McDaniel Anna M, Benson Philip L, Roesener G H, Martindale Julie
Indiana University School of Nursing, Indianapolis 46202, USA.
Nicotine Tob Res. 2005 Apr;7 Suppl 1:S57-66. doi: 10.1080/14622200500078139.
The purpose of this study was to develop, implement, and evaluate the feasibility of an integrated computer-based system for tobacco-user identification and smoking cessation intervention for primary care patients in a medically indigent, managed care population. Interactive voice response (IVR) technology was used to screen for tobacco use prior to scheduled primary care visits at two inner-city clinics. The IVR system placed calls to 2,039 patients scheduled for clinic visits, and 1,086 (53%) patients completed the automated tobacco-use question set. Current smokers were identified in 421 (39%) of the calls. Computer-generated reminders for clinicians that incorporated information obtained from the automated calls were placed on all smokers' encounter forms. In a post-visit interview of 120 smokers, 58 participants (48%) reported that they discussed smoking cessation with their provider. Some 71% of participants agreed that use of the IVR system to obtain information was a "good way for patients to give information about their health to doctors." Automated capture of patient-reported data via IVR technology is a potentially useful strategy for tobacco-use screening in primary care.
本研究的目的是开发、实施并评估一个基于计算机的综合系统的可行性，该系统用于为医疗贫困的管理式医疗人群中的初级保健患者识别烟草使用者并进行戒烟干预。在两家市中心诊所，交互式语音应答（IVR）技术被用于在预定的初级保健就诊前筛查烟草使用情况。IVR系统给2039名预约就诊的患者打电话，1086名（53%）患者完成了自动烟草使用问题集。在421次（39%）通话中识别出了当前吸烟者。将从自动通话中获得的信息纳入其中的计算机生成的临床医生提醒被放在了所有吸烟者的病历表上。在对120名吸烟者进行的就诊后访谈中，58名参与者（48%）报告称他们与医生讨论了戒烟问题。约71%的参与者同意使用IVR系统获取信息是“患者向医生提供自身健康信息的好方法”。通过IVR技术自动获取患者报告的数据是初级保健中进行烟草使用筛查的一种潜在有用策略。
