Increasing Post-discharge Follow Up among Hospitalized Smokers

描述(由申请人提供)： 出院后支持是住院吸烟者有效治疗的关键组成部分，但很少有医院提供这种支持。将住院吸烟者与免费、积极主动的戒烟热线联系起来，是在出院时提供支持性接触的理想方式，因为戒烟热线对戒烟有效且成本效益高。许多医院开始传真让吸烟者在出院时戒烟。传真转诊很方便，也是当前医疗沟通渠道文化的一部分。然而，只有不到一半的通过传真转介的吸烟者被成功联系并登记在QuiLine服务中。温馨移交是一种新的护理过渡方法，医疗保健提供者通过面对面或电话转接的方式，将有药物滥用和精神健康问题的患者直接与专家联系起来。热移交为这些高度脆弱的群体实现了非常高的治疗登记率。此应用程序的目的是确定将住院吸烟者与烟草戒烟热线联系起来的热传递与传真转诊的相对有效性和成本效益。这项研究采用双臂、个人随机设计。它以堪萨斯州的两家大型医院为背景，这两家医院的工作人员都有专门的烟草治疗干预者。我们假设，通过实现更高的戒烟率，热情接手的效果将优于传真转介。通过增加戒烟者的戒烟登记和坚持戒烟，热情的接手将促进戒烟。结果衡量标准将在登记后12个月进行评估。该项目包括与堪萨斯州及其Quiline供应商的合同。FREE&CLEAR，以获取参与者放弃线注册和遵守的数据。将彻底评估成本，以支持成本效益分析。如果成功，这个项目提供了一个潜在的低成本解决方案，可以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，吸烟者可能会在向门诊护理的过渡中迷失。 (摘要结束)

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)