Israeli doctors believe that part of their job is to encourage their patients
towards a healthier lifestyle, better nutrition, exercise and avoiding smoking,
but new research conducted by the School of Public Health at the University
of Haifa found large gaps between this idea and its actual implementation. While
99% of the doctors surveyed said that they believe that educating their patients
toward a healthier lifestyle is part of their job, 80% said they don't do it
due to lack of time. Half of the doctors said that they don't get paid to educate
their patients and 40% found it difficult to integrate lifestyle counseling
into their clinical practice.
"There are some obstacles that prevent doctors from doing what they believe
is their job. In the end, a doctor that doesn’t have the means, ability
or belief that he can actually change his patients' behaviors will say he doesn't
have time, that he isn't paid to do this or that it doesn't interest him,"
explains Iris Dagan who conducted the research among 218 community physicians.
According to Ms. Dagan, patients see their doctor as an authority figure and
that there is a good chance that they would accept a doctor's recommendations
and change their health-related behaviors.
Dagan's research revealed a few reasons why doctors feel more or less confident
in their ability to bring about behavioral changes in their patients. "If,
as part of his education, a doctor were to get training in how to counsel a
patient to live a healthier lifestyle, he would be more apt to effect change
and more confident in his ability to do so. A doctor who never received proper
training and doesn't know how to counsel his patients to change their habits
will prefer not to discuss the issue with his patients, believing that he is
not skilled in this area," explained Ms. Dagan.
Another reason is doctors' health lifestyles. A doctor who maintains a healthy
lifestyle will be more apt to educate his patients; a doctor who doesn't will
be more reluctant. "There is a difference between treating a specific complaint
or illness and counseling patients to live a healthy lifestyle. In Israel, as
in other places in the world, a doctor is a recognized authority on healthy
behaviors. Therefore, health policy makers need to outline and implement new
strategies that will advance doctors' status as healthy lifestyle counselors
and enable them to give their patients advice on things they believe in,"
explained Dagan.
Throughout the world, doctors are recognized behavioral counselors. Recently,
the Israeli health system has begun organizing ways to enable doctors to share
this knowledge with their patients. Dagan remarked that she would like to see
changes in the health system that would encourage more doctors to counsel their
patients to adopt a healthier lifestyle.
University of Haifa Release Feb 14, 2007
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