Interventions to Implement a Clinic-Based Smoking Cessation Guideline Within a Staff Model HMO
- 3 September 1999
- journal article
- clinical trial
- Published by Taylor & Francis in Journal of Addictive Diseases
- Vol. 18 (3) , 21-26
- https://doi.org/10.1300/j069v18n03_03
Abstract
Smoking cessation guideline development has become widespread, outpacing guideline implementation efforts. To address this problem, HealthPartners undertook a randomized trial of strategies to enhance compliance of a smoking cessation guideline. The intervention aimed at clinic leadership resulted in significantly more compliance, as measured by physicians coding "tobacco use" on a billing form. The intervention aimed at all clinic physicians had no significant effect. The study suggests that smoking cessation guideline efforts should focus on clinic leadership and system changes rather than on all staff physicians.Keywords
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