Tobacco Use Screening and Counseling During Hospital Outpatient Visits Among US Adults, 2005-2010
Tobacco Use Screening and Counseling During Hospital Outpatient Visits Among US Adults, 2005-2010
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DOI：
10.5888/pcd12.140529
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发表时间：
2015-08-01
影响因子：
5.5
通讯作者：
King, Brian A.
中科院分区：
文献类型：
--
作者：
Jamal, Ahmed;Dube, Shanta R.;King, Brian A.
医生和卫生保健提供者在教育患者烟草使用的健康风险和提供有效的戒烟干预方面发挥着重要作用。很少有人知道这些做法在医院门诊设置。这项研究的目的是评估的患病率，相关因素和趋势的烟草使用筛查和戒烟援助提供给美国成年人在他们的医院门诊visits.MethodsData汇总医院门诊就诊患者年龄在18岁或以上（N = 148,727）从2005-2010年全国医院门诊医疗服务调查进行了分析。烟草使用筛查定义为在患者记录表上记录当前烟草使用（香烟、雪茄、鼻烟或咀嚼烟草）或当前未使用的筛查。烟草戒烟援助被定义为文件的烟草咨询或戒烟medications.ResultsTobacco使用筛查报告为63.0%（估计271万人次）的医院门诊就诊，和戒烟援助报告为24.5%（估计17.1万人次）的访问中，目前的烟草使用者。从2005年到2010年，烟草使用筛查（P趋势= 0.06）和戒烟援助（P趋势= 0.17）并没有显着变化conclusionFrom 2005年到2010年，超过三分之一的医院门诊就诊没有筛查烟草使用，目前的烟草使用者中，只有1/4的人接受任何戒烟援助。卫生保健提供者应始终如一地识别和记录患者的烟草使用状况，并为他们提供适当的戒烟帮助。还有机会扩大戒烟的覆盖面。
IntroductionPhysicians and health care providers play an important role in educating their patients about the health risks of tobacco use and in providing effective cessation interventions. Little is known about these practices in hospital outpatient settings. The objective of the study was to assess the prevalence, correlates, and trends of tobacco use screening and cessation assistance offered to US adults during their hospital outpatient clinic visits.MethodsData for aggregated hospital outpatient visits among patients aged 18 years or older (N = 148,727) from the 2005-2010 National Hospital Ambulatory Medical Care Survey were analyzed. Tobacco use screening was defined as documentation of screening for either current tobacco use (cigarettes, cigars, snuff, or chewing tobacco) or no current use on the patient record form. Tobacco cessation assistance was defined as documentation of either tobacco counseling or cessation medications.ResultsTobacco use screening was reported for 63.0% (estimated 271 million visits) of hospital outpatient visits, and cessation assistance was reported for 24.5% (estimated 17.1 million visits) of visits among current tobacco users. From 2005 through 2010, tobacco use screening (P for trend =.06) and cessation assistance (P for trend =.17) did not change significantly.ConclusionFrom 2005 through 2010, more than one-third of hospital outpatient visits had no screening for tobacco use, and among current tobacco users, only 1 in 4 received any cessation assistance. Health care providers should consistently identify and document their patients' tobacco use status and provide them with appropriate tobacco cessation assistance. Opportunities also exist to expand the coverage for tobacco cessation.