Trout Susan, Ripley-Moffitt Carol, Meernik Clare, Greyber Jennifer, Goldstein Adam O
Nicotine Dependence Program, Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Int J Gen Med. 2017 Oct 19;10:363-369. doi: 10.2147/IJGM.S136965. eCollection 2017.
Hospitalization offers an optimal environment for ensuring that patients receive evidence-based treatment. An inpatient tobacco treatment program can deliver interventions broadly, but minimal research has examined the impacts of a consult program on inpatient providers. The Nicotine Dependence Program at the University of North Carolina has provided an inpatient tobacco treatment consult service since 2010.
The program sought feedback from inpatient providers to examine factors that prompted tobacco treatment consult orders, the impact on provider counseling behavior, provider satisfaction, and suggested program improvements.
Providers who had ordered a tobacco treatment consult received an online anonymous survey.
The University of North Carolina Hospital is an academic medical facility with 803 beds and over 37,000 inpatient admissions annually from all 100 counties in North Carolina. Approximately 20% of these inpatients report current use of any tobacco product.
PATIENTS/PARTICIPANTS: Medical providers who ordered inpatient tobacco treatment consults from July 2012 to June 2013 (n=265) received the survey, with 118 providers responding (44.5% response rate).
Almost all providers reported being satisfied with the consult program and believed it was effective. Key factors in provider satisfaction included ease of accessing the service, saving provider time, and offering patients evidence-based tobacco use treatment. The consult program increased the likelihood of providers prescribing tobacco cessation medications at discharge, as well as following up at post-discharge appointments.
This is some of the first research to show provider satisfaction, program usage, and outcomes with an inpatient tobacco treatment program and demonstrates the important impact of implementing tobacco treatment services within hospitals.
住院治疗为确保患者接受循证治疗提供了理想环境。住院烟草治疗项目可广泛提供干预措施，但极少有研究探讨咨询项目对住院医疗服务提供者的影响。自2010年以来，北卡罗来纳大学尼古丁依赖项目一直提供住院烟草治疗咨询服务。
该项目寻求住院医疗服务提供者的反馈，以研究促使开具烟草治疗咨询医嘱的因素、对医疗服务提供者咨询行为的影响、医疗服务提供者的满意度以及对项目改进的建议。
开具过烟草治疗咨询医嘱的医疗服务提供者收到一份在线匿名调查问卷。
北卡罗来纳大学医院是一家学术医疗机构，拥有803张床位，每年接收来自北卡罗来纳州所有100个县的37000多名住院患者。这些住院患者中约20%报告目前使用某种烟草产品。
患者/参与者：2012年7月至2013年6月期间开具住院烟草治疗咨询医嘱的医疗服务提供者（n = 265）收到了调查问卷，118名医疗服务提供者回复（回复率为44.5%）。
几乎所有医疗服务提供者都报告对咨询项目感到满意，并认为该项目有效。医疗服务提供者满意度的关键因素包括服务获取便捷、节省医疗服务提供者时间以及为患者提供循证烟草使用治疗。咨询项目增加了医疗服务提供者在出院时开具戒烟药物以及在出院后随访预约时进行跟进的可能性。
这是首批显示住院烟草治疗项目的医疗服务提供者满意度、项目使用情况和结果的研究之一，并证明了在医院内实施烟草治疗服务的重要影响。
