Background
: The prevalence of smoking has declined continuously in the developed countries since 1960 due to various antismoking policies, but that remains high in Korea. The surveys of smoking habits of physicians are rare as compared with those of general populations in Korea. In this situation, we surveyed to obtain the basic data for the antismoking activities by the survey of family physicians' smoking patterns who are primarily contact with patients.

Methods : To investigate the smoking habits of family physicians, a qustionnaire was mailed two times in July 1993 to 2,528 family physicians who are legistrated in the Korean Academy of family Medicine. After we excepted 37 incomplete questionnaires among 1,122 respondents, we analysed 1,085 complete questionnaires by the classification of cigarette smoking status and speciality status.

Results : Among the total respondents of 1,085, family residents were 13.9% and family specialists were 86.1%. The sex ratio of residents was 1.7:1 and specialists 4.6:1. The proportion of nonsmoker, ex-smoker and smoker were 38.3%, 35.1% and 26.6% respectivly. And the proportion of male smokers among the residents and specialists were 53.6% and 30.5% respectively. The smokers had 84.0% of smokers in their family. The most common reason for the initiation of smoking was curiosity(45.0%) and the differences of reason between ex-smokers and smokers were statistically significant. 46.9% of all smokers daily consumed less than 15 cigarettes and the amount of daily smoking by ex-smokers was significantly much more than that by smokers. 42.3% of smokers took first morning smoking within 30 minutes after getting up and it was sigificantly higher than that of ex-smokers. Of the why test for smoking patterns, stress solution(30.3%) was the most common reason for smoking among all smokers, and by the smoking behavior, nicotine dependence was the highest in smokers but stress solution was the highest in ex-smokers and by the duty, stress solution was the highest in residents but nicotine dependence was the highest in specialists. Smokers who had ever tried to quit smoking were 78.5% of smokers and health problem was the most common reason to quit smoking. Most of nicotine withdrawal symptom peaked in 2 to 4 days after quitting and this prevalence was 49.8% of all smokers. The drinking habit of smokers was poor compared to the others and the habit of health promotion of ex-smokers was good compared to the others.

Conclusion : The smoking habits of family physicians was better than those of the general population but those of male physicians, especially male residents were worse than females. Recognizing the core of primary care, the family physician shoud make efforts to quit smoking for themselves so that their exemplary role contributes to patient's smoking behaviour and assists patients to quit smoking.

Background
: Hypertension is the most frequent disease of chronic circulatory disease, and compliance is very important because the hypertensive patients should receive antihypertensive treatment as long as the condition exists. We studied the dropout reasons in hypertensive patients for better compliance.

Methods : We studied 85 dropout patients from 142 hypertensive patients registered to Department of Kyung Hee University family practice from June 1, 1992 to Dec 31, 1993. Dropout patients were difined the patient who didn't have any evidence of referral to another physician and the patient had not returned within 3 months after the expected date. The telephone survery was done to 73 patient among 85 patients for about 10 minutes and we used SPSS for Windows for statistical analysis.

Results : The general characteristics of subjects were as follows : 31.5% were male and 68.5% were female ; the most frequent age was age 41 to 60 and the mean age was 53.5±10.8 ; the patients had stage 1 hypertension(27.4%), stage2 hypertension(39.7%), stage 3 hypertension(26.0%), and stage 4 hypertension(6.8%). The mean period since the diagnosis of the disease were about 2 years and the most common complication was left ventricular hypertrophy. The total dropout rate was 59.9% and the dropout reasons by multiple response were as follows, the symptom is absent or improved(35.6%), long waiting time(35.6%), change to neiberhood pharmacy(26.0%), normalized blood pressure after treatment(24.7%), and busy daily life(20.5%)

Conclusion : To reduce the dropout of patients, we should develope multiple methods to achieve better compliance of hypertensive patients, especially to correct wrong attitude toward disease. Also, we should shorten the waiting time for outpatient visit, and make special consultation hours for the hypertensive patients.