Talking about smoking in primary care medical practice-Results of experimental studies from the US, UK and Germany

Olaf Von Dem Knesebeck, Anke Hoehne, Carol L.Link, Lisa Marceau, Ann Adams, Martin Roland, Stephen Campbell, Johannes Siegrist, John McKinlay

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective
To analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.

Methods
We conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient–actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.

Results
Female and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.

Conclusions
Although all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited.

Practice implications
Findings have implications for medical education and professional training of physicians as well as for the organization and financing of health care
Original languageEnglish
Pages (from-to)51-56
Number of pages6
JournalPatient Education and Counseling
Volume89
Issue number1
DOIs
Publication statusPublished - 2012
Externally publishedYes

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Germany
Primary Health Care
Smoking
Physicians
Coronary Disease
Videotape Recording
Primary Care Physicians
Medical Education
Social Class
Type 2 Diabetes Mellitus
Research Design
Organizations
Delivery of Health Care

Cite this

Von Dem Knesebeck, O., Hoehne, A., L.Link, C., Marceau, L., Adams, A., Roland, M., ... McKinlay, J. (2012). Talking about smoking in primary care medical practice-Results of experimental studies from the US, UK and Germany. Patient Education and Counseling, 89(1), 51-56. https://doi.org/10.1016/j.pec.2012.04.011
Von Dem Knesebeck, Olaf ; Hoehne, Anke ; L.Link, Carol ; Marceau, Lisa ; Adams, Ann ; Roland, Martin ; Campbell, Stephen ; Siegrist, Johannes ; McKinlay, John. / Talking about smoking in primary care medical practice-Results of experimental studies from the US, UK and Germany. In: Patient Education and Counseling. 2012 ; Vol. 89, No. 1. pp. 51-56.
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abstract = "ObjectiveTo analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.MethodsWe conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient–actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.ResultsFemale and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.ConclusionsAlthough all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited.Practice implicationsFindings have implications for medical education and professional training of physicians as well as for the organization and financing of health care",
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Von Dem Knesebeck, O, Hoehne, A, L.Link, C, Marceau, L, Adams, A, Roland, M, Campbell, S, Siegrist, J & McKinlay, J 2012, 'Talking about smoking in primary care medical practice-Results of experimental studies from the US, UK and Germany', Patient Education and Counseling, vol. 89, no. 1, pp. 51-56. https://doi.org/10.1016/j.pec.2012.04.011

Talking about smoking in primary care medical practice-Results of experimental studies from the US, UK and Germany. / Von Dem Knesebeck, Olaf; Hoehne, Anke; L.Link, Carol; Marceau, Lisa; Adams, Ann; Roland, Martin; Campbell, Stephen; Siegrist, Johannes; McKinlay, John.

In: Patient Education and Counseling, Vol. 89, No. 1, 2012, p. 51-56.

Research output: Contribution to journalArticle

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AU - Von Dem Knesebeck, Olaf

AU - Hoehne, Anke

AU - L.Link, Carol

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AU - Adams, Ann

AU - Roland, Martin

AU - Campbell, Stephen

AU - Siegrist, Johannes

AU - McKinlay, John

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N2 - ObjectiveTo analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.MethodsWe conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient–actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.ResultsFemale and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.ConclusionsAlthough all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited.Practice implicationsFindings have implications for medical education and professional training of physicians as well as for the organization and financing of health care

AB - ObjectiveTo analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.MethodsWe conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient–actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.ResultsFemale and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.ConclusionsAlthough all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited.Practice implicationsFindings have implications for medical education and professional training of physicians as well as for the organization and financing of health care

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