Dentists' self-perceived role in offering tobacco cessation services: results from a nationally representative survey, United States, 2010-2011.
Dentists' self-perceived role in offering tobacco cessation services: results from a nationally representative survey, United States, 2010-2011.
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DOI：
10.5888/pcd11.140186
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发表时间：
2014-11-06
影响因子：
5.5
通讯作者：
Shelley DR
中科院分区：
文献类型：
--
作者：
Jannat-Khah DP;McNeely J;Pereyra MR;Parish C;Pollack HA;Ostroff J;Metsch L;Shelley DR
牙科访问是一个机会，以确定和帮助患者戒烟，但牙科设置仍然是一个未开发的场所，治疗烟草依赖。这项分析的目的是评估可能影响全国牙科服务提供者烟草使用相关做法模式的因素。我们调查了在美国执业的普通牙医的代表性样本（N = 1，802）。多变量分析用于评估遵守烟草使用治疗指南的相关性，并分析影响提供者提供戒烟援助（如果报销此项服务）意愿的因素。超过90%的牙科提供者报告说，他们经常询问患者有关烟草使用的情况，76%的人为患者提供咨询，45%的人经常提供戒烟帮助，定义为将患者转诊给戒烟咨询，提供戒烟处方，或两者兼而有之。多变量分析的结果表明，戒烟援助与1个或多个戒烟者的做法，有一个图表系统，其中包括烟草使用的问题，接受过治疗烟草依赖的培训，并对治疗烟草使用的积极态度。提供者谁不提供援助，但谁报告说，他们会改变他们的做法模式，如果足够的报销更有可能是在一个小组的做法，治疗病人通过医疗保险，并对治疗烟草依赖的积极态度。研究结果表明，增加培训机会和促进系统的变化，以增加牙科服务提供者在进行烟草使用治疗的参与的潜在好处。应测试报销模式，以评估对牙科提供者实践模式的影响。
Dental visits represent an opportunity to identify and help patients quit smoking, yet dental settings remain an untapped venue for treatment of tobacco dependence. The purpose of this analysis was to assess factors that may influence patterns of tobacco-use–related practice among a national sample of dental providers. We surveyed a representative sample of general dentists practicing in the United States (N = 1,802). Multivariable analysis was used to assess correlates of adherence to tobacco use treatment guidelines and to analyze factors that influence providers’ willingness to offer tobacco cessation assistance if reimbursed for this service. More than 90% of dental providers reported that they routinely ask patients about tobacco use, 76% counsel patients, and 45% routinely offer cessation assistance, defined as referring patients for cessation counseling, providing a cessation prescription, or both. Results from multivariable analysis indicated that cessation assistance was associated with having a practice with 1 or more hygienists, having a chart system that includes a tobacco use question, having received training on treating tobacco dependence, and having positive attitudes toward treating tobacco use. Providers who did not offer assistance but who reported that they would change their practice patterns if sufficiently reimbursed were more likely to be in a group practice, treat patients insured through Medicaid, and have positive attitudes toward treating tobacco dependence. Findings indicate the potential benefit of increasing training opportunities and promoting system changes to increase involvement of dental providers in conducting tobacco use treatment. Reimbursement models should be tested to assess the effect on dental provider practice patterns.
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影响因子：
12.7
作者：
Pollack, Harold A.;Pereyra, Margaret;Metsch, Lisa R.
通讯作者：
Metsch, Lisa R.
影响因子：
3.3
作者：
Ramseier, Christoph A.;Warnakulasuriya, Saman;Lahtinen, Aira
通讯作者：
Lahtinen, Aira
影响因子：
5.5
作者：
McMenamin, Sara B.;Halpin, Helen A.;Shade, Starley B.
通讯作者：
Shade, Starley B.
影响因子：
3.1
作者：
Sheffer, Christine E.;Anders, Michael;Barone, Claudia
通讯作者：
Barone, Claudia
影响因子：
10.5
作者：
DILLMAN, DA
通讯作者：
DILLMAN, DA