| Impact of an Electronic Alert and Order Set on Smoking Cessation Medication Prescription. | |
| | |
MedLine Citation:
|
PMID: 22180576 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION: Tobacco cessation medication use increases the likelihood of a successful quit attempt, but few smokers are prescribed medications. Electronic health records (EHRs) may increase cessation medication prescription. This study aimed to assess the impact of an electronic alert and linked order set on cessation medication prescription. METHODS: This pre- and postintervention cohort study was conducted in an urban academic general internal medicine practice with a comprehensive EHR. All active smokers with 2 or more visits to the practice in 2008 (preintervention cohort) or 2009 (postintervention cohort) were included. An electronic alert and linked order set were designed and implemented. The primary outcome was prescription of any cessation medication (nicotine replacement therapy, bupropion, or varenicline). Secondary outcomes included counseling referral and change in smoking status to quit during the study period (i.e., "quit rate"). RESULTS: There were 1,349 and 1,346 smokers in the pre- and postintervention cohorts, respectively. Cessation medication prescription did not significantly change after the intervention (14.4% vs. 13.4% of smokers in the preintervention cohort, p = .5). Counseling referrals increased from 2.0% to 7.2% in the postintervention cohort (p < .001). More smokers in the postintervention cohort changed their smoking status to quit during the study period (20.5% vs. 17.1%, p = .06).Conclusions:This provider-directed electronic alert and linked order set failed to increase cessation medication prescription. The consistent failure of provider-directed efforts to increase cessation medication use suggests that this is a patient-limited process. Future efforts to improve tobacco treatment should focus on overcoming patient-level barriers to cessation medication use. |
| | |
Authors:
|
Jason S Mathias; Aashish K Didwania; David W Baker |
Related Documents
:
|
10659716 - Alcohol misuse as a health and social issue in the baltic sea region. a summary of find... 11294326 - Substance abuse by medical students and doctors. 1486096 - Observations on increased cpk levels in "asymptomatic" cocaine abusers. 14766436 - Burden of medical illness in drug- and alcohol-dependent persons without primary care. 15766896 - Identifying hallmarks of consciousness in non-mammalian species. 1923326 - Prevalence of spectacle wear among u.s. army aviators. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-16 |
Journal Detail:
|
Title: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Volume: - ISSN: 1469-994X ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9815751 Medline TA: Nicotine Tob Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Division of General Internal Medicine, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 750 North Lakeshore Drive 10th Floor, Chicago, IL 60611, USA. j-mathias@md.northwestern.edu. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A Comparison of Inflammatory Markers in Depressed and Nondepressed Smokers.
Next Document: Should All Smokers Use Combination Smoking Cessation Pharmacotherapy? Using Novel Analytic Methods t...