Implementing a tobacco assisted referral program in dental practices.
Implementing a tobacco assisted referral program in dental practices.
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在牙科诊所实施烟草辅助转诊计划。
DOI：
10.1111/j.1752-7325.2008.00113.x
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发表时间：
2009
影响因子：
2.3
通讯作者：
Dickerson,JohnF
中科院分区：
文献类型：
--
作者：
Little,SallyJ;Hollis,JackF;Fellows,JeffreyL;Snyder,JohnJ;Dickerson,JohnF
目的：本研究的目的是设计和实施一个系统级的烟草控制干预在一个大型的预付牙科集团的做法和评估员工的绩效措施和病人satisfactions.Methods的影响：我们匹配14牙科设施的大小，社会经济地位，吸烟率，牙周状况，然后随机分配给他们的干预或常规护理控制。我们对干预工作人员进行了培训，采用“辅助转介”团队方法评估烟草使用情况，提供量身定制的建议和简短的咨询，并鼓励吸烟者通过电话与受过专门培训的烟草咨询师交谈。病人可以从办公室打电话，也可以要求咨询师稍后给他们打电话。电话咨询师帮助患者探索戒烟的动机和障碍;审查可用的戒烟支持策略，计划和药物;并确定下一步。结果：在14个月的研究期间，66，516名成员进行了年度或新患者检查。干预和控制地点的烟草评估率（97%）和建议率（93%）都很高。干预组患者比对照组（69%比3%，P <0.01）更有可能接受额外的椅旁烟草咨询和帮助，11%的患者同意接受额外的电话咨询。 干预组患者对牙科团队的烟草控制工作的满意度高于对照组（P <0.03）。 转诊率变化很大，为不同的staff.Conclusions：辅助转诊的方法成功地整合到常规的牙科护理，深受患者欢迎，并导致患者满意度的提高。由于免费的电话烟草咨询现已在全国范围内提供，这种方法可能是大多数牙科保健机构的实用策略。
Objectives:The objectives of this study are to design and implement a system‐level tobacco‐control intervention in a large prepaid dental group practice and assess effects on staff performance measures and patient satisfaction.Methods:We matched 14 dental facilities on size, socioeconomic status, smoking rate, and periodontal status, and then randomly assigned them to intervention or usual‐care control. We trained intervention staff in an “Assisted Referral” team approach for assessing tobacco use, providing tailored advice and brief counseling, and encouraging smokers to talk by telephone with a specially trained tobacco counselor. Patients could call from the office or ask that the counselor call them later. Telephone counselors helped patients explore motivations and barriers for quitting; review available cessation‐support strategies, programs, and medications; and identify next steps.Results:During the 14‐month study period, 66,516 members had annual‐ or new‐patient examinations. Both intervention and control sites had high rates of tobacco assessment (97 percent) and advice (93 percent). Intervention patients were more likely than controls (69 percent versus 3 percent, P < 0.01) to receive additional chair‐side tobacco counseling and assistance, and 11 percent agreed to receive additional telephone counseling. Intervention patients were more satisfied than controls with the dental team's tobacco‐control efforts (P < 0.03). Referral rates varied substantially for different staff.Conclusions:The Assisted Referral approach was successfully integrated into routine dental care, was well received by patients, and resulted in increased patient satisfaction. Because free telephone‐based tobacco counseling is now available nationwide, the approach may be a practical strategy for most dental‐care settings.
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对牙齿卫生患者进行有效的无烟烟草干预。
DOI：
--
发表时间：
1992
期刊：
Journal of dental hygiene : JDH
影响因子：
--
作者：
S. J. Little;Stevens Vj;Herbert H. Severson;Edward Lichtenstein
通讯作者：
Edward Lichtenstein
中西部地区牙医的烟草咨询实践与其他医疗保健提供者的比较。
影响因子：
2.3
作者：
D. Block;L. Block;SJ Hutton;KM Johnson
通讯作者：
KM Johnson
影响因子：
2.3
作者：
Judith S. Gordon;Herbert H. Severson
通讯作者：
Herbert H. Severson
烟草：成瘾、口腔健康和戒烟。
影响因子：
1.9
作者：
Mecklenburg Re
通讯作者：
Mecklenburg Re
培训卫生专业人员提供戒烟干预措施的有效性：随机对照试验的系统评价。
DOI：
--
发表时间：
1994
期刊：
Quality in Health Care
影响因子：
--
作者：
C. Silagy;Tim Lancaster;Stephen Gray;Godfrey Fowler
通讯作者：
Godfrey Fowler