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Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs.
Am J Prev Med. 2001 Oct; 21(3):153-61.AJ

Abstract

OBJECTIVE

Our objective was to assess the degree to which health maintenance organizations (HMOs) and Medicaid managed care (MMC) plans in California have adopted the 1996 AHCPR Clinical Practice Guideline for Smoking Cessation. (AHCPR [U.S. Agency for Health Care Policy and Research] was renamed AHRQ [Agency for Healthcare Research and Quality] in 1999.)

METHODS

A fax survey of 13 licensed HMOs and 21 MMC plans operating in California in 1999 with up to 10 follow-up contacts by telephone, mail, fax, and/or electronic mail.

RESULTS

Awareness of the AHCPR guideline is widespread, and all HMOs in California in 1999 offered coverage for at least one treatment for smoking cessation. We found that 77% of the HMOs in California were aware of the AHCPR guideline, but less than half had used it to design benefits or distribute treatment guidelines to medical care providers in their networks. While only 23% of California HMOs covered the nicotine patch or gum, 69% covered at least one form of the pharmacotherapy and one type of counseling to treat tobacco dependence. In addition, a majority of the HMOs and MMC plans inform their members about coverage for smoking cessation treatments and inform providers about their role in helping smokers to quit.

CONCLUSION

Considerable progress has been made in increasing access to effective smoking cessation treatments in California's managed care organizations over the last 10 years. Future efforts and research must concentrate on: (1) adopting the 2000 Public Health Service Clinical Practice Guideline on Treating Tobacco Use and Dependence, (2) increasing purchaser demand for coverage of tobacco dependence treatments, (3) increasing health plan documentation and monitoring of member smoking status, and (4) increasing provider provision of effective tobacco dependence treatments.

Authors+Show Affiliations

Center for Health and Public Policy Studies, School of Public Health, University of California-Berkeley, Berkeley, California 94720-7360, USA. helenhs@uclink.berkeley.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11567834

Citation

Halpin Schauffler, H, et al. "Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a Survey of California's HMOs." American Journal of Preventive Medicine, vol. 21, no. 3, 2001, pp. 153-61.
Halpin Schauffler H, Mordavsky JK, McMenamin S. Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs. Am J Prev Med. 2001;21(3):153-61.
Halpin Schauffler, H., Mordavsky, J. K., & McMenamin, S. (2001). Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs. American Journal of Preventive Medicine, 21(3), 153-61.
Halpin Schauffler H, Mordavsky JK, McMenamin S. Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a Survey of California's HMOs. Am J Prev Med. 2001;21(3):153-61. PubMed PMID: 11567834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs. AU - Halpin Schauffler,H, AU - Mordavsky,J K, AU - McMenamin,S, PY - 2001/9/25/pubmed PY - 2001/11/3/medline PY - 2001/9/25/entrez SP - 153 EP - 61 JF - American journal of preventive medicine JO - Am J Prev Med VL - 21 IS - 3 N2 - OBJECTIVE: Our objective was to assess the degree to which health maintenance organizations (HMOs) and Medicaid managed care (MMC) plans in California have adopted the 1996 AHCPR Clinical Practice Guideline for Smoking Cessation. (AHCPR [U.S. Agency for Health Care Policy and Research] was renamed AHRQ [Agency for Healthcare Research and Quality] in 1999.) METHODS: A fax survey of 13 licensed HMOs and 21 MMC plans operating in California in 1999 with up to 10 follow-up contacts by telephone, mail, fax, and/or electronic mail. RESULTS: Awareness of the AHCPR guideline is widespread, and all HMOs in California in 1999 offered coverage for at least one treatment for smoking cessation. We found that 77% of the HMOs in California were aware of the AHCPR guideline, but less than half had used it to design benefits or distribute treatment guidelines to medical care providers in their networks. While only 23% of California HMOs covered the nicotine patch or gum, 69% covered at least one form of the pharmacotherapy and one type of counseling to treat tobacco dependence. In addition, a majority of the HMOs and MMC plans inform their members about coverage for smoking cessation treatments and inform providers about their role in helping smokers to quit. CONCLUSION: Considerable progress has been made in increasing access to effective smoking cessation treatments in California's managed care organizations over the last 10 years. Future efforts and research must concentrate on: (1) adopting the 2000 Public Health Service Clinical Practice Guideline on Treating Tobacco Use and Dependence, (2) increasing purchaser demand for coverage of tobacco dependence treatments, (3) increasing health plan documentation and monitoring of member smoking status, and (4) increasing provider provision of effective tobacco dependence treatments. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/11567834/Adoption_of_the_AHCPR_Clinical_Practice_Guideline_for_Smoking_Cessation:_a_survey_of_California's_HMOs_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(01)00345-2 DB - PRIME DP - Unbound Medicine ER -