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Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka

CONTEXT: Tobacco is a leading cause of disease and premature death. Most of the smokers visit a doctor for various health related ailments and thus such clinic visits provide many opportunities for interventions and professional tobacco cessation advice. AIMS: The primary aim of the following study...

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Autores principales: Saud, Mohammed, Madhu, B, Srinath, K M, Ashok, N C, Renuka, M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927241/
https://www.ncbi.nlm.nih.gov/pubmed/24574555
http://dx.doi.org/10.4103/0019-5545.124710
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author Saud, Mohammed
Madhu, B
Srinath, K M
Ashok, N C
Renuka, M
author_facet Saud, Mohammed
Madhu, B
Srinath, K M
Ashok, N C
Renuka, M
author_sort Saud, Mohammed
collection PubMed
description CONTEXT: Tobacco is a leading cause of disease and premature death. Most of the smokers visit a doctor for various health related ailments and thus such clinic visits provide many opportunities for interventions and professional tobacco cessation advice. AIMS: The primary aim of the following study is to assess the physician practices, perspectives, resources, barriers and education relating to tobacco cessation and their perceived need for training for the same. The secondary aim is to compare the physician's cessation practices from patient's perspective. SETTINGS AND DESIGN: A descriptive study was conducted in a hospital attached to Medical College in Mysore city, Karnataka. MATERIALS AND METHODS: Information about doctor's practices, perspectives and their perceived need for training in tobacco cessation were collected using pre-structured self-administered Questionnaire, which were distributed in person. Patient's practices and perspectives were assessed using a pre-structured Oral Questionnaire. RESULTS: Almost 95% of physicians said that they ask patients about their smoking status and 94% advise them to quit smoking, but only 50% assist the patient to quit smoking and only 28% arrange follow-up visits. Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role. Only 18% and 35% of the physicians said that Undergraduate Medical Education and Post Graduate Medical Education respectively prepared them very well to participate in smoking cessation activities. CONCLUSIONS: Tobacco cessation requires repeated and regular assistance. Such assistance is not being provided to patients by attending doctors. Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking. Reforms in education are needed so as to prepare the physician to effectively address this problem.
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spelling pubmed-39272412014-02-26 Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka Saud, Mohammed Madhu, B Srinath, K M Ashok, N C Renuka, M Indian J Psychiatry Original Article CONTEXT: Tobacco is a leading cause of disease and premature death. Most of the smokers visit a doctor for various health related ailments and thus such clinic visits provide many opportunities for interventions and professional tobacco cessation advice. AIMS: The primary aim of the following study is to assess the physician practices, perspectives, resources, barriers and education relating to tobacco cessation and their perceived need for training for the same. The secondary aim is to compare the physician's cessation practices from patient's perspective. SETTINGS AND DESIGN: A descriptive study was conducted in a hospital attached to Medical College in Mysore city, Karnataka. MATERIALS AND METHODS: Information about doctor's practices, perspectives and their perceived need for training in tobacco cessation were collected using pre-structured self-administered Questionnaire, which were distributed in person. Patient's practices and perspectives were assessed using a pre-structured Oral Questionnaire. RESULTS: Almost 95% of physicians said that they ask patients about their smoking status and 94% advise them to quit smoking, but only 50% assist the patient to quit smoking and only 28% arrange follow-up visits. Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role. Only 18% and 35% of the physicians said that Undergraduate Medical Education and Post Graduate Medical Education respectively prepared them very well to participate in smoking cessation activities. CONCLUSIONS: Tobacco cessation requires repeated and regular assistance. Such assistance is not being provided to patients by attending doctors. Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking. Reforms in education are needed so as to prepare the physician to effectively address this problem. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3927241/ /pubmed/24574555 http://dx.doi.org/10.4103/0019-5545.124710 Text en Copyright: © Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Saud, Mohammed
Madhu, B
Srinath, K M
Ashok, N C
Renuka, M
Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title_full Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title_fullStr Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title_full_unstemmed Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title_short Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka
title_sort physician's practices and perspectives regarding tobacco cessation in a teaching hospital in mysore city, karnataka
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927241/
https://www.ncbi.nlm.nih.gov/pubmed/24574555
http://dx.doi.org/10.4103/0019-5545.124710
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