Using the chronic care model to address tobacco in health care delivery organizations: a pilot experience in Washington state
| Autor: | Gillian L. Schauer, Juliet R. Thompson, Susan M. Zbikowski, Beatriz H. Carlini |
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| Rok vydání: | 2009 |
| Předmět: |
Washington
Nursing (miscellaneous) Medical Records Systems Computerized medicine.medical_treatment MEDLINE Pilot Projects Disease Health Promotion Health Services Accessibility Documentation Nursing Health care Medicine Humans skin and connective tissue diseases Chronic care business.industry Public Health Environmental and Occupational Health Models Theoretical Systems Integration Health promotion Smoking cessation Smoking Cessation sense organs business Quality assurance Delivery of Health Care Information Systems |
| Zdroj: | Health promotion practice. 11(5) |
| ISSN: | 1524-8399 |
| Popis: | This article describes a Washington State—based Systems Change Pilot Project in which the chronic care model and the model for improvement were used as tools to promote tobacco cessation—related changes within a health care system. Three diverse sites participated in the pilot. Site teams tailored plan-do-study-act tests to site circumstances, addressing current resources and barriers to implementing change. Teams tested system changes that incorporated tobacco use documentation into the routine health services provided. Findings from this pilot suggest that (a) even simple changes with minimal disruption of services can make a difference in improving documentation of tobacco use status; (b) changes to routine practices of health organizations may not be sustainable if ongoing quality assurance mechanisms are not developed; and (c) systems implemented for other disease states within the same organization or patient population are not instinctively applied to tobacco, because of a multitude of factors. |
| Databáze: | OpenAIRE |
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