Solberg Leif I, Quinn Virginia P, Stevens Victor J, Vogt Thomas M, Rigotti Nancy A, Zapka Jane G, Ritzwoller Debra P, Smith K Sabina
HealthPartners Research Foundation, Minneapolis, Minn 55440-1524, USA.
Am J Manag Care. 2004 Mar;10(3):193-8.
To use physician reports to evaluate their awareness of health plan tobacco control guidelines and cessation support coverage and to validate the extent to which health plan cessation support material had been disseminated and implemented in clinical settings.
Comparison of survey responses of physicians with tobacco control activities reported by key informants in the health plans with which those physicians were associated.
A total of 100 primary care physicians in the care delivery organizations associated with 9 nonprofit health plans were randomly selected to receive a survey asking about their health plan's tobacco cessation guidelines, coverage, and support for clinician action. Their responses were compared to data reported by the plan with which they were associated.
Responses were obtained from 91%. Although 88% were aware of their health plan's tobacco cessation guidelines, considerably fewer were correctly aware of whether the health plan covered medications and cessation classes or counseling. Physician reports of cessation supports during care bore little relationship to health plan reports of those supports.
Physician reports may be a useful way to verify health plan dissemination and implementation of tobacco control activities. Even these relatively high-performing plans have ample room for further improvement.
利用医生报告评估他们对健康计划控烟指南及戒烟支持覆盖范围的知晓情况，并验证健康计划戒烟支持材料在临床环境中的传播和实施程度。
将医生的调查回复与他们所关联的健康计划中的关键信息提供者报告的控烟活动进行比较。
从与9个非营利性健康计划相关联的医疗服务提供组织中随机挑选100名初级保健医生，让他们接受一项调查，询问他们所在健康计划的戒烟指南、覆盖范围以及对临床医生行动的支持情况。将他们的回复与他们所关联计划报告的数据进行比较。
91%的医生提供了回复。尽管88%的医生知晓所在健康计划的戒烟指南，但正确知晓该健康计划是否涵盖药物、戒烟课程或咨询服务的医生要少得多。医生报告的护理期间的戒烟支持与健康计划报告的此类支持几乎没有关联。
医生报告可能是验证健康计划控烟活动传播和实施情况的一种有用方式。即使是这些表现相对较好的计划，仍有很大的改进空间。
