Mi QUIT CARE (Mile Square QUIT Community-Access-Referral-Expansion)

摘要 论证电子传递吸烟的可行性、有效性和成本效益 在联邦合格医疗保健(FQHC)环境中通过患者门户进行戒烟干预具有潜力 广泛传播并对公众健康产生重大影响。在患者群体中表现出 吸烟率高。其具体目标是： UG3：目标1.审查烟草使用的负担及其对肺健康差异的影响(肺 癌症、慢性阻塞性肺病和哮喘)在患者群体和经济上处于不利地位的种族中 英里广场健康中心的隔离集水区。 目标2：评估以下方面的知识、态度、障碍和促进者：戒烟、参与 烟草戒烟线路，通过患者健康门户链接到烟草戒烟线路，并接收患者导航到 促进MSHC患者和医疗保健提供者获得戒烟热线。 目标3：评估社区参与策略的使用，以增加对UI Health患者的理解 在迈尔广场卫生中心接受护理的低收入患者的门户。 目标4：测试Mile Square Health提供Mi戒烟护理的可接受性、可行性和能力，以及 以证据为基础的多层次干预，通过UI Health门户增加与戒烟产品线的接触。 UH3：目标1：确定与增加患者的护理标准相比，Mi戒除护理的有效性 伊利诺伊州戒烟热线的参与和随后的戒烟结果。 目标2：评估小米戒烟护理在UI Health FQHC Mile Square诊所内多个地点的可扩展性 网络，并将干预翻译成西班牙语。 目标3：检查小米戒烟护理在戒烟效果方面的成本效益 FQHC高危人群的护理标准。

Abstract Demonstrating the feasibility, effectiveness, and cost-effectiveness of electronically delivered smoking cessation interventions via patient portals in Federally Qualified Health Care (FQHC) settings has the potential for wide-spread dissemination and significant public health impact. on patient populations with demonstrated high rates of smoking. The specific aims of are to: UG3: Aim 1. Examine the burden of tobacco use and its influence on pulmonary health disparities (lung cancer, COPD, and asthma) in the patient population and the economically disadvantaged and racially segregated catchment areas of Mile Square Health Centers. Aim 2: Evaluate knowledge, attitudes, barriers and facilitators to: smoking cessation, engagement with the tobacco quit line, linkage to the tobacco quit line via a patient health portal and receipt of patient navigation to facilitate access to the tobacco quit line among MSHC patients and health care providers.. Aim 3: Evaluate the use of community engagement strategies to increase uptake of the UI Health Patient Portal among low-income patients receiving care at Mile Square Health Center. Aim 4: Test the acceptability, feasibility, and capacity of Mile Square Health to deliver Mi Quit CARE, an evidence-based and multi-level intervention to increase engagement with the quit line via the UI Health Portal. UH3: Aim 1: Determine the effectiveness Mi Quit CARE compared to standard of care in increasing patient engagement with the Illinois tobacco quitline and subsequent smoking cessation outcomes. Aim 2: Evaluate the scalability of Mi Quit CARE to multiple sites within the UI Health FQHC Mile Square clinic network and by translating the intervention to Spanish. Aim 3: Examine the cost effectiveness of Mi Quit CARE on smoking cessation outcomes compared to standard of care among a high risk FQHC population.