ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000
Can general practitioners influence the nation's health through a population approach to provision of lifestyle advice?
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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The trial behind it
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Who cites it
29 citing papers in PubMed.
- A telephone-supported cardiovascular lifestyle programme (CLIP) for lipid reduction and weight loss in general practice patients: a randomised controlled pilot trial.Public health nutrition · 2014Trial
- Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners.BMJ (Clinical research ed.) · 2002Trial
- Physical activity on prescription in Swedish primary care: a survey on use, views, and implementation determinants amongst general practitioners.Scandinavian journal of primary health care · 2024Article
- Linking a peer coach physical activity intervention for older adults to a primary care referral scheme.BMC primary care · 2022Article
- Changes in received quality of care for knee osteoarthritis after a multicomponent intervention in a general practice in Denmark.Health science reports · 2021Article
- Association between received treatment elements and satisfaction with care for patients with knee osteoarthritis seen in general practice in Denmark.Scandinavian journal of primary health care · 2021Article
- Patients' and General Practitioners' Views About Preventive Care in Family Medicine in Switzerland: A Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019Article
- Analyzing Relationship between Patient and Doctor in Public Dental Health using Particle Memetic Multivariable Logistic Regression Analysis Approach (MLRA2).Journal of medical systems · 2018Article
- Process Evaluation of an eHealth Intervention Implemented into General Practice: General Practitioners' and Patients' Views.International journal of environmental research and public health · 2018Article
- The Effect of the eHealth Intervention 'MyPlan 1.0' on Physical Activity in Adults Who Visit General Practice: A Quasi-Experimental Trial.International journal of environmental research and public health · 2018Article
- Effect of the Web-Based Intervention MyPlan 1.0 on Self-Reported Fruit and Vegetable Intake in Adults Who Visit General Practice: A Quasi-Experimental Trial.Journal of medical Internet research · 2016Article
- A Self-Regulation eHealth Intervention to Increase Healthy Behavior Through General Practice: Protocol and Systematic Development.JMIR research protocols · 2015Article
- Health professionals' perspectives on exercise referral and physical activity promotion in primary care: Findings from a process evaluation of the National Exercise Referral Scheme in Wales.Health education journal · 2015Article
- Depth of the patient-doctor relationship and content of general practice consultations: cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- What do general practitioners think about an online self-regulation programme for health promotion? Focus group interviews.BMC family practice · 2015Article
- Physical activity on prescription (PAP) from the general practitioner's perspective - a qualitative study.BMC family practice · 2013Article
- Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study.BMC family practice · 2013Article
- Making health habitual: the psychology of 'habit-formation' and general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Health promotion in primary care: how should we intervene? A qualitative study involving both physicians and patients.BMC health services research · 2011Article
- Smoking cessation advice in consultations with health problems not related to smoking? Relevance criteria in Danish general practice consultations.Scandinavian journal of primary health care · 2010Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLifestyle advice from general practitioners (GPs) has been shown to have a positive effect on population health. In practice, GPs provide lifestyle advice to a minority of their patients only, those who are high risk or already have symptoms.
aimTo look in depth at GPs' attitudes towards adopting a population approach to lifestyle advice and to use these results to identify ways of maximising the potential of GPs to affect population health.
methodThirty-six GPs, purposively sampled by identifying characteristics likely to affect their health promotion activity, participated in a focus group study. Data from the focus groups were transcribed verbatim and analysed using standard methods.
resultsThe main themes that emerged suggested that GPs do not take a population approach to lifestyle advice because they prefer a high risk approach and doubt their ability to be effective in a population approach. GPs believed that social, cultural, and environmental factors were the most important determinants of population health. Furthermore, they were concerned about the detrimental effects on the doctor-patient relationship of providing lifestyle advice to all patients. GPs believed that a multi-agency, centrally co-ordinated approach was the preferred way to improve population health and that their role should be limited to secondary prevention.
conclusionLarge amounts of resources would be necessary to convince GPs to adopt a population approach to lifestyle advice. Measures to tackle the social and environmental determinants of health may be a more effective and efficient means of improving the nation's health.
Indexed as
Identifiers
10962782PMC1313722What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.