Document Detail


Using policy to increase prescribing of smoking cessation medications in the VA healthcare system.
MedLine Citation:
PMID:  20870742     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Since 2002 the US Veterans Affairs (VA) healthcare system has initiated national policies and programmes to reduce smoking among its patients and to increase evidence-based treatment for smoking.
OBJECTIVE: To document changes in dispensing rates of cessation-related medications in VA from 2004 to 2008.
DESIGN: Retrospective analysis of VA administrative data.
RESULTS: Prescription fills for nicotine replacement therapy (NRT), and for bupropion among NRT users, each grew more than 60% in four years. The increase stemmed primarily from treating more people rather than from filling more prescriptions per person.
CONCLUSION: The results provide strong support for the efficacy of these policies and illustrate how healthcare systems can successfully employ multiple strategies to increase evidence-based smoking-cessation treatment.
Authors:
Mark W Smith; Shuo Chen; Andrew M Siroka; Kim Hamlett-Berry
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2010-09-24
Journal Detail:
Title:  Tobacco control     Volume:  19     ISSN:  1468-3318     ISO Abbreviation:  Tob Control     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9209612     Medline TA:  Tob Control     Country:  England    
Other Details:
Languages:  eng     Pagination:  507-11     Citation Subset:  IM    
Affiliation:
Health Economics Resource Center, Veterans Affairs Palo Alto Health Care System, Menlo Park, California 94025, USA. mark.smith9@va.gov
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