Patient perspectives on tobacco use treatment in primary care.

摘要: Introduction Evidence-based tobacco cessation interventions increase quit rates, yet most smokers do not use them. Every primary care visit offers the potential to discuss such options, but communication can be tricky for patients and provider alike. We explored smokers' personal interactions with health providers better understand what it is like a smoker in an increasingly smoke-free era resources needed support attempts define important patient-centered outcomes. Methods Three 90-minute focus groups, involving 33 from 3 clinics, were conducted. Participants current or recent (having within 6 months) smokers. Topics included use, attempts, providers, followed by more pointed questions exploring actions want outcome measures that would meaningful patients. Results Four themes identified through inductive coding techniques: 1) experience of being user (inconvenience, shame, isolation, risks, benefits), 2) medical encounter (expectations trust respect, positive, targeted messaging), 3) high-value (consistent dialogue, addiction model, point-of-care nicotine patches, educational materials, carbon monoxide monitoring, infrastructure), 4) Conclusion Engaged smoking counseling requires seeking patient voice early process. desired honest, consistent, pro-active discussions actions. also suggested creative consider future research.