Assessment of compliance with US Public Health Service Clinical Practice Guideline for tobacco by primary care physicians

Harm Reduction Journal

Abby Rosenthal³  Alissa O’Halloran²  Judy Kruger¹ 

[1] Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, CDC4770 Buford Highway, Chamblee, Building 107, M/S, F-79, Atlanta 30341-3717, GA, USA;Contractor Support for NCCDPHP/NGIS, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta 30341-3717, GA, USA;Health Systems Consulting, Atlanta 30341, GA, USA

关键词: Health professionals;    Primary care physicians;    Tobacco;    USPHS Clinical Guideline;    Smoking cessation;   

Others  :  1149827
DOI  :  10.1186/s12954-015-0044-3

 received in 2014-07-22, accepted in 2015-02-12,  发布年份 2015

【 摘 要 】

Background

The US Public Health Service Clinical Practice Guideline Treating Tobacco Use and Dependence: 2008 Update established an expanded standard of care, calling on physicians to consistently identify their patients who use tobacco and treat them using counseling and medication.

Findings

To assess compliance, we examined the extent to which physicians self-report following four of the five components of the 5A model: Ask about tobacco use, Advise patients who use tobacco to quit, Assist the patient in making a quit attempt, and Arrange for follow-up care. We used data from a Web-based panel survey administered to a convenience sample of 1,253 primary care providers (family/general practitioners, internists, and obstetrician/gynecologists). We found that 97.1% of the providers reported that they consistently Asked and documented tobacco use, while 98.6% reported that they consistently Advised their patients to quit using tobacco. Among the family/general practitioners and internists, 98.3% recommended “any” (medication, counseling, counseling and medication, telephone quitline) smoking cessation strategies (Assist). Among all providers, 48.0% reported that they consistently scheduled a follow-up visit (Arrange).

Conclusions

This study revealed that most primary care physicians reported that they Ask their patients about tobacco use, Advise them to quit, and Assist them in making a quit attempt, but only half reported that they Arrange a follow-up visit. Tobacco use screening and intervention are among the most effective clinical preventive services; thus, efforts to educate, encourage, and support primary care physicians to provide evidence-based treatments to their patients should be continued.

【 授权许可】

   
2015 Kruger et al.; licensee BioMed Central.

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