Support for Smoking Cessation Interventions in Physician Organizations

Results From a National Study

Bibliographic Data

ID9102642
AuthorsSara B McMenamin (0000-0003-3235-6936, University of California, Berkeley, corresponding author), Helen Halpin Schauffler (University of California, Berkeley), Stephen M Shortell (0000-0002-7392-9801, University of California, Berkeley), Thomas G Rundall (University of California, Berkeley), Robin R Gillies (University of California, Berkeley)
Year2003
Volume41
Issue12
Pages1396-1406
Publication date2003-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.mlr.0000100585.27288.cd
PMID14668672
OpenAlexW1977569701
LanguageEN
Citations received3
References cited28

OBJECTIVES: To document the extent to which physician organizations, defined as medical groups and independent practice associations, are providing support for smoking cessation interventions and to identify external incentives and organizational characteristics associated with this support. METHODS: This research uses data from the National Study of Physician Organizations and the Management of Chronic Illness, conducted by the University of California at Berkeley, to document the extent to which physician organizations provide support for smoking cessation interventions. Of 1587 physician organizations nationally with 20 or more physicians, 1104 participated, for a response rate of 70%. RESULTS: Overall, 70% of physician organizations offered some support for smoking cessation interventions. Specifically, 17% require physicians to provide interventions, 15% evaluate interventions, 39% of physician organizations offer smoking health promotion programs, 25% provide nicotine replacement therapy starter kits, and materials are provided on pharmacotherapy (39%), counseling (37%), and self-help (58%). Factors positively associated with organizational support include income or public recognition for quality measures, financial incentives to promote smoking cessation interventions, requirements to report HEDIS (Health Plan Employer Data and Information Set) scores, awareness of the 1996 Clinical Practice Guideline on Smoking Cessation, being a medical group, organizational size, percentage of primary care physicians, and hospital/HMO ownership of the organization. CONCLUSION: Physician organizations are providing support for smoking cessation interventions, yet the level of support might be improved with more extensive use of external incentives. Financial incentives targeted specifically at promoting smoking cessation interventions need to be explored further. Additionally, emphasis on quality measures should continue, including an expansion of HEDIS smoking cessation measures

Family medicine · Guideline · Health promotion · Incentive · Nicotine replacement therapy · Psychological intervention · Public health · Smoking cessation · Health Policy Implementation Science · Medicine · Nursing · Smoking Behavior and Cessation · Workplace Health and Well-being

Tools

Open DOISci-Hub