Skip to main content
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1991 Apr;41(345):140–143.

Prevention in general practice: the views of doctors in the Oxford region.

A Coulter 1, T Schofield 1
PMCID: PMC1371511  PMID: 1854533

Abstract

A postal questionnaire was sent to all 1291 general practitioners in the Oxford region to determine the pattern of preventive care and their beliefs about its effectiveness. Replies were received from 1014 doctors (79%). Doctors' attitudes to their role in prevention and health promotion were very positive and a large majority claimed to discuss health related topics with their patients when indicated. Fewer respondents said they made a point of discussing smoking habits (64%), alcohol intake (26%), diet (12%), or exercise (11%) as a matter of routine with all their adult patients. Most general practitioners said they usually offered simple advice, leaflets, or other aids when they had identified a problem, but few said they would refer these patients to the practice nurse. With the exception of cervical screening (45%), few respondents said they maintained statistics on the distribution of risk factors in their practice population. Despite considerable enthusiasm for their role in preventive health care, before the imposition of the new contact most general practitioners in the Oxford region had not yet embraced the model of prevention which the contract aims to encourage: systematic screening for risk factors and lifestyle advice for all patients.

Full text

PDF
143

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boulton M. G., Williams A. Health education in the general practice consultation: doctors' advice on diet, alcohol and smoking. Health Educ J. 1983;42(2):57–63. doi: 10.1177/001789698304200211. [DOI] [PubMed] [Google Scholar]
  2. Calnan M. Variations in the range of services provided by general practitioners. Fam Pract. 1988 Jun;5(2):94–104. doi: 10.1093/fampra/5.2.94. [DOI] [PubMed] [Google Scholar]
  3. Catford J. C., Nutbeam D. Prevention in practice: what Wessex general practitioners are doing. Br Med J (Clin Res Ed) 1984 Mar 17;288(6420):832–834. doi: 10.1136/bmj.288.6420.832. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Coulter A. Lifestyles and social class: implications for primary care. J R Coll Gen Pract. 1987 Dec;37(305):533–536. [PMC free article] [PubMed] [Google Scholar]
  5. Hart J. T. A new type of general practitioner. Lancet. 1983 Jul 2;2(8340):27–29. doi: 10.1016/s0140-6736(83)90013-2. [DOI] [PubMed] [Google Scholar]
  6. Hart J. T. Reduction of blood cholesterol levels in the population: can it be done? J R Coll Gen Pract. 1986 Dec;36(293):538–539. [PMC free article] [PubMed] [Google Scholar]
  7. Hart J. T. Semicontinuous screening of a whole community for hypertension. Lancet. 1970 Aug 1;2(7666):223–226. doi: 10.1016/s0140-6736(70)92582-1. [DOI] [PubMed] [Google Scholar]
  8. Jamrozik K., Vessey M., Fowler G., Wald N., Parker G., Van Vunakis H. Controlled trial of three different antismoking interventions in general practice. Br Med J (Clin Res Ed) 1984 May 19;288(6429):1499–1503. doi: 10.1136/bmj.288.6429.1499. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mant D., Anderson P. Community general practitioner. Lancet. 1985 Nov 16;2(8464):1114–1117. doi: 10.1016/s0140-6736(85)90696-8. [DOI] [PubMed] [Google Scholar]
  10. Rose G. Strategy of prevention: lessons from cardiovascular disease. Br Med J (Clin Res Ed) 1981 Jun 6;282(6279):1847–1851. doi: 10.1136/bmj.282.6279.1847. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Russell M. A., Wilson C., Taylor C., Baker C. D. Effect of general practitioners' advice against smoking. Br Med J. 1979 Jul 28;2(6184):231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Stone D. H. Primary care, community medicine and prevention: a convergence of needs. J R Coll Gen Pract. 1987 May;37(298):218–220. [PMC free article] [PubMed] [Google Scholar]
  13. Stott N. C., Davis R. H. The exceptional potential in each primary care consultation. J R Coll Gen Pract. 1979 Apr;29(201):201–205. [PMC free article] [PubMed] [Google Scholar]
  14. Wallace P. G., Brennan P. J., Haines A. P. Are general practitioners doing enough to promote healthy lifestyle? Findings of the Medical Research Council's general practice research framework study on lifestyle and health. Br Med J (Clin Res Ed) 1987 Apr 11;294(6577):940–942. doi: 10.1136/bmj.294.6577.940. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Waller D., Agass M., Mant D., Coulter A., Fuller A., Jones L. Health checks in general practice: another example of inverse care? BMJ. 1990 Apr 28;300(6732):1115–1118. doi: 10.1136/bmj.300.6732.1115. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

RESOURCES