Navy Health Care Provider Attitudes and Practices Concerning Patient Tobacco Use
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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This study surveyed Navy health care providers HCPs regarding mandated patient-care practices related to tobacco use. Surveys were completed by 2,287 participants, and included 1,181 physicians, 548 dentists, 26 nurse practitioners, 19 physician assistants, and 513 independent duty corpsmen. Almost 80 of Navy HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in four behaviors with most or all of their tobacco-using patients advise patients to stop, advise pregnant users of health risks to the fetus, inform patients of benefits of quitting, and explain dangers of using tobacco. Other recommended cessation strategies were not performed regularly i.e., assist patients in setting quit date, develop cessation plan, provide self-help materials, make referrals to cessation programs, prescribe nicotine gum, or arrange follow-up visits. Higher percentages of NPs and PAs reported engaging in tobacco-related practices with their patients physicians were intermediate, while lower percentages of dentists and IDCs reported tobacco-related practices. It is recommended that concerted efforts be made to train all Navy HCPs to use the National Cancer Institutes Four As approach for patient tobacco cessation, and that organizational support to implement these procedures be mandated. Tobacco Use, Health Care Provider, Health Care Provider Attitudes, Patient Care Practices.
- Personnel Management and Labor Relations
- Medicine and Medical Research