The attitudes, knowledge and practices of Maltese family doctors in disease prevention and health promotion

Abstract

Introduction: Family doctors are in a unique position to advocate health promotion and disease prevention, though it is known that this is not always given its due importance due to various reasons. Aim: To assess the knowledge, attitudes and practices of Maltese family doctors in health promotion and disease prevention. The results of the study were compared with a similar study in 2000. Methodology: A validated questionnaire was sent in 2011 to all Maltese general practitioners (GPs) and GP trainees. The results were analysed statistically. A focus group was conducted to discuss the results and develop a set of recommendations. Results: An improvement was seen in health promotion practice since 2000. Family doctors look after their own health better. However, they have difficulties regarding which prevention guidelines they should follow. Time constraints remain the biggest obstacle to promoting health. GPs who are involved in post- graduate teaching activities find it easier to promote health (p<0.05), while doctors working in both private and public settings find it most difficult (p<0.05). GPs who smoke find it harder to advise on smoking cessation (p<0.05), while doctors who are obese find it more difficult to recommend exercise (p<0.05). Conclusions and recommendations: Health promotion practice by family doctors is on the increase, yet there is clearly room for enhancement of their service. Web-based training, lectures and seminars would help family doctors to enhance their knowledge. Flyers, posters and video-clips in waiting areas could increase patient awareness on healthy lifestyles.