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Cited by 324Health Promotion and Cardiovascular PreventionPrimary Care and Health OutcomesClinical practice guidelines implementation

Prevention and health promotion in clinical practice: the views of general practitioners in Europe

Brotons, Carlos, Björkelund, Celia, Bulc, Mateja, Ciurana, Ramon, Godycki-Cwirko, Maciek, Jurgova, Eva, Kloppe, Pilar, Lionis, Christos +8 more·2005·Preventive Medicine
DOI 10.1016/j.ypmed.2004.07.020
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Abstract

Background Disease prevention and health promotion are important tasks in the daily practice of all general practitioners (GPs). The objective of this study was to explore the knowledge and attitudes of European GPs in implementing evidence-based health promotion and disease prevention recommendations in primary care, to describe GPs' perceived barriers to implementing these recommendations and to assess how GPs' own health behaviors affect their work with their patients.Methods A postal multinational survey was carried out from June to December 2000 in a random sample of GPs listed from national colleges of each country.Results Eleven European countries participated in the study, giving a total of 2082 GPs. Although GPs believe they should advise preventive and health promotion activities, in practice, they are less likely to do so. About 56.02% of the GPs answered that carrying-out prevention and health promotion activities are difficult. The two most important barriers reported were heavy workload/lack of time and no reimbursement. Associations between personal health behaviour and attitudes to health promotion or activities in prevention were found. GPs who smoked felt less effective in helping patients to reduce tobacco consumption than non-smoking GPs (39.34% versus 48.18%, P < 0.01). GPs who exercised felt that they were more effective in helping patients to practice regular physical exercise than sedentary GPs (59.14% versus 49.70%, P < 0.01).Conclusions Significant gaps between GP's knowledge and practices persist in the use of evidence-based recommendations for health promotion and disease prevention in primary care.

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Authors
Brotons, C., Björkelund, C., Bulc, M., Ciurana, R., Godycki-Cwirko, M., Jurgova, E., Kloppe, P., Lionis, C., Mierzecki, A., Piñeiro, R., Pullerits, L., Sammut, M. R., Sheehan, M., Tataradze, R., Thireos, E. A., & Vuchak, J.
Affiliations
EAP Sardenya (ES)
Corresponding author
Brotons, Carlos
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2005-05
Volume
40
Issue
5
Pages
595-601
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2004.07.020
OpenAlex
W2108533629
Cited by
324
References
21
Citations by year
2026: 11 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 10 · 2021: 33 · 2020: 14 · 2019: 16 · 2018: 22 · 2017: 14 · 2016: 13 · 2015: 21 · 2014: 21 · 2013: 32 · 2012: 19
FWCI
7.47
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
disease prevention, health promotion, general practitioners, primary care, implementation barriers, evidence-based recommendations, physician knowledge and practice, smoking, physical activity, workload, reimbursement, knowledge-practice gap
MeSH terms
Alcohol Drinking, Attitude of Health Personnel, Diet, Europe, Health Promotion, Humans, Physicians, Family, Surveys and Questionnaires, Exercise, Smoking Cessation

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