The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study

Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study
Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study
Smoking cessation is the only effective intervention to slow down the accelerated decline in lung function in smokers with chronic obstructive pulmonary disease. Nevertheless, physicians often do not routinely provide evidence-based smoking cessation treatment to their patients. To understand underlying reasons, we explored how physicians engage in smoking cessation treatment in their chronic obstructive pulmonary disease patients. In total, 21 focus group discussions were held with general practitioners and pulmonologists in seven different countries in Europe and Asia. We generated three themes, whereby some of the issues concerned smokers in general: first, ?physicians? frustration with chronic obstructive pulmonary disease patients who smoke?. These frustrations interfered with the provision of evidence-based treatment and could result in this group of patients being treated unequally. Second: ?physicians? limited knowledge of, and negative beliefs about, smoking cessation treatment?. This hindered treating smokers effectively. Third: ?healthcare organisational factors that influence the use of smoking cessation treatments?. Money and time issues, as well as the failure to regard smoking as a disease, influenced how physicians engaged in smoking cessation treatment. Our results indicate that there is a number of barriers to the provision of effective smoking cessation treatment in patients with chronic obstructive pulmonary disease and smokers in general. Introducing an informative smoking cessation programme, including communication skills and ethical issues, in the vocational and postgraduate medical training may help to address these barriers. This is important in order to increase engagement with smoking cessation treatment and to improve quality of chronic obstructive pulmonary disease care.
2055-1010
Eerd, Eva Anne Marije van
8e0d05a3-50f5-45c2-aa7a-eefefe3baff7
Risør, Mette Bech
1d925c4b-bb8f-4e9f-8367-748fed982660
Spigt, Mark
d81b9f01-cce1-43d3-9c3b-3b2836978c81
Godycki-Cwirko, Maciek
306b5836-4955-470d-bf1f-77c6ac282138
Andreeva, Elena
6f19d217-aef9-4b37-a140-f9b965e2ab3f
Francis, Nicholas
9b610883-605c-4fee-871d-defaa86ccf8e
Wollny, Anja
03a942d7-7817-4870-92b2-3aafc3421242
Melbye, Hasse
be60ca95-b236-48e5-8eb9-c9a153d54a8f
Schayck, Onno van
5c1a1e86-ff13-47ce-88ee-475e861f0269
Kotz, Daniel
00652a34-acf8-4e15-84a8-bd78526a152d
Eerd, Eva Anne Marije van
8e0d05a3-50f5-45c2-aa7a-eefefe3baff7
Risør, Mette Bech
1d925c4b-bb8f-4e9f-8367-748fed982660
Spigt, Mark
d81b9f01-cce1-43d3-9c3b-3b2836978c81
Godycki-Cwirko, Maciek
306b5836-4955-470d-bf1f-77c6ac282138
Andreeva, Elena
6f19d217-aef9-4b37-a140-f9b965e2ab3f
Francis, Nicholas
9b610883-605c-4fee-871d-defaa86ccf8e
Wollny, Anja
03a942d7-7817-4870-92b2-3aafc3421242
Melbye, Hasse
be60ca95-b236-48e5-8eb9-c9a153d54a8f
Schayck, Onno van
5c1a1e86-ff13-47ce-88ee-475e861f0269
Kotz, Daniel
00652a34-acf8-4e15-84a8-bd78526a152d

Eerd, Eva Anne Marije van, Risør, Mette Bech, Spigt, Mark, Godycki-Cwirko, Maciek, Andreeva, Elena, Francis, Nicholas, Wollny, Anja, Melbye, Hasse, Schayck, Onno van and Kotz, Daniel (2017) Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study. NPJ primary care respiratory medicine, 27 (1). (doi:10.1038/s41533-017-0038-6).

Record type: Article

Abstract

Smoking cessation is the only effective intervention to slow down the accelerated decline in lung function in smokers with chronic obstructive pulmonary disease. Nevertheless, physicians often do not routinely provide evidence-based smoking cessation treatment to their patients. To understand underlying reasons, we explored how physicians engage in smoking cessation treatment in their chronic obstructive pulmonary disease patients. In total, 21 focus group discussions were held with general practitioners and pulmonologists in seven different countries in Europe and Asia. We generated three themes, whereby some of the issues concerned smokers in general: first, ?physicians? frustration with chronic obstructive pulmonary disease patients who smoke?. These frustrations interfered with the provision of evidence-based treatment and could result in this group of patients being treated unequally. Second: ?physicians? limited knowledge of, and negative beliefs about, smoking cessation treatment?. This hindered treating smokers effectively. Third: ?healthcare organisational factors that influence the use of smoking cessation treatments?. Money and time issues, as well as the failure to regard smoking as a disease, influenced how physicians engaged in smoking cessation treatment. Our results indicate that there is a number of barriers to the provision of effective smoking cessation treatment in patients with chronic obstructive pulmonary disease and smokers in general. Introducing an informative smoking cessation programme, including communication skills and ethical issues, in the vocational and postgraduate medical training may help to address these barriers. This is important in order to increase engagement with smoking cessation treatment and to improve quality of chronic obstructive pulmonary disease care.

Text
s41533-017-0038-6 - Version of Record
Available under License Creative Commons Attribution.
Download (347kB)

More information

Accepted/In Press date: 10 May 2017
e-pub ahead of print date: 23 June 2017
Published date: June 2017

Identifiers

Local EPrints ID: 436140
URI: http://eprints.soton.ac.uk/id/eprint/436140
ISSN: 2055-1010
PURE UUID: 42ecfdd2-f0a7-49c4-b0e1-8169952c7bcd
ORCID for Nicholas Francis: ORCID iD orcid.org/0000-0001-8939-7312

Catalogue record

Date deposited: 29 Nov 2019 17:30
Last modified: 09 Jan 2022 04:08

Export record

Altmetrics

Contributors

Author: Eva Anne Marije van Eerd
Author: Mette Bech Risør
Author: Mark Spigt
Author: Maciek Godycki-Cwirko
Author: Elena Andreeva
Author: Anja Wollny
Author: Hasse Melbye
Author: Onno van Schayck
Author: Daniel Kotz

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×