ArticleBMJ (Clinical research ed.)2001
Qualitative study of pilot payment aimed at increasing general practitioners' antismoking advice to smokers.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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Who cites it
11 citing papers in PubMed.
- Effects of practitioner education, practitioner payment and reimbursement of patients' drug costs on smoking cessation in primary care: a cluster randomised trial.Tobacco control · 2007Trial
- General practitioners' knowledge, attitudes and views of providing preconception care: a qualitative investigation.Upsala journal of medical sciences · 2016Article
- Article
- Health promotion in primary care: how should we intervene? A qualitative study involving both physicians and patients.BMC health services research · 2011Article
- Do financial incentives for delivering health promotion counselling work? Analysis of smoking cessation activities stimulated by the quality and outcomes framework.BMC public health · 2010Article
- Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Review
- Distributing questionnaires about smoking to patients: impact on general practitioners' recording of smoking advice.BMC health services research · 2007Article
- Quitting smoking and experience of smoking cessation interventions among UK Bangladeshi and Pakistani adults: the views of community members and health professionals.Journal of epidemiology and community health · 2006Article
- Factors associated with the provision of anti-smoking advice in general practice consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- Incentive payments may reduce time for clinical care.BMJ (Clinical research ed.) · 2001Article
- Intervention study to evaluate pilot health promotion payment aimed at increasing general practitioners' antismoking advice to smokers.BMJ (Clinical research ed.) · 2001Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo elicit general practitioners' and practice nurses' accounts of changes in their clinical practice or practice organisation made to claim a pilot health promotion payment. To describe attitudes towards the piloted and previous health promotion payments.
designQualitative, semistructured interview study.
setting13 general practices in Leicester.
participants18 general practitioners and 13 practice nurses.
resultsHealth professionals did not report substantially changing their clinical practice to claim the new payments and made only minimal changes in practice organisation. The new health promotion payment did not overcome general practitioners' resistance towards raising the issue of smoking when they felt that doing so could cause confrontation with patients. General practitioners who made the largest number of claims altered the way in which they recorded patients' smoking status rather than raising the topic of smoking more frequently with patients. PARTICIPANTS had strong negative views on the new payment, feeling it would also be viewed negatively by patients. They were, however, more positive about health promotion payments that rewarded "extra" effort-for example, setting up practice based smoking cessation clinics.
conclusionsGeneral practitioners and practice nurses were negative about a new health promotion payment, despite agreeing to pilot it. Health promotion payments do not automatically generate effective health promotion activity, and policymakers should consider careful piloting and evaluation of future changes in health promotion payments.
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