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

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, 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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