较小（60.1%），报告被转介至戒烟项目的更少（27.2%）。
虽然大多数临床医生会询问患者的吸烟状况并建议他们戒烟，但目前在将这些建议转化为关于如何戒烟的简洁、明确指导方面存在不足。通过增加临床医生给出如何戒烟具体建议的频率，针对吸烟的公共卫生运动的总体成功率将得到极大提高。
