Barriers to the provision of smoking cessation assistance

a qualitative study among Romanian family physicians

Catalina Panaitescu*, Mandy A. Moffat, Siân Williams, Hilary Pinnock, Melinda Boros, Cristian Sever Oana, Sandra Alexiu, Ioanna Tsiligianni, Mandy Moffat

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Citations (Scopus)
3 Downloads (Pure)

Abstract

Background: Smoking cessation is the most effective intervention to prevent and slow down the progression of several respiratory and other diseases and improve patient outcomes. Romania has legislation and a national tobacco control programme in line with the World Health Organization Framework for Tobacco Control. However, few smokers are advised to quit by their family physicians (FPs).

Aim: To identify and explore the perceived barriers that prevent Romanian FPs from engaging in smoking cessation with patients.

Methods: A qualitative study was undertaken. A total of 41 FPs were recruited purposively from Bucharest and rural areas within 600 km of the city. Ten FPs took part in a focus group and 31 participated in semistructured interviews. Analysis was descriptive, inductive and themed, according to the barriers experienced.

Results: Five main barriers were identified: limited perceived role for FPs; lack of time during consultations; past experience and presence of disincentives; patients’ inability to afford medication; and lack of training in smoking cessation skills. Overarching these specific barriers were key themes of a medical and societal hierarchy, which undermined the FP role, stretched resources and constrained care.

Conclusions: Many of the barriers described by the Romanian FPs reflected universally recognised challenges to the provision of smoking cessation advice. The context of a relatively hierarchical health-care system and limitations of time and resources exacerbated many of the problems and created new barriers that will need to be addressed if Romania is to achieve the aims of its National Programme Against Tobacco Consumption.
Original languageEnglish
Article number14022
Journalnpj Primary Care Respiratory Medicine
Volume24
DOIs
Publication statusPublished - 10 Jul 2014

Fingerprint

Family Physicians
Smoking Cessation
Romania
Tobacco
Physician's Role
Tobacco Use
Focus Groups
Legislation
Motivation
Referral and Consultation
Interviews
Delivery of Health Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

Cite this

Barriers to the provision of smoking cessation assistance : a qualitative study among Romanian family physicians. / Panaitescu, Catalina; Moffat, Mandy A.; Williams, Siân; Pinnock, Hilary; Boros, Melinda; Oana, Cristian Sever; Alexiu, Sandra; Tsiligianni, Ioanna; Moffat, Mandy.

In: npj Primary Care Respiratory Medicine, Vol. 24, 14022, 10.07.2014.

Research output: Contribution to journalArticle

Panaitescu, C, Moffat, MA, Williams, S, Pinnock, H, Boros, M, Oana, CS, Alexiu, S, Tsiligianni, I & Moffat, M 2014, 'Barriers to the provision of smoking cessation assistance: a qualitative study among Romanian family physicians', npj Primary Care Respiratory Medicine, vol. 24, 14022. https://doi.org/10.1038/npjpcrm.2014.22
Panaitescu, Catalina ; Moffat, Mandy A. ; Williams, Siân ; Pinnock, Hilary ; Boros, Melinda ; Oana, Cristian Sever ; Alexiu, Sandra ; Tsiligianni, Ioanna ; Moffat, Mandy. / Barriers to the provision of smoking cessation assistance : a qualitative study among Romanian family physicians. In: npj Primary Care Respiratory Medicine. 2014 ; Vol. 24.
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abstract = "Background: Smoking cessation is the most effective intervention to prevent and slow down the progression of several respiratory and other diseases and improve patient outcomes. Romania has legislation and a national tobacco control programme in line with the World Health Organization Framework for Tobacco Control. However, few smokers are advised to quit by their family physicians (FPs).Aim: To identify and explore the perceived barriers that prevent Romanian FPs from engaging in smoking cessation with patients.Methods: A qualitative study was undertaken. A total of 41 FPs were recruited purposively from Bucharest and rural areas within 600 km of the city. Ten FPs took part in a focus group and 31 participated in semistructured interviews. Analysis was descriptive, inductive and themed, according to the barriers experienced.Results: Five main barriers were identified: limited perceived role for FPs; lack of time during consultations; past experience and presence of disincentives; patients’ inability to afford medication; and lack of training in smoking cessation skills. Overarching these specific barriers were key themes of a medical and societal hierarchy, which undermined the FP role, stretched resources and constrained care.Conclusions: Many of the barriers described by the Romanian FPs reflected universally recognised challenges to the provision of smoking cessation advice. The context of a relatively hierarchical health-care system and limitations of time and resources exacerbated many of the problems and created new barriers that will need to be addressed if Romania is to achieve the aims of its National Programme Against Tobacco Consumption.",
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