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Support for smoking cessation interventions in physician organizations: results from a national study.
Med Care. 2003 Dec; 41(12):1396-406.MC

Abstract

OBJECTIVES

To document the extent to which physician organizations, defined as medical groups and independent practice associations, are providing support for smoking cessation interventions and to identify external incentives and organizational characteristics associated with this support.

METHODS

This research uses data from the National Study of Physician Organizations and the Management of Chronic Illness, conducted by the University of California at Berkeley, to document the extent to which physician organizations provide support for smoking cessation interventions. Of 1587 physician organizations nationally with 20 or more physicians, 1104 participated, for a response rate of 70%.

RESULTS

Overall, 70% of physician organizations offered some support for smoking cessation interventions. Specifically, 17% require physicians to provide interventions, 15% evaluate interventions, 39% of physician organizations offer smoking health promotion programs, 25% provide nicotine replacement therapy starter kits, and materials are provided on pharmacotherapy (39%), counseling (37%), and self-help (58%). Factors positively associated with organizational support include income or public recognition for quality measures, financial incentives to promote smoking cessation interventions, requirements to report HEDIS (Health Plan Employer Data and Information Set) scores, awareness of the 1996 Clinical Practice Guideline on Smoking Cessation, being a medical group, organizational size, percentage of primary care physicians, and hospital/HMO ownership of the organization.

CONCLUSION

Physician organizations are providing support for smoking cessation interventions, yet the level of support might be improved with more extensive use of external incentives. Financial incentives targeted specifically at promoting smoking cessation interventions need to be explored further. Additionally, emphasis on quality measures should continue, including an expansion of HEDIS smoking cessation measures.

Authors+Show Affiliations

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

Pub Type(s)

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

Language

eng

PubMed ID

14668672

Citation

McMenamin, Sara B., et al. "Support for Smoking Cessation Interventions in Physician Organizations: Results From a National Study." Medical Care, vol. 41, no. 12, 2003, pp. 1396-406.
McMenamin SB, Schauffler HH, Shortell SM, et al. Support for smoking cessation interventions in physician organizations: results from a national study. Med Care. 2003;41(12):1396-406.
McMenamin, S. B., Schauffler, H. H., Shortell, S. M., Rundall, T. G., & Gillies, R. R. (2003). Support for smoking cessation interventions in physician organizations: results from a national study. Medical Care, 41(12), 1396-406.
McMenamin SB, et al. Support for Smoking Cessation Interventions in Physician Organizations: Results From a National Study. Med Care. 2003;41(12):1396-406. PubMed PMID: 14668672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Support for smoking cessation interventions in physician organizations: results from a national study. AU - McMenamin,Sara B, AU - Schauffler,Helen Halpin, AU - Shortell,Stephen M, AU - Rundall,Thomas G, AU - Gillies,Robin R, PY - 2003/12/12/pubmed PY - 2004/1/6/medline PY - 2003/12/12/entrez SP - 1396 EP - 406 JF - Medical care JO - Med Care VL - 41 IS - 12 N2 - OBJECTIVES: To document the extent to which physician organizations, defined as medical groups and independent practice associations, are providing support for smoking cessation interventions and to identify external incentives and organizational characteristics associated with this support. METHODS: This research uses data from the National Study of Physician Organizations and the Management of Chronic Illness, conducted by the University of California at Berkeley, to document the extent to which physician organizations provide support for smoking cessation interventions. Of 1587 physician organizations nationally with 20 or more physicians, 1104 participated, for a response rate of 70%. RESULTS: Overall, 70% of physician organizations offered some support for smoking cessation interventions. Specifically, 17% require physicians to provide interventions, 15% evaluate interventions, 39% of physician organizations offer smoking health promotion programs, 25% provide nicotine replacement therapy starter kits, and materials are provided on pharmacotherapy (39%), counseling (37%), and self-help (58%). Factors positively associated with organizational support include income or public recognition for quality measures, financial incentives to promote smoking cessation interventions, requirements to report HEDIS (Health Plan Employer Data and Information Set) scores, awareness of the 1996 Clinical Practice Guideline on Smoking Cessation, being a medical group, organizational size, percentage of primary care physicians, and hospital/HMO ownership of the organization. CONCLUSION: Physician organizations are providing support for smoking cessation interventions, yet the level of support might be improved with more extensive use of external incentives. Financial incentives targeted specifically at promoting smoking cessation interventions need to be explored further. Additionally, emphasis on quality measures should continue, including an expansion of HEDIS smoking cessation measures. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/14668672/Support_for_smoking_cessation_interventions_in_physician_organizations:_results_from_a_national_study_ L2 - https://doi.org/10.1097/01.MLR.0000100585.27288.CD DB - PRIME DP - Unbound Medicine ER -