Clinical Faxed Referrals to a Tobacco Quitline Reach, Enrollment, and Participant Characteristics
Clinical Faxed Referrals to a Tobacco Quitline Reach, Enrollment, and Participant Characteristics
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DOI：
10.1016/j.amepre.2008.12.004
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发表时间：
2009-04-01
影响因子：
5.5
通讯作者：
Levinson, Arnold H.
中科院分区：
文献类型：
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作者：
Willett, Jeffrey G.;Hood, Nancy E.;Levinson, Arnold H.
背景资料：来自医疗保健提供者的传真转诊可能为烟草使用者在全州戒烟热线中登记提供一种可持续的低成本机制，但很少有研究评估在现实世界中的实施情况。本研究评估了到达率，入学率，和参与者的传真转介到俄亥俄州戒烟Line.Methods的特点：这项观察性研究分析了2006年6月至2007年10月的到达率和入学率。人口统计学和烟草使用的特点，1616戒烟线登记者通过传真转介招募相比，那些登记者谁没有fax referenced.Results：在研究期间，共收到6951传真转介，从平均每月68个促销活动之前，每月增加到412在研究期间。然而，近60%的传真推荐个人无法联系到注册。相比其他enrollees（n= 36，273），传真转介enrollees（n=1616）更有可能是女性，年龄>= 35岁，有不到高中教育，至少有一个共病条件，并没有保险或公共insurance.Conclusions：传真转介从医疗保健提供者被广泛推广，以增加戒烟线的参与，并协助供应商实施戒烟治疗。这项研究发现传真转诊的登记率很低;大量的努力导致相对较少的患者接受戒烟热线服务。然而，传真转介可能会达到传统上较少获得戒烟援助的人群。需要更多的研究来确定如何有效地从医疗服务提供者那里获得传真转诊，提高传真转诊吸烟者的戒烟率，以及确定传真转诊对戒烟结果的影响程度。
Background: Faxed referrals from healthcare providers may provide a sustainable, low-cost mechanism for enrolling tobacco users in statewide quitlines, but few studies have evaluated implementation in real-world settings. This Study evaluated the reach rates, enrollment rates, and participant characteristics of faxed referrals to the Ohio Tobacco Quit Line.Methods: This observational study analyzed reach and enrollment rates from June 2006 to October 2007. Demographics and tobacco-use characteristics of 1616 Quit Line enrollees recruited through faxed referrals were compared to those of enrollees who were not fax-referred.Results: A total of 6951 faxed referrals were received during the study period, increasing from an average of 68 per month before promotional initiatives to 412 per month during the study period. However, almost 60% of fax-referred individuals could not be reached for enrollment. Compared to other enrollees (n=36,273), fax-referred enrollees (n=1616) were more likely to be women, aged >= 35 years, have less than a high school education, have at least one comorbid condition, and be uninsured or publicly insured.Conclusions: Faxed referrals from healthcare providers are widely promoted to increase quitline participation and to assist providers in implementing cessation treatment. This study found low enrollment rates from faxed referrals; substantial efforts led to relatively few patients receiving quitline services. However, faxed referrals may reach populations who traditionally have less access to cessation aids. More research is needed to determine how to efficiently and effectively solicit faxed referrals from healthcare providers and to increase quitline enrollment rates among fax-referred smokers as well as to determine the extent to which faxed referrals influence quit outcomes.