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To assess and compare the smoking cessation practices and smoking behavior of Dutch general practitioners (GPs), cardiologists, and lung physicians.
Studies from developed countries revealed that tobacco cessation practices among adults aged 25 44 years were less prevalent than among older patients [ 20].
Likewise Shaohua et al 39 found that many family physicians feel lack of time was their biggest barrier in terms of implementing smoking cessation practices.
Using the formulas described in the Methods section, 85% of physicians (n = 1581) had a "good" score on tobacco cessation practices.
The methods, however, consisted of getting women to fill in the Hospital Anxiety and Depression Scale, a knowledge of health risks measure, a measure of opinions on the effectiveness of smoking cessation practices and an open-ended questionnaire on smoking.
Most studies have focused on general practice, although studies of PHC nurses in the USA and Finland have highlighted the importance of clinician beliefs and attitudes in understanding smoking cessation practices.
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If shown to be effective, the study will lead to an improved understanding of how to best assist clinicians to enhance the delivery of smoking cessation practice and will provide evidence to guide the design of smoking cessation interventions in primary care.
Evidence suggested the implementation of a smoking cessation practice guideline could decrease smoking rates.
A common desire for more effective ways to promote healthy behavior change provides an opportunity for collaboration in what we have elsewhere described as a community of cessation practice [ 57].
Although this survey did not measure clinical outcomes in patients, we assumed that patients being followed by physicians with better smoking cessation practice scores would have higher quit rates.
Current standard cessation practice at the New Zealand Quitline (as at November 2011) is as follows (other cessation providers in New Zealand do not follow the process outlined here): Quitline issues by post, two (or sometimes three) four-week Quitcards (with a 90 day expiry).
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