Celestin Michael D, Hart Alton, Moody-Thomas Sarah
2020 Gravier St, 3rd Fl, New Orleans, LA 70112. Telephone: 504-568-5742. E-mail:
Virginia Department of Health Crater Health District, Petersburg, Virginia.
Prev Chronic Dis. 2014 May 29;11:E91. doi: 10.5888/pcd11.130277.
Tobacco is a major cause of preventable illness and death. However, clinician use of an evidence-based guideline for treatment of tobacco use is low. This case study describes the process for conducting a pre-intervention assessment of clinician practices and beliefs regarding treatment of tobacco use.
Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana. The system serves a large proportion of the state's underinsured and uninsured, low-income, and racial/ethnic minority populations, groups that have high rates of tobacco use.
Activities included 1) partnering with hospital administrators to generate support for conducting a clinician assessment, 2) identifying and adapting a survey tool to assess clinicians' practices and beliefs regarding treatment of tobacco use, 3) developing a survey protocol and obtaining approval from the institutional review board, and 4) administering the survey electronically, using the hospital's e-mail system.
Existing partnerships and system resources aided survey administration. Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians. Following notification, 43.6% of 4,508 clinicians opened their e-mail containing the invitation letter with a Web link to the survey; of these, 83.1% (1,634) completed the survey.
Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use.
烟草是可预防疾病和死亡的主要原因。然而，临床医生对基于证据的烟草使用治疗指南的应用率较低。本案例研究描述了对临床医生关于烟草使用治疗的实践和信念进行干预前评估的过程。
路易斯安那州立大学卫生系统是美国最大的安全网公立医院系统之一，由路易斯安那州各人口中心的10家医疗机构组成。该系统为该州很大一部分未充分投保和未投保的低收入及少数族裔人群提供服务，这些人群的烟草使用率很高。
活动包括：1）与医院管理人员合作以获得开展临床医生评估的支持；2）确定并改编一种调查工具，以评估临床医生关于烟草使用治疗的实践和信念；3）制定调查方案并获得机构审查委员会的批准；4）通过医院的电子邮件系统以电子方式进行调查。
现有的合作伙伴关系和系统资源有助于调查的实施。使用医院的内部电子邮件系统和分发在线调查是让临床医生参与的有效手段。发出通知后，4508名临床医生中有43.6%打开了包含调查网络链接邀请信的电子邮件；其中83.1%（1634人）完成了调查。
与利益相关者合作并利用医疗保健系统内的现有资源对于成功实施全系统范围内关于临床医生烟草使用治疗实践和信念的调查至关重要。
