Recent cessation attempts and receipt of cessation services among a diverse primary care population - A mixed methods study
| Autor: | David Silven, Noah R. Gubner, Denise D. Williams, Joseph Guydish, Ellen Chen, Janice Y. Tsoh, Maya Vijayaraghavan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
and promotion of well-being medicine.medical_treatment Population Psychological intervention MEDLINE lcsh:Medicine 8.1 Organisation and delivery of services 030209 endocrinology & metabolism Health Informatics Primary care 03 medical and health sciences Substance Misuse 0302 clinical medicine Clinical Research Behavioral and Social Science Tobacco medicine 030212 general & internal medicine education Receipt education.field_of_study Tobacco Smoke and Health business.industry Prevention lcsh:R Public Health Environmental and Occupational Health Regular Article Health Services Prevention of disease and conditions Identified patient Good Health and Well Being Family medicine Respiratory Public Health and Health Services Smoking cessation 3.1 Primary prevention interventions to modify behaviours or promote wellbeing Patient Safety business Drug Abuse (NIDA only) Qualitative research Health and social care services research |
| Zdroj: | Preventive Medicine Reports, Vol 15, Iss, Pp-(2019) Gubner, Noah R; Williams, Denise D; Chen, Ellen; Silven, David; Tsoh, Janice Y; Guydish, Joseph; et al.(2019). Recent cessation attempts and receipt of cessation services among a diverse primary care population – A mixed methods study. Preventive Medicine Reports, 15, 100907-100907. doi: 10.1016/j.pmedr.2019.100907. UCSF: Retrieved from: http://www.escholarship.org/uc/item/3rs6n179 |
| ISSN: | 2211-3355 |
| DOI: | 10.1016/j.pmedr.2019.100907. |
| Popis: | © 2019 The Authors Smoking rates are high among low-income populations who seek care in safety-net clinics. While most safety-net clinics screen for cigarette smoking, there are substantial disparities in the delivery of smoking cessation counseling in these systems. We conducted a mixed method study between July 2016 and April 2017 to examine receipt of smoking cessation counseling and estimate recent cessation attempts among primary care patients in four safety-net clinics in San Francisco. We used the electronic health record (EHR) to examine receipt of cessation services and estimate cessation attempts, defined as transition from current to former smoking status during the 9-month study period. We conducted interviews with 10 staff and 16 patients to assess barriers to and facilitators of providing cessation services. Of the 3301 smokers identified via EHR, the majority (95.6%) received some type of cessation counseling during at least one clinical encounter, and 17.6% made a recent cessation attempt. Recent smoking cessation attempts and receipt of smoking cessation services differed significantly by clinic after adjusting for demographic factors. We identified patient and staff-level pre-disposing, reinforcing and enabling factors to increase delivery of cessation care, including increasing access to cessation medications and higher intensity counseling using a team-based approach. The EHR presents a useful tool to monitor patients' recent cessation attempts and access to cessation care. Combining EHR data with qualitative methods can help guide and streamline interventions to improve quality of cessation care and promote quit attempts among patients in safety-net settings. |
| Databáze: | OpenAIRE |
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