Dietary counselling for cardiovascular disease prevention in primary care settings: results from a German physician survey

Görig, Tatiana; Mayer, Manfred M.; Böck, Christina; Diehl, Katharina; Hilger, Jennifer; Herr, Raphael M.; Schneider, Sven

doi:10.1093/fampra/cmu007

Cited by 12 publications

(26 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…GPs clearly stated that their focus was not primary prevention but secondary prevention at best. Such findings have been shown by other survey studies in a German GP population [38]. The focus group participants in our study considered carefully when, and whether or not, to include primary preventive efforts in relation to the GP-specific patient-doctor relationship and their self-perceived role as a GP.…”

Section: Discussionsupporting

confidence: 68%

“…It is very likely that respondents were highly interested in primary prevention resulting in a responder bias such that non-responders are less likely give primary prevention advice to their patients. Other studies have found female physicians in Germany to be more active in providing lifestyle counseling to patients, especially on dietary habits, which reiterates that our sample was more prone towards primary prevention than the general population of GPs in Germany [38]. Response rates to physician surveys are generally low, especially when no compensation is given.…”

Section: Discussionmentioning

confidence: 54%

See 1 more Smart Citation

Primary prevention in general practice – views of German general practitioners: a mixed-methods study

et al. 2014

View full text Add to dashboard Cite

BackgroundPolicy efforts focus on a reorientation of health care systems towards primary prevention. To guide such efforts, we analyzed the role of primary prevention in general practice and general practitioners’ (GPs) attitudes toward primary prevention.MethodsMixed-method study including a cross-sectional survey of all community-based GPs and focus groups in a sample of GPs who collaborated with the Institute of General Practice in Berlin, Germany in 2011. Of 1168 GPs 474 returned the mail survey. Fifteen GPs participated in focus group discussions. Survey and interview guidelines were developed and tested to assess and discuss beliefs, attitudes, and practices regarding primary prevention.ResultsMost respondents considered primary prevention within their realm of responsibility (70%). Primary prevention, especially physical activity, healthy eating, and smoking cessation, was part of the GPs’ health care recommendations if they thought it was indicated. Still a quarter of survey respondents discussed reduction of alcohol consumption with their patients infrequently even when they thought it was indicated. Similarly 18% claimed that they discuss smoking cessation only sometimes. The focus groups revealed that GPs were concerned about the detrimental effects an uninvited health behavior suggestion could have on patients and were hesitant to take on the role of “health policing”. GPs saw primary prevention as the responsibility of multiple actors in a network of societal and municipal institutions.ConclusionsThe mixed-method study showed that primary prevention approaches such as lifestyle counseling is not well established in primary care. GPs used a selective approach to offer preventive advice based upon indication. GPs had a strong sense that a universal prevention approach carried the potential to destroy a good patient-physician relationship. Other approaches to public health may be warranted such as a multisectoral approach to population health. This type of restructuring of the health care sector may benefit patients who are unable to afford specific prevention programmes and who have competing demands that hinder their ability to focus on behavior change.

show abstract

Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 54%

Primary prevention in general practice – views of German general practitioners: a mixed-methods study

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Participant numbers for all studies ranged from 3 to 4074; most were between 47 and 1136 with the exception of one larger study (44). All studies were published between the years 2012 and 2018.…”

Section: Descriptive Findingsmentioning

confidence: 99%

Nutrition care by primary-care physicians: advancing our understanding using the COM-B framework

Crowley

Ball

Hiddink

2019

Public Health Nutr.

View full text Add to dashboard Cite

Objective:To investigate the nutrition education provided by primary-care physicians (PCP).Design:An integrative review was used to examine literature on nutrition care provided by PCP from 2012 to 2018. A literature search was conducted in MEDLINE, PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Scopus using key search terms.Setting:USA, Netherlands, Germany, Denmark, UK, Lebanon, Australia and New Zealand.Participants:Primary-care physicians.Results:Sixteen qualitative and quantitative studies were analysed thematically using meta-synthesis informed by the COM-B model of behaviour (capability, motivation and opportunity), to understand the influences on PCP behaviours to provide nutrition care. PCP perceive that they lack nutrition capability. While PCP motivation to provide nutrition care differs based on patient characteristics and those of their own, opportunity is influenced by medical educators, mentors and policy generated by professional and governmental organisations.Conclusions:The development of PCP capability, motivation and opportunity to provide nutrition care should begin in undergraduate medical training, and continue into PCP training, to create synergy between these behaviours for PCP to become confident providing nutrition care as an integral component of disease prevention and management in contemporary medical practice.

show abstract

“…Health professionals are under the impression that media are the most important source of information about what a healthy dietary pattern is for the population (28). Patients demand nutritional education but 78.5% of physicians consider that they do not have the necessary training to give good nutritional advice (29).…”

Section: What Is the Role Of Primary Physicians?mentioning

confidence: 99%

Adherence Of Spanish Primary Physicians And Clinical Practise To The Mediterranean Diet

et al. 2018

View full text Add to dashboard Cite

Dietary counselling for cardiovascular disease prevention in primary care settings: results from a German physician survey

Cited by 12 publications

References 12 publications

Primary prevention in general practice – views of German general practitioners: a mixed-methods study

Primary prevention in general practice – views of German general practitioners: a mixed-methods study

Nutrition care by primary-care physicians: advancing our understanding using the COM-B framework

Adherence Of Spanish Primary Physicians And Clinical Practise To The Mediterranean Diet

Contact Info

Product

Resources

About