PP-005 : Polish patients’ expectations of general practitioners’ smoking cessation advice: a qualitative study

Krzysztof Buczkowski, Ludmila Marcinowicz, Elwira Piszczek, Slawomir Czachowski, Poland
The study aimed to explore patients’ expectations of the general practitioner’s role in providing smoking cessation advice.

Smoking is the single greatest cause of preventable illness and premature death. The natural history of smoking leads to an increased risk of cardiovascular, respiratory and neoplastic diseases. Smokers constitute about 33% of the adult population in Poland and about 75% patients consult their doctor at least once a year. General practitioners (GPs) can contribute to reducing the prevalence of smoking by using a number strategies. Otherwise the majority of consultations with smokers involve no discussion or mention of smoking. Two complementary qualitative methods will be used. Four focus groups with current and former smokers (6-8 participants per group), four in-depth interviews with: a former smokers suffering from cardiovascular disease, current smokers suffering from cardiovascular disease, former smokers suffering from chronic obstructive pulmonary disease and present smokers suffering from chronic obstructive pulmonary disease. Questions to use as a guide for discussion were developed by the authors of this paper. Patients will be recruited from general practice. All interviews will be tape-recorded with the patients’ consent. The interviewers will be neither, primary healthcare workers nor involved in any other way in providing healthcare to the patients. The recorded interviews will be fully transcribed. Thematic analysis will be undertaken. Two researchers will read all the transcripts and will note themes or issues which could reflect the patients’ expectation. Discrepancies will be sorted out through discussion.