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  1. National patterns in the treatment of smokers by physicians.

    Article - En anglais

    Context. - Routine treatment of smokers by physicians is a national health objective for the year 2000, a quality measure for health care plans, and the subject of evidence-based clinical guidelines.

    There are few national data on how physicians'practices compare with these standards.


    - To assess recent trends in the treatment of smokers by US physicians in ambulatory care and to determine whether physicians'practices meet current standards.


    - Analysis of 1991-1995 data from the National Ambulatory Medical Care Survey, an annual survey of a random sample of US office-based physicians.


    - Physicians'offices.


    - A total of 3254 physicians recorded data on 145716 adult patient visits.

    Main Outcome Measures

    - The proportion of visits at which physicians (1) identified a patient's smoking status, (2) counseled a smoker to quit, and (3) used nicotine replacement therapy.


    - Smoking counseling by physicians increased from 16% of smokers'visits in 1991 to 29% in 1993 (P<. 001) and then decreased to 21% of smokers'visits in 1995 (P<. 001).

    Nicotine replacement therapy use followed a similar pattern, increasing from 0.4% of smokers'visits in 1991 to 2.2% in 1993 (P<. 001) and decreasing to 1.3% of smokers'visits in 1995 (P=007).

    Physicians identified patients'smoking status at 67% of all visits in 1991 ; this proportion did not increase over time. (...)

    Mots-clés Pascal : Tabagisme, Schéma programme, Traitement, Relation médecin malade, Enquête publique, Prévention, Etats Unis, Amérique du Nord, Amérique, Homme, Toxicologie, Psychopathologie, Education santé

    Mots-clés Pascal anglais : Tobacco smoking, Program schemate, Treatment, Physician patient relation, Public inquiry, Prevention, United States, North America, America, Human, Toxicology, Psychopathology, Health education

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0143888

    Code Inist : 002B03E. Création : 21/07/1998.