Organizational systems to support publicly funded tobacco treatment services
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Authors
Zapka, Jane G.White, Mary Jo
Reed, George W.
Ockene, Judith K.
List, Elena
Pbert, Lori
Jolicoeur, Denise
Reiff-Hekking, Sarah
UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDocument Type
Journal ArticlePublication Date
2005-05-01Keywords
AdolescentAdult
Community Networks
Delivery of Health Care
Female
Guideline Adherence
Health Care Surveys
Humans
Male
Massachusetts
Models, Theoretical
Practice Guidelines as Topic
Questionnaires
Tobacco Use Cessation
Life Sciences
Medicine and Health Sciences
Women's Studies
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Show full item recordAbstract
BACKGROUND: Professional societies and government organizations have promoted guidelines and best practices that encourage clinicians to routinely integrate cessation counseling into patient encounters. While research in health maintenance organizations has demonstrated that the development and maintenance of office systems do enable clinicians' smoking-cessation services, little is known about the adoption of system strategies in diverse organizations serving disadvantaged populations. METHODS: Data were collected via face-to-face interviews from November 2001 to October 2002 using a standardized systems assessment checklist at service delivery sites of 83 funded community health service agencies, which included hospitals, community health centers, and other organizations (e.g., substance abuse, mental health, and multiservice). The content of the structured assessment reflected system elements with proven effectiveness that have been included in guidelines and best practices recommendations. Detailed information was collected on the implementation strategies. RESULTS: This study found considerable attention to systems that support cessation services in diverse healthcare organizations, but much remains to be done. There is a wide diversity of implementation strategies employed, with varied degrees of sophistication. CONCLUSIONS: A major challenge is to develop systems capable of providing population-based feedback to, and between, providers, which will enable further quality improvement efforts.Source
Am J Prev Med. 2005 May;28(4):338-45. Link to article on publisher's site
DOI
10.1016/j.amepre.2005.01.008Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50896PubMed ID
15831338Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.amepre.2005.01.008