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The impact of a GP clinical audit on the provision of smoking cessation advice

AIM: To investigate whether participation in a clinical audit and education session would improve GP management of patients who smoke. METHODS: GPs who participated in an associated smoking cessation research program were invited to complete a three-stage clinical audit. This process included a retr...

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Autores principales: McKay-Brown, Lisa, Bishop, Nicole, Balmford, James, Borland, Ron, Kirby, Catherine, Piterman, Leon
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576050/
https://www.ncbi.nlm.nih.gov/pubmed/18973708
http://dx.doi.org/10.1186/1447-056X-7-4
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author McKay-Brown, Lisa
Bishop, Nicole
Balmford, James
Borland, Ron
Kirby, Catherine
Piterman, Leon
author_facet McKay-Brown, Lisa
Bishop, Nicole
Balmford, James
Borland, Ron
Kirby, Catherine
Piterman, Leon
author_sort McKay-Brown, Lisa
collection PubMed
description AIM: To investigate whether participation in a clinical audit and education session would improve GP management of patients who smoke. METHODS: GPs who participated in an associated smoking cessation research program were invited to complete a three-stage clinical audit. This process included a retrospective self-audit of smoking cessation management practices over the 6 months prior to commencing the study, attending a 2.5 hour education session about GP management of smoking cessation, and completion of a second retrospective self-audit 6 months later. Twenty-eight GPs completed the full audit and education process, providing information about their smoking cessation management with 1114 patients. The main outcome measure was changes in GP management of smoking cessation with patients across the audit period, as measured by the clinical audit tool. RESULTS: The majority of GPs (57%) indicated that as a result of the audit process they had altered their approach to the management of patients who smoke. Quantitative analyses confirmed significant increases in various forms of evidence-based smoking cessation management practices to assist patients to quit, or maintain quitting across the audit period. However comparative analyses of patient data challenged these findings, suggesting that the clinical audit process had less impact on GP practice than suggested in GP's self-reported audit data. CONCLUSION: This study provides some support for the combined use of self-auditing, feedback and education to improve GP management of smoking cessation. However further research is warranted to examine GP- and patient-based reports of outcomes from clinical audit and other educational interventions.
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spelling pubmed-25760502008-10-31 The impact of a GP clinical audit on the provision of smoking cessation advice McKay-Brown, Lisa Bishop, Nicole Balmford, James Borland, Ron Kirby, Catherine Piterman, Leon Asia Pac Fam Med Research AIM: To investigate whether participation in a clinical audit and education session would improve GP management of patients who smoke. METHODS: GPs who participated in an associated smoking cessation research program were invited to complete a three-stage clinical audit. This process included a retrospective self-audit of smoking cessation management practices over the 6 months prior to commencing the study, attending a 2.5 hour education session about GP management of smoking cessation, and completion of a second retrospective self-audit 6 months later. Twenty-eight GPs completed the full audit and education process, providing information about their smoking cessation management with 1114 patients. The main outcome measure was changes in GP management of smoking cessation with patients across the audit period, as measured by the clinical audit tool. RESULTS: The majority of GPs (57%) indicated that as a result of the audit process they had altered their approach to the management of patients who smoke. Quantitative analyses confirmed significant increases in various forms of evidence-based smoking cessation management practices to assist patients to quit, or maintain quitting across the audit period. However comparative analyses of patient data challenged these findings, suggesting that the clinical audit process had less impact on GP practice than suggested in GP's self-reported audit data. CONCLUSION: This study provides some support for the combined use of self-auditing, feedback and education to improve GP management of smoking cessation. However further research is warranted to examine GP- and patient-based reports of outcomes from clinical audit and other educational interventions. BioMed Central 2008-10-14 /pmc/articles/PMC2576050/ /pubmed/18973708 http://dx.doi.org/10.1186/1447-056X-7-4 Text en Copyright © 2008 McKay-Brown et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
McKay-Brown, Lisa
Bishop, Nicole
Balmford, James
Borland, Ron
Kirby, Catherine
Piterman, Leon
The impact of a GP clinical audit on the provision of smoking cessation advice
title The impact of a GP clinical audit on the provision of smoking cessation advice
title_full The impact of a GP clinical audit on the provision of smoking cessation advice
title_fullStr The impact of a GP clinical audit on the provision of smoking cessation advice
title_full_unstemmed The impact of a GP clinical audit on the provision of smoking cessation advice
title_short The impact of a GP clinical audit on the provision of smoking cessation advice
title_sort impact of a gp clinical audit on the provision of smoking cessation advice
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576050/
https://www.ncbi.nlm.nih.gov/pubmed/18973708
http://dx.doi.org/10.1186/1447-056X-7-4
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