很少有研究深入调查医生如何看待他们在戒烟护理中的作用。这项定性研究试图了解医生对戒烟责任的看法。
数据是通过2017年6月至11月在荷兰进行的个人半结构化访谈和焦点小组访谈收集的。我们采访了5位成瘾专家,5位麻醉师,4位心脏病学家,8个GP,5内科医生,5个神经科医生,2名儿科医生,6名肺病学家,7名外科医生,和8名青年保健医生(N=55)。数据分析遵循框架方法。
分析表明,三个演员被认为是戒烟的原因:医生,病人,还有政府.参与者认为医生有责任促进戒烟-尽管程度不同-患者承担着戒烟的最终责任,政府负责创建一个吸烟更困难,戒烟更容易的社会。人们发现对吸烟本身的看法对于参与者如何看待戒烟的责任很重要。对于许多参与者来说,尚不清楚哪个医疗保健提供者负责戒烟护理。
在卫生系统内组织戒烟护理应该是干预的重点。更好地定义医生的角色和责任感。此外,在医生的层面上定位对吸烟本身的看法似乎很重要,正如几位参与者的评论所建议的那样,政府也很重要。
Little research has investigated in-depth how physicians perceive their role in smoking cessation care. This qualitative study sought to understand physicians\' perceptions of responsibility for smoking cessation.
Data were collected through individual semi-structured interviews and focus group interviews between June and November 2017 in The Netherlands. We interviewed 5 addiction specialists, 5 anesthesiologist, 4 cardiologists, 8 GPs, 5 internists, 5 neurologists, 2 pediatricians, 6 pulmonologists, 7 surgeons, and 8 youth healthcare physicians (N = 55). Data analysis followed the framework approach.
The analysis showed that three actors were perceived as responsible for smoking cessation: physicians, patients, and the government. Participants perceived physicians as responsible for facilitating smoking cessation -albeit to different extents-, patients as carrying the ultimate responsibility for quitting smoking, and the government as responsible for creating a society in which smoking uptake is more difficult and quitting smoking easier. Perceptions of smoking itself were found to be important for how participants viewed responsibility for smoking cessation. It remained unclear for many participants which healthcare provider is responsible for smoking cessation care.
The organization of smoking cessation care within health systems should be a focus of intervention, to better define physician roles and perceptions of responsibility. In addition, it seems important to target perceptions of smoking itself on the level of physicians and -as suggested by comments by several participants- the government.