Prevention and health promotion in clinical practice: the views of general practitioners in Europe

Brotons, Carlos; Björkelund, Celia; Bulc, Mateja; Ciurana, Ramon; Godycki-Ćwirko, Maciek; Jurgova, Eva; Kloppe, Pilar; Lionis, Christos; Mierzecki, Artur; Piñeiro, Rosa Ruiz; Pullerits, L; Sammut, Mario R.; Sheehan, Mary; Tataradze, R.; Thireos, Eleftherios; Vuchak, Jasna

doi:10.1016/j.ypmed.2004.07.020

Cited by 270 publications

(276 citation statements)

References 12 publications

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“…Physicians who do not exercise sufficiently may not present positive role modeling of behavior, self-discipline or commitment that supports regular PA. 29 Previous literature, based on US and EU physician samples, has shown similar (49%) 30 or slightly higher (54-59%) 25,31,32 PA levels than in these Catalan physicians. Two other studies, using questionnaires similar to those in the present study (two-week and 7 daysrecall), reported lower PA levels than was found in Catalan physicians.…”

Section: Discussionmentioning

confidence: 68%

Physical activity level and lifestyle-related risk factors from Catalan physicians

Pardo¹,

McKenna²,

Mitjans³

et al. 2012

Preventive Medicine

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Background: Physicians' own Physical Activity (PA) and other health-related habits influence PA promotion. The present study identifies the PA level, according to the current PA recommendations and other health-related habits of physicians from the Catalan Medical Council. Methods: 2,400 physicians (30 to 55 years) were randomly selected to generate a target sample of 800; each received a self-administered questionnaire identifying medical specialization, work setting, health self-perception, body mass index (BMI), PA and smoking habits. Results: 762 physicians responded (52% female). Almost one in two (49.3%) exercised sufficiently, nearly all selfperceived good health, while 80.5% were non-smokers. Almost 6 in 10 males reported overweight or obesity (56.9%) versus 18.2% of females. Active physicians dominated specific groups; (i) aged 45-55 years, (ii) specializing either in primary care or surgery, (iii) working in the private sector, (iv) BMI <25 kg/m 2 , (v) perceiving themselves in good health, or (vi) having free leisure time. Conclusions: Only half of Catalan physicians met current PA recommendations; male physicians were particularly at risk of overweight/obesity. Overweight and under exercise were associated with private workplaces and positive health perceptions, meaning that it is it is now possible to target inactive and/or overweight Catalan physicians in future interventions.

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Section: Discussionmentioning

confidence: 68%

Physical activity level and lifestyle-related risk factors from Catalan physicians

Pardo¹,

McKenna²,

Mitjans³

et al. 2012

Preventive Medicine

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“…A study among 2000 European primary care doctors showed significant gaps between physicians’ knowledge and their practices regarding evidence-based recommendations for health promotion and disease prevention, e.g. 86% of the doctors acknowledged that they should advise a smoker to quit, but only 61% did it [7]. Further, the EUROPREVIEW study showed that about half of the patients in primary care reported not having had any discussions on lifestyle with their GPs [5].…”

Section: Introductionmentioning

confidence: 99%

“…Research has demonstrated common barriers for healthcare systems to provide preventive services [9]. Large differences in the provision of preventive services between countries and regions have also been demonstrated [7]. …”

Section: Introductionmentioning

confidence: 99%

Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients’ expectations and experiences

Jerdén

Dalton

Johansson

et al. 2018

Global Health Action

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Background: Despite various guidelines, shortcomings in lifestyle counseling in primary care have been demonstrated. Comparisons between countries may provide insight on how to improve such counseling. To the best of our knowledge, studies comparing patients’ views of lifestyle counseling beween the United States (US) and European countries have not been reported. Objectives: To quantify and compare patients’ perspectives in the US and Sweden on primary care providers’ counseling on weight, eating habits, physical activity, smoking, and alcohol consumption. Methods: In a cross-sectional study, 629 patients from Sweden and the US completed a telephone interview about their experiences after a visit to a physician in primary care. The survey focused on patients’ perception of the importance of healthy lifestyle habits, their need to change, their desire to receive support from primary care, and the support they had actually received. Data were analyzed using chi-square or Fisher’s exact test. Results: For three of the four lifestyle habits, the proportion saying they needed to change was higher in the US. The exception was for alcohol, where Swedish subjects indicated a greater need to change. Among those stating a need to change, the proportion saying that they would like to have support from primary care was generally above 80% in both countries. The proportion of US patients reporting that their primary care provider had initiated a discussion of lifestyle modification was, with the exception of alcohol, roughly double the level reported by the Swedish patients. Conclusions: This study demonstrates high and quite similar patient expectations concerning lifestyle counseling in both countries, but more frequent initiation of discussions of most lifestyle issues in US primary care. Further studies, e.g. qualitative interviews with physicians, and medical record reviews, are required to better understand what can explain the differences between countries indicated by the study.

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“…Disease prevention and health promotion are important tasks in the daily practice of all general practitioners (GPs). Nevertheless, it has been shown that more than half of GPs think that carrying out prevention and health-promotion activities are difficult (Brotons et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Healthy diet in primary care: views of general practitioners and nurses from Europe

Piñeiro

Brotons

Bulc³

et al. 2005

Eur J Clin Nutr

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Background: Most of the national colleges of general practitioners (GPs) do not have their own dietary/nutritional tools, and GPs and nurses do not have the time, knowledge, or skills to advise their patients about desirable dietary practices. Objective: To assess the usefulness of a simple and practical guide on healthy diet to be used by European GPs and nurses. Design: A postal survey was mailed to 171 GPs and nurses from 12 European countries to obtain information about the usefulness of a guide on healthy diet developed by EUROPREV. Results: The perception of health professionals is that the main source of information on healthy diet for the population was the media. In all, 95% of GPs and nurses reported that the guide was useful; 93, 95, and 82% reported that the concepts were concise, easy to understand, and realistic, respectively. Also, 77% reported that the type of counselling recommended was feasible and could be applied, 94% reported that the implementation measures proposed could be effective and 88% reported that the Traditional Mediterranean Diet Pyramid is useful, but some concerns about the content were mentioned. Conclusions: GPs and nurses from Europe think that a practical guide on healthy diet developed by EUROPREV could be used to advise patients in primary care, although the Traditional Mediterranean Diet Pyramid should be modified.

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Prevention and health promotion in clinical practice: the views of general practitioners in Europe

Cited by 270 publications

References 12 publications

Physical activity level and lifestyle-related risk factors from Catalan physicians

Physical activity level and lifestyle-related risk factors from Catalan physicians

Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients’ expectations and experiences

Healthy diet in primary care: views of general practitioners and nurses from Europe

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