Effect of Tobacco Cessation Counseling in an Eye Care Practice.

Background: Medicare uses a combination of incentives and penalties to encourage health care practices to screen for tobacco use and counsel on cessation. The few studies published on success rates report cessation rates from zero to 15% in hospitals and primary care offices. This study examines the...

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Publicado en:Optometry & Visual Performance Vol. 5; no. 6; pp. 224 - 228
Autor principal: Hatch, Stanley W.
Formato: research tables/charts Journal Article
Publicado: Optometric Extension Program Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2017
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Effect of Tobacco Cessation Counseling in an Eye Care Practice.
      aug:
        au: Hatch, Stanley W.
      sug:
        subj:
          Smoking Cessation
          Counseling
          Eye Care
          Outcomes (Health Care)
          Human
          Medicare
          Descriptive Research
          Retrospective Design
          Record Review
          Sample Size
          Tobacco
          Male
          Female
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Medicare uses a combination of incentives and penalties to encourage health care practices to screen for tobacco use and counsel on cessation. The few studies published on success rates report cessation rates from zero to 15% in hospitals and primary care offices. This study examines the effect of screening for and counseling about tobacco use and cessation on patients of an eye care practice. Methods: Study design: retrospective cohort records review. Criteria for inclusion were: established patient with a documented history of tobacco use at previous office visit(s), received cessation counseling, and age 25 or older. Sample size: given an 18% prevalence of tobacco use in the target population, a minimal sample size of 1418 was calculated in order to detect a 1% change in tobacco use status. Consecutive records from a large multisite eye care practice were reviewed for all visits April 21-May 5, 2016. A total of 1834 established patient records were reviewed, and 193 met the inclusion criteria. Results: Twenty-eight (14.4%) of 193 patients who reported tobacco use at a previous exam and who received counseling on tobacco cessation reported no longer using tobacco at the survey visit. The demographic variables of age, gender, and health insurance carrier did not differ between former users and continuing users. Conclusions: Screening and counseling tobacco cessation in an eye care office is associated with clinically significant decreases in tobacco use.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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