Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners

Preventive Medicine
R F Kushner

Abstract

Previous surveys have shown that there is a disparity between physicians' beliefs about the importance of diet and nutrition in health maintenance and disease prevention and the actual delivery of nutrition counseling. The primary objective of this study was to assess the current attitudes, practice behavior, and barriers to the delivery of nutrition counseling by primary care physicians. A random-sample-mailed questionnaire was sent to 2,250 primary care physicians selected from the AMA masterfile from general practice, internal medicine, and pediatrics, representing self-employed, group, hospital, and HMO practices. Participants were stratified by age, gender, geographical region, and present employment. The main outcome measures were to determine time spent by physicians providing and percentage of patients receiving dietary counseling and to identify barriers to the delivery of nutrition counseling. A 49% response rate (n = 1,103) was obtained. Results are presented for the 1,030 physicians (70% private practice) with complete data. Over two-thirds of physicians provide dietary counseling to 40% or less of patients and spend 5 or fewer min discussing dietary changes. Despite this pattern, nearly three-quarters of respondent...Continue Reading

Citations

Jun 30, 2009·Journal of General Internal Medicine·Adam Gilden Tsai, Thomas A Wadden
Aug 19, 2009·Journal of General Internal Medicine·Joyce W TangVineet M Arora
Mar 11, 2010·Journal of General Internal Medicine·Melanie JayColleen Gillespie
Oct 27, 2012·The Proceedings of the Nutrition Society·Kathleen M McTigue, Molly B Conroy
Aug 2, 2012·Public Health Nutrition·Sonja M E van DillenCees M J van Woerkum
Aug 2, 2012·Public Health Nutrition·Ahmad R AllafiAhmad Al-Haifi
Aug 14, 1999·Public Health Nutrition·I López-AzpiazuJ A Martínez
Aug 16, 2013·International Journal of Obesity : Journal of the International Association for the Study of Obesity·T A WaddenUNKNOWN POWER-UP Research Group
Jul 30, 2005·European Journal of Clinical Nutrition·K M Kolasa
Jul 30, 2005·European Journal of Clinical Nutrition·S M E van DillenC M J van Woerkum
Jul 30, 2005·European Journal of Clinical Nutrition·L NicholasD C K Roberts
Nov 3, 2004·International Journal of Obesity : Journal of the International Association for the Study of Obesity·F Lopez-JimenezV K Somers
Nov 16, 2011·The New England Journal of Medicine·Thomas A WaddenReneé H Moore
Aug 12, 2008·Journal of the American College of Nutrition·Marion L VetterAdina L Kalet
Jul 14, 2012·Population Health Management·Hemalkumar MehtaSusan Abughosh
Nov 19, 2009·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kathleen M McTigueLaurey R Simkin-Silverman
Apr 12, 2000·Family Practice·H MooreC Waine
Oct 20, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·U SonntagC Heintze
Aug 31, 2004·Journal of General Internal Medicine·Philip B MellenDenise E Bonds
Aug 25, 2005·Journal of General Internal Medicine·J Elizabeth JacksonL Gary Hart
Jul 1, 2006·Journal of General Internal Medicine·Gregory MakoulAlan S Rubin
Oct 17, 1998·British Journal of Sports Medicine·J McKennaN McDowell
Jun 18, 2010·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Leah M GramlichClaude Roy
Oct 27, 2010·International Journal of Pediatric Endocrinology·M HendersonA Hanley
Jun 8, 2006·BMC Family Practice·Valerie Forman-HoffmanTerry Wahls
May 17, 2007·BMC Family Practice·Sharon M MadiganDomhnall MacAuley

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