Interventions to implement a clinic-based smoking cessation guideline within a staff model HMO.
Smoking cessation guideline development has become widespread, outpacing guideline implementation efforts. To address this problem, HealthPartners undertook a randomized trial of strategies to enhance compliance of a smoking cessation guideline. The intervention aimed at clinic leadership resulted in significantly more compliance, as measured by physicians coding "tobacco use" on a billing form. The intervention aimed at all clinic physicians had no significant effect. The study suggests that smoking cessation guideline efforts should focus on clinic leadership and system changes rather than on all staff physicians.
Klevan
D H
DH
Como Medical/Dental Center, Department of Internal Medicine, HealthPartners, MN, USA.
Rolnick
S J
SJ
Talarico
B
B
D005500:Follow-Up Studies; D017408:Guidelines as Topic; D006279:Health Maintenance Organizations; D006282:Health Personnel; D006284:Health Plan Implementation; D006293:Health Promotion; D006801:Humans; D008910:Minnesota; D016540:Smoking Cessation; D000074606:Smoking Prevention