Assessing the structure of smoking cessation care in the Veterans Health Administration

Scott Sherman, Elizabeth M. Yano, Laura S. York, Andy B. Lanto, Bruce A. Chernof, Brian S. Mittman

    Research output: Contribution to journalArticle

    Abstract

    Purpose. National smoking cessation practice guidelines offer recommendations regarding the processes and structure of care. Facilities routinely measure the processes of care but not the structure of care. This pilot study assessed the structure of smoking cessation care at Veterans Health Administration facilities. Methods. Key informants at 18 sites completed a brief checklist survey adapted from national smoking cessation guidelines. Responses were compared with detailed site surveys. Results. Guideline adherence was seen in identifying smokers and treating inpatient smokers. Areas of low adherence include offering incentives and defining staff responsibilities. The checklist survey showed poor correspondence with the detailed survey, with low agreement on systematic screening (kappa = .21) and higher agreement on primary care prescribing authority (kappa = .53). Discussion. This pilot survey provides a potential rapid method for assessing adherence to systems recommendations from, the national smoking cessation guidelines. The relatively low agreement with a more detailed survey suggests that the two surveys may have been measuring different aspects of smoking cessation care.

    Original languageEnglish (US)
    Pages (from-to)313-318
    Number of pages6
    JournalAmerican Journal of Health Promotion
    Volume20
    Issue number5
    DOIs
    StatePublished - Jan 1 2006

    Fingerprint

    Veterans Health
    United States Department of Veterans Affairs
    Smoking Cessation
    smoking
    health
    Checklist
    Guidelines
    Guideline Adherence
    Process Assessment (Health Care)
    Health Facilities
    Surveys and Questionnaires
    Practice Guidelines
    Motivation
    Inpatients
    incentive
    Primary Health Care
    staff
    responsibility

    Keywords

    • Guidelines
    • Health Care Quality Assessment
    • Organizational Structure
    • Practice Guidelines
    • Prevention Research
    • Quality Measurement
    • Questionnaires
    • Smoking Cessation
    • Structure of Care
    • Survey Methods
    • Veterans

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health

    Cite this

    Sherman, S., Yano, E. M., York, L. S., Lanto, A. B., Chernof, B. A., & Mittman, B. S. (2006). Assessing the structure of smoking cessation care in the Veterans Health Administration. American Journal of Health Promotion, 20(5), 313-318. https://doi.org/10.4278/0890-1171-20.5.313

    Assessing the structure of smoking cessation care in the Veterans Health Administration. / Sherman, Scott; Yano, Elizabeth M.; York, Laura S.; Lanto, Andy B.; Chernof, Bruce A.; Mittman, Brian S.

    In: American Journal of Health Promotion, Vol. 20, No. 5, 01.01.2006, p. 313-318.

    Research output: Contribution to journalArticle

    Sherman, S, Yano, EM, York, LS, Lanto, AB, Chernof, BA & Mittman, BS 2006, 'Assessing the structure of smoking cessation care in the Veterans Health Administration', American Journal of Health Promotion, vol. 20, no. 5, pp. 313-318. https://doi.org/10.4278/0890-1171-20.5.313
    Sherman, Scott ; Yano, Elizabeth M. ; York, Laura S. ; Lanto, Andy B. ; Chernof, Bruce A. ; Mittman, Brian S. / Assessing the structure of smoking cessation care in the Veterans Health Administration. In: American Journal of Health Promotion. 2006 ; Vol. 20, No. 5. pp. 313-318.
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