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Qualitative
Patients resisted attempts to link smoking to their current medical problems in general practice consultations

https://doi.org/10.1136/ebn.7.2.62

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    Pilnick A, Coleman T. “I’ll give up smoking when you get me better”: patients’ resistance to attempts to problematise smoking in general practice (GP) consultations. Soc Sci Med 2003;57:135–45.OpenUrlCrossRefPubMedWeb of Science

    Q In general practice consultations, how do general practitioners (GPs) introduce and advise patients who smoke about quitting? How do patients respond to this advice?

    DESIGN

    Interactional analysis of videotaped patient-GP consultations and semistructured interviews with GPs.

    SETTING

    General practices in an East Midlands County in the UK.

    PARTICIPANTS

    47 consultations between 47 patients who were self reported regular or occasional smokers {mean age 41 y, 74% women}* and 29 different GPs. 39 GPs were also interviewed.

    METHODS

    42 GPs who responded to a postal questionnaire measuring attitudes towards discussing smoking with patients were recruited. Of the 538 video recorded consultations, 47 (between 47 different patients and 29 GPs) that mentioned smoking were chosen for further analysis. In addition, 39 semistructured interviews …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr A Pilnick, University of Nottingham, Nottingham, UK. alison.pilnicknottingham.ac.uk

    • Source of funding: not stated.