基于实践的戒烟热线转诊：评估比较性反馈与一般提醒的影响。
Practice-based referrals to a tobacco cessation quit line: assessing the impact of comparative feedback vs general reminders.
作者信息
Wadland William C, Holtrop Jodi Summers, Weismantel David, Pathak Pramod K, Fadel Huda, Powell Jeff
机构信息
Department of Family Medicine, College of Human Medicine, Michigan State University, East Lansing, MI 48824-1313, USA.
出版信息
Ann Fam Med. 2007 Mar-Apr;5(2):135-42. doi: 10.1370/afm.650.
PURPOSE
We undertook a study to assess the impact of comparative feedback vs general reminders on practice-based referrals to a tobacco cessation quit line and estimated costs for projected quit responses.
METHODS
We conducted a group-randomized clinical trial comparing the impact of 6 quarterly (18 months) feedback reports (intervention) with that of general reminders (control) on practice-based clinician referrals to a quit-line service. Feedback reports were based on an Achievable Benchmark of Care approach using baseline practice, clinician, and patient survey responses, and referrals per quarter. Comparable quit responses and costs were estimated.
RESULTS
Three hundred eight clinicians participated (171 family medicine, 88 internal medicine, 49 obstetrics-gynecology) from 87 primary care practices in Michigan. After 18 months, there were more referrals from the intervention than from the control practices (484 vs 220; P <.001). Practice facsimile (fax) referrals (84%, n = 595) exceeded telephone referrals (16%, n = 109), but telephone referrals resulted in greater likelihood of enrollment (77% telephone vs 44% fax, P <.001). The estimated number of smokers who quit based on the level of services utilized by referred smokers was 66 in the feedback and 36 in the gentle reminder practices.
CONCLUSION
Providing comparative feedback on clinician referrals to a quit-line service had a modest impact with limited increased costs.
目的
我们开展了一项研究，以评估比较性反馈与一般性提醒对基于实践的戒烟热线转诊的影响，并估算预期戒烟反应的成本。
方法
我们进行了一项群组随机临床试验，比较6份季度（18个月）反馈报告（干预组）与一般性提醒（对照组）对基于实践的临床医生向戒烟热线服务转诊的影响。反馈报告基于一种可实现的护理基准方法，该方法使用基线实践、临床医生和患者的调查回复以及每季度的转诊情况。估算了可比的戒烟反应和成本。
结果
来自密歇根州87家初级保健机构的308名临床医生参与了研究（171名家庭医学医生、88名内科医生、49名妇产科医生）。18个月后，干预组的转诊人数多于对照组（484例对220例；P<.001）。通过实践传真（传真）转诊的比例超过电话转诊（84%，n = 595），但电话转诊导致登记的可能性更大（电话转诊为77%，传真转诊为44%，P<.001）。根据转诊吸烟者所使用的服务水平估算，反馈组中有66名吸烟者戒烟，温和提醒组中有36名吸烟者戒烟。
结论
提供关于临床医生向戒烟热线服务转诊的比较性反馈产生了适度影响，成本增加有限。
Zotero 插件