POLICY TO SUPPORT TOBACCO TREATMENT IN HEALTH CARE

支持医疗保健领域烟草治疗的政策

• 批准号: 6614012
• 负责人: JUDITH K OCKENE
• 金额: $ 60.77万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-20 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6614012
• 关键词: behavioral /social science research tag; clinical research; community health services; health care cost /financing; health care policy; health services research tag; human subject; tobacco abuse prevention

The recent tobacco settlements in 48 states will challenge state Departments of Public Health and other agencies to develop and implement public and organizational policies intended to prevent, control and treat tobacco use. The nationally-recognized Massachusetts Tobacco Control Program (MTCP), the largest, single purpose public health initiative in the nation, includes tobacco treatment services provided primarily through tobacco treatment specialists (TTSs) housed within community health settings (CHSs). The goal of this study is to evaluate present Massachusetts state policy designed to make effective tobacco treatment services available to a wide group of adult tobacco users, especially those at greatest risk (e.g., underserved, low income, industry-targeted minority groups), and to inform future policy. The proposed study is divided into two phases. Phase I is a descriptive case study of the longitudinal development of allocative policies and program standards developed by the MTCP for funding tobacco treatment services. Phase II is a prospective comparative case study of CHSs participating in MTCP initiatives to determine the relationship of the policy and standards to implementation of tobacco treatment services. Data will be obtained via two types of methods: (1) qualitative methods, including content analysis of public documents, and key informant interviews at the state, community and organizational level; and (2) quantitative methods including: structured surveys of CHS administrator and clinicians, TTSs and community informants; CHS monitoring data; and treatment checklists completed by standardized patients and by observers to evaluate quality of treatment services provided. These data will be used to investigate factors associated with program implementation, as measured by quantity of tobacco treatment services provided by CHSs, quality of services provided (i.e., the degree to which standards of practice are applied), reach of services (i.e., the degree of penetration into the CHS and surrounding community), and implementation of tobacco treatment-related systems to support the services within the CHS. The historical and prospective information gathered will be summarized into two reports. The first report will describe the funding policy and program standards development from 1994 to 2000; the process by which CHSs received, or did not receive, funding; and then, if funded, the process used to implement the tobacco treatment program. This report will provide recommendations for other states considering similar policies. The second report will summarize the continuing policy development and factors related to successful implementation of the program in CHSs. Recommendations will be made about what standards should be included in a funding policy in order to assure successful implementation of a tobacco treatment program and services in different types of settings.

最近在48个州达成的烟草和解协议将挑战州公共卫生部和其他机构制定和实施旨在预防、控制和治疗烟草使用的公共和组织政策。国家认可的马萨诸塞州烟草控制计划(MTCP)是全国最大的单一目的公共卫生倡议，包括主要通过社区卫生机构(CHSS)内的烟草处理专家(TTS)提供的烟草处理服务。这项研究的目的是评估目前马萨诸塞州旨在向广大成年烟草使用者提供有效烟草治疗服务的政策，特别是那些风险最高的群体(例如，服务不足、低收入、以行业为目标的少数群体)，并为未来的政策提供参考。建议的研究分为两个阶段。第一阶段是一个描述性的案例研究，描述了MTCP为资助烟草治疗服务而制定的分配政策和方案标准的纵向发展。第二阶段是对社区卫生服务参与烟草控制项目倡议的前瞻性比较案例研究，以确定政策和标准与实施烟草治疗服务的关系。数据将通过两种方法获得：(1)定性方法，包括公共文件的内容分析，以及州、社区和组织层面的关键告密者访谈；(2)定量方法，包括：对社区卫生服务管理者和临床医生、TTS和社区告密者的结构化调查；社区卫生服务监测数据；以及由标准化患者和观察员填写的治疗检查表，以评估所提供的治疗服务的质量。这些数据将被用来调查与项目实施相关的因素，以社区卫生服务提供的烟草治疗服务的数量、提供的服务质量(即应用实践标准的程度)、服务的覆盖范围(即对社区卫生服务和周围社区的渗透程度)以及为支持社区卫生服务内的服务而实施的烟草治疗相关系统的实施情况来衡量。收集到的历史和预期信息将总结成两份报告。第一份报告将描述从1994年到2000年的资助政策和计划标准的发展；CHSS获得或没有获得资助的过程；然后，如果获得资助，则用于实施烟草治疗计划的过程。这份报告将为考虑类似政策的其他州提供建议。第二份报告将总结持续的政策发展和与成功实施该方案有关的因素。将就资助政策中应包括哪些标准提出建议，以确保在不同类型的环境中成功实施烟草治疗方案和服务。

项目成果

Organizational systems to support publicly funded tobacco treatment services.

支持公共资助的烟草治疗服务的组织系统。

• DOI: 10.1016/j.amepre.2005.01.008
• 发表时间: 2005
• 期刊: American journal of preventive medicine
• 影响因子: 5.5
• 作者: Zapka,JaneG;White,MaryJo;Reed,George;Ockene,JudithK;List,Elena;Pbert,Lori;Jolicoeur,Denise;Reiff-Hekking,Sarah
• 通讯作者: Reiff-Hekking,Sarah

Implementing state tobacco treatment services: lessons from the Massachusetts experience.

实施国家烟草治疗服务：马萨诸塞州的经验教训。

• DOI: 10.1177/1524839910376035
• 发表时间: 2011
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Pbert,Lori;Zapka,Jane;Jolicoeur,DeniseG;White,MaryJo;ValentineGoins,Karin;Reed,George;Ockene,JudithK
• 通讯作者: Ockene,JudithK

An evaluation of tobacco treatment specialist counseling performance using standardized patient interviews.

使用标准化患者访谈评估烟草治疗专家咨询表现。

• DOI: 10.1080/14622200601078491
• 发表时间: 2007
• 期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
• 作者: Pbert,Lori;Jolicoeur,Denise;Reed,George;Gammon,WendyL
• 通讯作者: Gammon,WendyL