Department of Internal Medicine, University of California, Davis, Sacramento, California.
Department of Internal Medicine, University of California, Davis, Sacramento, California; Department of Pediatrics, University of California, Davis, Sacramento, California.
Am J Prev Med. 2018 Dec;55(6 Suppl 2):S214-S221. doi: 10.1016/j.amepre.2018.07.045.
The California Tobacco Control Program is the longest standing, publicly funded tobacco control program in the U.S. California's adult smoking rate declined from 23.7% (1989) to 11% (2016) but California still has more than 3 million smokers dispersed over 58 counties, requiring a coordinated approach to further tobacco control. Early California Tobacco Control Program success is rooted in public health policy strategies and a statewide media campaign that shifted social norms. In 2009, concepts for a coordinated approach were introduced by the California Tobacco Control Program in the state's first tobacco quit plan. The state quit plan called for public health's tobacco control programs to engage healthcare systems and insurers to work more directly with the California Smoker's Helpline (Helpline). With California's Medicaid (Medi-Cal) program expansion and the implementation of electronic medical record systems, health care plans and providers received additional support for system changes. Simultaneous with these changes, coordinated tobacco control efforts began, including California's Medi-Cal Incentives to Quit Smoking project (2012-2015). In the Medi-Cal Incentives to Quit Smoking project, safety-net providers and Medi-Cal plans were outreached and engaged to promote incentives for Medi-Cal members to utilize Helpline services. In another effort, UC Quits (2013-2015), the five University of California health systems used electronic medical record tools to promote tobacco treatments and electronic referrals to the Helpline. Now, as tobacco prevention is increasingly prioritized for quality improvement, California Tobacco Control Program is funding CA Quits, a statewide tobacco-cessation learning collaborative and technical assistance resource to promote integration of tobacco treatment services and quality improvement activities into safety-net health systems. CA Quits, in coordination with the Helpline, will connect public health departments, Medi-Cal plans, and safety-net providers to accelerate health systems change for tobacco-cessation treatment throughout the state. SUPPLEMENT INFORMATION: This article is part of a supplement entitled Advancing Smoking Cessation in California's Medicaid Population, which is sponsored by the California Department of Public Health.
加利福尼亚州的烟草控制计划是美国历史最悠久、由公共资金支持的烟草控制计划。加利福尼亚州成年人的吸烟率从 1989 年的 23.7%下降到 2016 年的 11%，但加利福尼亚州仍有超过 300 万烟民分布在 58 个县，需要采取协调一致的方法进一步控制烟草。早期加利福尼亚州烟草控制计划的成功源于公共卫生政策策略和全州范围内的媒体运动，这些策略和运动改变了社会规范。2009 年，加利福尼亚州烟草控制计划在该州的第一个烟草戒烟计划中提出了协调一致方法的概念。该州的戒烟计划呼吁公共卫生烟草控制计划让医疗保健系统和保险公司参与进来，以便更直接地与加利福尼亚州吸烟者帮助热线（帮助热线）合作。随着加利福尼亚州医疗补助（Medi-Cal）计划的扩大和电子病历系统的实施，医疗保健计划和提供者获得了系统变革的额外支持。与此同时，协调一致的烟草控制工作开始了，包括加利福尼亚州医疗补助戒烟激励计划（2012-2015 年）。在医疗补助戒烟激励计划中，向服务提供网络和医疗补助计划伸出援手并促使它们为医疗补助成员利用帮助热线服务提供激励。在另一项工作中，UC Quits（2013-2015 年），加州大学五个卫生系统使用电子病历工具来促进烟草治疗和电子转介到帮助热线。现在，随着烟草预防越来越被视为质量改进的重点，加利福尼亚州烟草控制计划正在为 CA Quits 提供资金，这是一个全州范围的烟草戒烟学习合作和技术援助资源，以促进将烟草治疗服务和质量改进活动纳入服务提供网络卫生系统。CA Quits 将与帮助热线合作，将公共卫生部门、医疗补助计划和服务提供网络联系起来，以加快全州范围内的卫生系统戒烟治疗改革。补充信息：本文是一份题为《推进加利福尼亚州医疗补助人群戒烟》的补充材料的一部分，该补充材料由加利福尼亚州公共卫生部赞助。
