Attitudes toward Nutrition Care among General Practitioners in Croatia

Dumić, Albina; Miškulin, Ivan; Pavlović, Nika; Kenjerić, Daniela; Orkić, Želimir; Miškulin, Maja

doi:10.3390/jcm7040060

Cited by 15 publications

(23 citation statements)

References 25 publications

(45 reference statements)

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“…Positive attitudes toward incorporating nutrition care in the management of patients living with diet-related chronic disease were found. This is consistent with other studies conducted around the world, which indicated that primary care physicians realise nutrition care as an important aspect of their clinical practice 14 19–21…”

Section: Discussionsupporting

confidence: 91%

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

et al. 2020

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ObjectivesPrimary care physicians have an opportunity to support healthy dietary behaviours of patients by providing nutrition care. However, it is unclear whether primary care physicians in the Kingdom of Saudi Arabia (KSA) are sufficiently competent in nutrition. This study aimed to assess the nutrition competence of primary care physicians in KSA and identify whether nutrition competence is associated with the provision of nutrition care to patients living with diet-related chronic disease.DesignA cross-sectional study.SettingChronic disease clinics across 48 primary care centres under the Ministry of Health in the city of Jeddah, KSA.Participants90 primary care physicians completed the survey (response rate: 98%). General practitioners and family medicine residents, specialists, and consultants actively working in chronic disease clinics between February and May 2019 were included.Primary and secondary outcome measuresPrimary outcome measure was nutrition competence of primary care physicians measured via the validated nutrition competence (NUTCOMP) questionnaire.ResultsPrimary care physicians perceived themselves as competent in nutrition care but their reported provision of nutrition care was limited. Confidence in their nutrition knowledge and skills elicited the lowest mean scores of 25.8 (±5.4) out of 35 and 29 (±5.2) out of 40, respectively. The reported provision of nutrition care was closely correlated with physicians’ confidence in their nutrition knowledge (r=0.57) and communication (r=0.52). Three factors were identified as predicting whether physicians provide nutrition care to patients: confidence in counselling about nutrition (p<0.001), having previous nutrition education (p=0.005) and a higher professional qualification (p=0.008).ConclusionsPrimary care physicians felt confident in providing nutrition care to patients living with diet-related chronic disease. Primary care physicians would benefit from higher levels of nutrition knowledge and skills to effectively support patients to improve their dietary behaviours and health conditions, leading to a positive impact on public health.

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Section: Discussionsupporting

confidence: 91%

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

et al. 2020

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“…Regarding the personal ailment from chronic diseases and nutrition knowledge, it seems that Croatian GPs who have suffered from chronic diseases with improper nutrition posing as a risk factor, despite their illness, still do not recognize the significance of nutritional factors in their etiology. Such finding was also determined for the interconnection between the personal ailment from chronic diseases and attitudes toward the significance of nutrition in the treatment and prevention of chronic diseases and toward nutrition care among Croatian GPs [ 3 ]. GPs with poor nutrition knowledge that suffer from some kind of chronic diseases and despite that do not recognize the significance of nutritional factors in etiology of their diseases are bad role models for their patients.…”

Section: Discussionmentioning

confidence: 99%

“…Nutrition care is an important component of healthcare that plays a critical role in the prevention and treatment of majority of chronic non-communicable diseases which are leading causes of morbidity and mortality throughout the world [ 1 , 2 ]. Nutrition care refers to any practice undertaken by a health professional to improve an individual’s food-related behavior and subsequent health outcomes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nutrition care delivered in primary health care setting is an effective and necessary preventive health care measure for the prevention of the chronic non-communicable diseases [ 5 ]. Moreover, health workers in primary health care settings are particularly important providers of nutrition care because they can motivate even healthy individuals to adopt healthier lifestyles [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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The Nutrition Knowledge of Croatian General Practitioners

Dumić

Miškulin

Pavlović

et al. 2018

JCM

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Nutrition care delivered in primary health care setting is an effective and necessary preventive health care measure. General practitioners (GPs) nutrition knowledge is related to their nutrition care practice. The aim of this study was to explore the nutrition knowledge of Croatian GPs, and to investigate its connection with the implementation of nutrition care in GPs’ offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July 2013, via an anonymous questionnaire. The study showed that only 35.8% of the Croatian GPs had an adequate level of nutrition knowledge (five or more correct answers to nutrition questions). The study further revealed that females, GPs with additional education in nutrition and GPs who had not suffered from chronic diseases with poor nutrition posing as a risk factor had better nutrition knowledge (p = 0.029, p < 0.001 and p = 0.041, respectively). The Spearman rank correlation between GPs’ nutrition knowledge and the implementation of nutrition care in their offices during daily work with patients was rs = −0.190 (p < 0.001). To provide nutrition care in GPs’ offices in Croatia, strategies for improving GPs’ nutrition knowledge are needed.

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“…Also, respondents are prone to giving socially acceptable responses rather than giving their actual opinions. However, findings of self-reported studies are still considered to be as valid as more extensive and expensive tests [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Care Provider Counseling Practices about Adverse Drug Reactions and Interactions in Croatia

Lucic

Jakab

Smolić

et al. 2018

JCM

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Background: Prescribing medications is one of the most common medical decisions that is made by primary care providers (PCPs). In the Republic of Croatia, PCPs hold a key position in prescribing and evaluating the medications that are provided for patients. Accordingly, providing advice for patients regarding the potential adverse drug reactions (ADRs) and drug-drug interactions (DDIs) is frequently the responsibility of the PCPs. The aim of the current study was to assess the knowledge, attitudes, and counseling practices of PCPs regarding drug interactions and adverse effects. Methods: After enrolling 195 PCPs that were selected at random, a survey was conducted while using an anonymous questionnaire that was created based on previously published studies, adjusted in a way that includes the most commonly prescribed medications in Croatia. Results: Of the 10 questions on knowledge about DDIs and ADRs, the median number of correct responses by PCPs was 5 (interquartile range 4 to 7). More than half of respondents (56%) agreed with the claim that knowledge of drug side effects facilitated their work in family medicine. Almost all of the respondents (92.8%) explained side effects and drug interactions to special groups of patients (pregnant women, elderly patients etc.). Conclusion: The results show a need for additional education in the field of drug prescribing. However, PCPs were aware of the importance of counseling practices about adverse drug reactions and interactions and counseling practices among special patients populations are satisfactory.

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Attitudes toward Nutrition Care among General Practitioners in Croatia

Cited by 15 publications

References 25 publications

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

The Nutrition Knowledge of Croatian General Practitioners

Primary Care Provider Counseling Practices about Adverse Drug Reactions and Interactions in Croatia

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