Patient-physician agreement on tobacco and alcohol consumption: a multilevel analysis of GPs' characteristics

Autor: Laurent Rigal, Hector Falcoff, Jean-Laurent Thebault, Madeleine Favre, Frédérique Noël
Přispěvatelé: Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), Société de Formation Thérapeutique du Généraliste, Institut national d'études démographiques (INED), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Groupement régional de santé publique d'Ile de France, Conseil régional d’Ile deFrance, INPES, Duchange, Nathalie, Université Paris Descartes - Faculté de Médecine ( UPD5 Médecine ), Université Paris Descartes - Paris 5 ( UPD5 ), Institut national d'études démographiques ( INED ), Centre de recherche en épidémiologie et santé des populations ( CESP ), Université de Versailles Saint-Quentin-en-Yvelines ( UVSQ ) -Université Paris-Sud - Paris 11 ( UP11 ) -Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Adult
Male
medicine.medical_specialty
Paris
Substance-Related Disorders
education
Smoking Prevention
Alcohol drinking
Health informatics
Health administration
Agreement
Continuing medical education
General Practitioners
Internship
Tobacco
medicine
Humans
Aged
Physician-Patient Relations
Medical records
business.industry
Medical record
Public health
Nursing research
Health Policy
Smoking
[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie
Tobacco Use Disorder
Middle Aged
3. Good health
Alcoholism
Logistic Models
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Family medicine
Health Care Surveys
Multilevel Analysis
Observational study
Education
Medical
Continuing
Female
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Family Practice
General practice
Research Article
Zdroj: BMC Health Services Research
BMC Health Services Research, BioMed Central, 2014, 15, pp.110. ⟨10.1186/s12913-015-0767-6⟩
BMC Health Services Research, BioMed Central, 2014, 15, pp.110. 〈10.1186/s12913-015-0767-6〉
ISSN: 1472-6963
DOI: 10.1186/s12913-015-0767-6⟩
Popis: Background Data about tobacco and alcohol consumption are essential in many types of studies. These data can be obtained by directly questioning patients or by using the information collected from physicians. Agreement between these two sources varies according to the characteristics of patients but probably also those of physicians. The purpose of this study was to analyze the characteristics of general practitioners (GPs) associated with agreement between them and their patients about the patients’ consumption of alcohol and tobacco. Methods Data came from an observational survey among GPs who were internship supervisors in the Paris metropolitan area. Fifty-two volunteer GPs completed a self-administered questionnaire about the organization of their practice and their training. For each GP, a random sample of 70 patients, aged 40 to 74 years, answered questions about their personal tobacco and alcohol consumption. GPs simultaneously answered similar questions about each patient. We used a mixed logistic model to assess the association between physicians’ characteristics and agreement for patients’ smoking status and alcohol consumption. Results Data were collected from both patient and physician for 2599 patients. The agreement between patients and their physicians was 60.4% for smoking status and 48.7% for alcohol consumption. Physicians with continuing medical education in management of smokers and those reporting specific skill in managing hypertension had the best agreement for smoking. Physicians who taught courses at the university medical school and those reporting specific skill in managing alcoholism had the best agreement for alcohol consumption. Conclusions Agreement increases with physicians’ training and skills in management of patients with tobacco and alcohol problems. It supports the importance of professional training for improving the quality of epidemiologic data in general practice. Researchers who use GPs as a source of information about patients’ tobacco and alcohol consumption must assess the physicians’ characteristics.
Databáze: OpenAIRE
Externí odkaz: