Increasing Post-discharge Follow Up among Hospitalized Smokers

描述（由申请人提供）： 出院后支持是有效治疗住院吸烟者的关键组成部分，但很少有医院提供这种支持。将住院吸烟者与免费主动戒烟热线联系起来是在出院时提供支持联系的理想方式，因为戒烟热线对戒烟有效且具有成本效益。许多医院开始在吸烟者出院时用传真将他们转到戒烟热线。传真转诊很方便，是当前医疗沟通渠道文化的一部分。然而，只有不到一半的传真转介吸烟者成功联系并登记戒烟服务。“温暖的交接是一种新的护理过渡方法，在这种方法中，卫生保健提供者直接将有药物滥用和心理健康问题的患者与专家联系起来，使用面对面或电话转移。温暖的交接为这些高度脆弱的群体实现了非常高的治疗登记率。本申请的目的是确定相对有效性，和成本效益，温暖的手过传真转介连接住院吸烟者与戒烟热线。本研究采用两组、个体随机化设计。它设置在两个大型堪萨斯医院，有专门的烟草治疗干预人员的工作人员。我们假设，温暖的手过将通过实现更高的戒烟率传真转介。温暖的传递将通过增加戒烟热线的登记和吸烟者的坚持来促进戒烟。将在入组后12个月评估结局指标。该项目包括与堪萨斯州及其退出线供应商的合同。免费和明确，以获得参与者的退出线登记和遵守的数据。将彻底评估费用，以支持成本效益分析。如果成功，该项目提供了一个潜在的低成本解决方案，更有效地将数百万住院吸烟者与有效的门诊治疗联系起来，否则这些吸烟者可能会在向门诊治疗的过渡中消失。 (End摘要）

DESCRIPTION (provided by applicant): Post-discharge support is a key component of effective treatment for hospitalized smokers, but very few hospitals provide it. Linking hospitalized smokers with free, proactive tobacco quitlines is an ideal way to provide supportive contact at discharge, because quitlines are effective and cost effective for smoking cessation. Many hospitals are beginning to fax-refer smokers to quitlines at discharge. Fax referral is convenient and is part of the current culture of medical communication channels. However, less than half of fax-referred smokers are successfully contacted and enrolled in quitline services. "Warm hand-off is a novel approach to care transitions in which health care providers directly link patients that have substance abuse and mental health problems with specialists, using face-to-face or phone transfer. Warm hand-off achieves very high rates of treatment enrollment for these highly vulnerable groups. The objective of this application is to determine the relative effectiveness, and cost-effectiveness, of warm hand- off versus fax referral for linking hospitalized smokers with tobacco quitlines. This study employs a two-arm, individually randomized design. It is set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on staff. We hypothesize that warm hand-off will outperform fax referral by achieving higher rates of smoking cessation. Warm hand-off will boost abstinence by increasing quitline enrollment and adherence among smokers. Outcome measures will be assessed at 12-months post enrollment. The project includes contracts with the State of Kansas and its quitline vendor. Free & Clear, to obtain data on participants' quitline enrollment and adherence. Costs will be thoroughly assessed to support cost-effectiveness analyses. If successful, this project offers a potential low-cost solution for more efficiently linking millions of hospitalized smokers with effective outpatient treatment-smokers that might otherwise be lost in the transition to outpatient care. (End of Abstract)