Smoking cessation through a simulated teachable moment: Feasibility and early results of a novel behaviour modification technique using personal identification
| Autor: | John Baird, Paul Heinreich, Robin May, Simon deBurgh, Roger Bartrop, Geoffrey H. Tofler |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Teachable moment business.industry medicine.medical_treatment Psychological intervention Cost savings Patient management Patient safety Early results Emergency medicine medicine Smoking cessation Behaviour modification technique Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart, Lung and Circulation. 18:S267 |
| ISSN: | 1443-9506 |
| Popis: | Benefits: A 55% reduction in clinic time was observed (Physician; 7.0minCLINvs. 3.0minREM)withassociated cost reductions (p< 0.001). Patient time burden reduced 85% (median 1:08–0:10min) and mean cost reduction for patient per-visit of $121. Performance: CLIN triggered more patient interventions than REM (34 vs 14, p< 0.001). As expected many (21 vs 5) were re-programmings optimising device longevity following new implants. No significant differences were observed in medication changes, patient safety or symptom interventions. 19 Unscheduled REM occurred, 7 automatically initiated by devices, 12 patient initiated. Of these, 1 resulted in a CLIN, while 18 cases were prevented from visiting Clinic (1× phone Med change, 5× referrals, 12× no action). Acceptance: Patient surveys showed no significant differences between satisfaction levels with REM and CLIN. Conclusion: CareLink provides physicians with accurate, reliable data enabling appropriate patient management and provides reductions in clinic time and costs. Patients are accepting of the technology and receive significant time and cost savings versus clinic based follow-up. doi:10.1016/j.hlc.2009.05.657 |
| Databáze: | OpenAIRE |
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