Awareness and implementation of the 2000 United States public health service tobacco dependence treatment guideline in a public hospital system

Sarah Moody-Thomas, Ronald Horswell, Michael D. Celestin, Amy B. Dellinger, Michael Kaiser, Michael Butler

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The 2000 United States Public Health Service (USPHS) clinical practice guideline, "Treating Tobacco Use and Dependence," recommends systems interventions to integrate the treatment of tobacco into routine health care. The Tobacco Control Initiative employed a systems approach to integrate evidence-based treatment for tobacco use into patient care practices in Louisiana's safety net health care system. The purpose of this study was to assess changes in awareness and implementation of the USPHS clinical practice guideline. Surveys were administered to a purposive sample of hospital personnel from key departments in the Louisiana State University system of public hospitals in 2003 (n=24) and 2007 (n=44). Perceptions of implementation success improved for 50 of 59 distinct survey items. Rasch scaling was used to assess overall (scaled) change and showed substantial improvement from 2003 to 2007 (P<0.001). Survey items also were grouped into 6 logical key concept sets. Improvement occurred in perceptions for all 6 key concepts; however, not uniformly. Results of the 2003 and 2007 surveys illustrate the potential effectiveness of using a systems approach to integrate the assessment and treatment of tobacco use into routine care practices in a public health care delivery system that serves medically vulnerable populations.

Original languageEnglish
Pages (from-to)79-85
Number of pages7
JournalPopulation Health Management
Volume14
Issue number2
DOIs
StatePublished - Apr 1 2011
Externally publishedYes

Fingerprint

Tobacco Use Disorder
United States Public Health Service
Public Hospitals
Tobacco Use
Guidelines
Delivery of Health Care
Systems Analysis
Practice Guidelines
Tobacco
Hospital Personnel
Vulnerable Populations
Therapeutics
Patient Care
Public Health
Safety
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Policy
  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

Awareness and implementation of the 2000 United States public health service tobacco dependence treatment guideline in a public hospital system. / Moody-Thomas, Sarah; Horswell, Ronald; Celestin, Michael D.; Dellinger, Amy B.; Kaiser, Michael; Butler, Michael.

In: Population Health Management, Vol. 14, No. 2, 01.04.2011, p. 79-85.

Research output: Contribution to journalArticle

Moody-Thomas, Sarah ; Horswell, Ronald ; Celestin, Michael D. ; Dellinger, Amy B. ; Kaiser, Michael ; Butler, Michael. / Awareness and implementation of the 2000 United States public health service tobacco dependence treatment guideline in a public hospital system. In: Population Health Management. 2011 ; Vol. 14, No. 2. pp. 79-85.
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