TY - JOUR
KW - Attitude of Health Personnel
KW - Counseling
KW - Decision Support Systems, Clinical
KW - Family Practice
KW - Focus Groups
KW - Humans
KW - internal medicine
KW - New York
KW - Patient Acceptance of Health Care/psychology
KW - Physicians, Family/psychology
KW - Primary Health Care/methods
KW - Primary Prevention/methods
KW - Qualitative Research
KW - Risk Reduction Behavior
KW - Self Efficacy
KW - Social Marketing
KW - Tape Recording
AU - A. L. Mirand
AU - G. P. Beehler
AU - C. L. Kuo
AU - M. C. Mahoney
A1 - 
AB - BACKGROUND: A practice intervention must have its basis in an understanding of the physician and practice to secure its benefit and relevancy. We used a formative process to characterize primary care physician attitudes, needs, and practice obstacles regarding primary prevention. The characterization will provide the conceptual framework for the development of a practice tool to facilitate routine delivery of primary preventive care. METHODS: A focus group of primary care physician Opinion Leaders was audio-taped, transcribed, and qualitatively analyzed to identify emergent themes that described physicians' perceptions of prevention in daily practice. RESULTS: The conceptual worth of primary prevention, including behavioral counseling, was high, but its practice was significantly countered by the predominant clinical emphasis on and rewards for secondary care. In addition, lack of health behavior training, perceived low self-efficacy, and patient resistance to change were key deterrents to primary prevention delivery. Also, the preventive focus in primary care is not on cancer, but on predominant chronic nonmalignant conditions. CONCLUSIONS: The success of the future practice tool will be largely dependent on its ability to "fit" primary prevention into the clinical culture of diagnoses and treatment sustained by physicians, patients, and payers. The tool's message output must be formatted to facilitate physician delivery of patient-tailored behavioral counseling in an accurate, confident, and efficacious manner. Also, the tool's health behavior messages should be behavior-specific, not disease-specific, to draw on shared risk behaviors of numerous diseases and increase the likelihood of perceived salience and utility of the tool in primary care.
BT - BMC public health
C5 - HIT & Telehealth
CY - England
JF - BMC public health
N2 - BACKGROUND: A practice intervention must have its basis in an understanding of the physician and practice to secure its benefit and relevancy. We used a formative process to characterize primary care physician attitudes, needs, and practice obstacles regarding primary prevention. The characterization will provide the conceptual framework for the development of a practice tool to facilitate routine delivery of primary preventive care. METHODS: A focus group of primary care physician Opinion Leaders was audio-taped, transcribed, and qualitatively analyzed to identify emergent themes that described physicians' perceptions of prevention in daily practice. RESULTS: The conceptual worth of primary prevention, including behavioral counseling, was high, but its practice was significantly countered by the predominant clinical emphasis on and rewards for secondary care. In addition, lack of health behavior training, perceived low self-efficacy, and patient resistance to change were key deterrents to primary prevention delivery. Also, the preventive focus in primary care is not on cancer, but on predominant chronic nonmalignant conditions. CONCLUSIONS: The success of the future practice tool will be largely dependent on its ability to "fit" primary prevention into the clinical culture of diagnoses and treatment sustained by physicians, patients, and payers. The tool's message output must be formatted to facilitate physician delivery of patient-tailored behavioral counseling in an accurate, confident, and efficacious manner. Also, the tool's health behavior messages should be behavior-specific, not disease-specific, to draw on shared risk behaviors of numerous diseases and increase the likelihood of perceived salience and utility of the tool in primary care.
PP - England
PY - 2002
SN - 1471-2458; 1471-2458
SP - 16
T1 - Physician perceptions of primary prevention: qualitative base for the conceptual shaping of a practice intervention tool
T2 - BMC public health
TI - Physician perceptions of primary prevention: qualitative base for the conceptual shaping of a practice intervention tool
U1 - HIT & Telehealth
VL - 2
VO - 1471-2458; 1471-2458
Y1 - 2002
ER -