Schofield P E, Hill D J, Johnston C I, Streeton J A
Centre for Behavioural Research in Cancer, Anti-Cancer Council of Victoria, Australia.
Med Care. 1995 Feb;33(2):161-9.
The authors attempted to determine if the self-reported practices of hospital doctors regarding smoking cessation advice to their patients, would be influenced by the introduction of a scheme in which smokers were routinely identified on admission to hospital and were subsequently mailed letters including cessation advice. The second objective was to assess the relative levels of cessation counselling among different categories of doctors. Five hundred and fifteen doctors from two large public teaching hospitals in Melbourne, Australia participated in the study. Mail-out cessation advice took place in one hospital (the intervention hospital). In both hospitals, half of the doctors were surveyed 6 weeks before the mailing had commenced, and the remaining half were surveyed 6 months after. There were no significant differences between doctors at the intervention hospital and doctors at the control hospital in the self-reported advice to patients. Most doctors "encouraged patients to quit whenever possible." However, this encouragement seemed to be limited to talking to patients about the risks of smoking. Doctors less frequently gave advice concerning how to stop smoking. Compared with other doctors, internists seemed to be the most willing to encourage patients to quit and they reported higher levels of assisting patients to quit. There was no evidence that reminding doctors regularly that their patients were receiving mailed cessation advice significantly increased or decreased doctor's reporting smoking cessation activities with their patients. Internists are more involved in smoking cessation counselling than other types of doctors.
作者试图确定医院医生向患者提供戒烟建议的自我报告行为，是否会受到一项计划的影响，该计划是在患者入院时常规识别吸烟者，随后给他们邮寄包含戒烟建议的信件。第二个目标是评估不同类别医生之间戒烟咨询的相对水平。来自澳大利亚墨尔本两家大型公立教学医院的515名医生参与了这项研究。在一家医院（干预医院）进行了邮寄戒烟建议。在两家医院，一半的医生在邮寄开始前6周接受调查，其余一半在6个月后接受调查。在向患者提供的自我报告建议方面，干预医院的医生和对照医院的医生之间没有显著差异。大多数医生“尽可能鼓励患者戒烟”。然而，这种鼓励似乎仅限于与患者谈论吸烟的风险。医生较少给出关于如何戒烟的建议。与其他医生相比，内科医生似乎最愿意鼓励患者戒烟，并且他们报告的协助患者戒烟的水平更高。没有证据表明定期提醒医生他们的患者正在收到邮寄的戒烟建议会显著增加或减少医生报告的与患者进行戒烟活动的情况。内科医生比其他类型的医生更多地参与戒烟咨询。
