联邦合格医疗保健中心的吸烟者对州立戒烟热线的了解、态度和转介做法:医疗服务提供者的观点。

IF 1.9 Q3 SUBSTANCE ABUSE
Tobacco Prevention & Cessation Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.18332/tpc/191728
Alicia K Matthews, Cherdsak Duangchan, Jennifer Afuko, Hope Opuada, Geri Donenberg
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引用次数: 0

摘要

导言:联邦合格医疗保健中心(FQHC)为大量低收入患者提供治疗,这些患者的烟草使用负担过重。本研究调查了医疗服务提供者对吸烟患者的了解、态度以及向州戒烟热线转介患者的模式:研究采用描述性定性设计。2021 年,研究人员从美国中西部一个大城市的联邦合格医疗中心 (FQHC) 抽样,对医疗服务提供者进行了深入访谈。访谈以标准化的主持人指南为指导,持续 30-45 分钟。每次访谈前都征得了参与者的书面知情同意,参与者还填写了一份简短的自填调查表:在 25 名参与者中,92% 为女性,44% 为黑人。参与者包括医疗服务提供者(52%)、行为健康服务提供者(16%)和其他类型的服务提供者(32%)。参与者的平均年龄和工作经验分别为 41.5 岁和 5.25 年。只有 32% 的医疗服务提供者表示接受过戒烟或成瘾咨询方面的专业培训。超过一半(52%)的参与者从未或很少向伊利诺伊州戒烟热线(ITQL)转介病人。医疗服务提供者报告了向 ITQL 转介患者的几个障碍,包括对所提供服务的了解有限、时间限制、转介过程中的困难以及医疗服务提供者和 ITQL 之间缺乏反馈。此外,医疗服务提供者还描述了与患者有关的障碍,包括戒烟积极性不高、语言障碍以及患者不回应戒烟热线的电话。建议改进患者和医疗服务提供者的教育、转诊流程,并加强医疗服务提供者与戒烟热线之间的双向沟通:结论:医疗服务提供者发现了转介患者接受戒烟治疗的诸多障碍。要解决这些障碍,需要采取多方面的措施,包括教育、简化流程、支持性基础设施以及以患者为中心的干预措施,以提高医疗服务提供者对现有资源的使用率和满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, attitudes, and referral practices for smokers to a state tobacco quitline in a federally qualified healthcare center: Healthcare provider perspectives.

Introduction: Federally qualified healthcare centers (FQHC) treat a large population of low-income patients disproportionately burdened by tobacco use. This study investigated healthcare providers' knowledge, attitudes, and referral patterns of patients who smoke to a state tobacco quitline.

Methods: The study used a descriptive-qualitative design. In-depth interviews were conducted in 2021 with a sample of healthcare providers recruited from a federally qualified healthcare center (FQHC) in a large city in the Midwest. The interviews were guided by a standardized moderator's guide and lasted 30-45 minutes. Written informed consent was obtained before each interview, and participants completed a brief self-administered survey.

Results: Among the 25 participants, 92% were female and 44% were Black. Participants included medical providers (52%), behavioral health providers (16%), and other types of providers (32%). Participants' age and work experience averaged 41.5 and 5.25 years, respectively. Only 32% of providers reported having specialty training in smoking cessation or addiction counseling. Over half (52%) of the participants never or rarely referred patients to the Illinois Tobacco Quitline (ITQL). Providers reported several barriers to referring patients to the ITQL, including limited knowledge about services offered, time constraints, difficulties with the referral process, and lack of feedback between providers and the ITQL. Further, providers described patient-related barriers, including low motivation to quit smoking, language barriers, and failure of patients to respond to calls from the quitline. Recommendations were described for improving patient and provider education, referral processes, and increasing bi-directional communication between providers and the quitline.

Conclusions: Providers identified numerous barriers to referring patients for smoking cessation treatment. Addressing the identified barriers requires a multi-faceted approach involving education, streamlined processes, supportive infrastructure, and patient-centered interventions to strengthen provider use and satisfaction with the available resources.

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CiteScore
1.80
自引率
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发文量
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