Low-Burden Strategies to Promote Smoking Cessation Treatment Among Patients With Serious Mental Illness.
Low-Burden Strategies to Promote Smoking Cessation Treatment Among Patients With Serious Mental Illness.
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DOI：
10.1176/appi.ps.201700399
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发表时间：
2018-08-01
期刊：
影响因子：
--
通讯作者：
Bierut LJ
中科院分区：
文献类型：
--
作者：
Chen LS;Baker TB;Korpecki JM;Johnson KE;Hook JP;Brownson RC;Bierut LJ
患有严重精神疾病的患者吸烟率和早期死亡率较高。社区精神卫生中心(CMHCs)对循证戒烟治疗的不充分实施导致了这种差异。这项研究评估了质量改进策略对治疗和戒烟结果的影响。从2014年到2016年，在4家诊所实施了决策支持和带有数据驱动反馈的学术细节的低负担策略。分析了实施前和实施后的药房和医疗记录数据。通过这些质量改进策略，我们发现患者接受戒烟药物的比例从4.6%增加到18.0%(p<；0.0001)，吸烟率从57.4%下降到54.3%(p=0.0088)。这项研究提供了一个质量改进方法的成功范例，该方法具有巨大的潜力，可以提高在CMHC环境下接受治疗的患者的戒烟护理水平。决策支持和带反馈的学术细节可能是推广最佳做法的有效策略。
Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This study evaluates the effects of quality improvement strategies on treatment and cessation outcomes. Low-burden strategies of decision support and academic detailing with data-driven feedback were implemented in 4 clinics from 2014 to 2016. Pre- and post-implementation data from pharmacy and medical records were analyzed. With these quality improvement strategies, we found an increase in patient receipt of cessation medication from 4.6% to 18.0% (p<0.0001), and a decrease in smoking prevalence from 57.4% to 54.3% (p=0.0088). This study provides a successful example of a quality improvement approach that holds great potential for increasing the level of smoking cessation care for patients treated in CMHC settings. Decision support and academic detailing with feedback may be effective strategies to promote best practices.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
2.7
作者：
Chen LS;Baker T;Brownson RC;Carney RM;Jorenby D;Hartz S;Smock N;Johnson M;Ziedonis D;Bierut LJ
通讯作者：
Bierut LJ
影响因子：
3.4
作者：
Chwastiak, Lydia;Cruza-Guet, Maria-Cristina;Ickovics, Jeannette
通讯作者：
Ickovics, Jeannette
影响因子：
3.8
作者：
Dickerson, Faith;Schroeder, Jennifer;Yolken, Robert H.
通讯作者：
Yolken, Robert H.
影响因子：
3.8
作者：
Williams, Jill M.;Stroup, T. Scott;Raney, Lori E.
通讯作者：
Raney, Lori E.