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.
- A total of 3254 physicians recorded data on 145716 adult patient visits.
- 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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0143888
Code Inist : 002B03E. Création : 21/07/1998.