POLICY TO SUPPORT TOBACCO TREATMENT IN HEALTH CARE

支持医疗保健领域烟草治疗的政策

• 批准号: 6614012
• 负责人: JUDITH K OCKENE
• 金额: $ 60.77万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-20 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6614012
• 关键词: behavioral /social science research tag; clinical research; community health services; health care cost /financing; health care policy; health services research tag; human subject; tobacco abuse prevention

The recent tobacco settlements in 48 states will challenge state Departments of Public Health and other agencies to develop and implement public and organizational policies intended to prevent, control and treat tobacco use. The nationally-recognized Massachusetts Tobacco Control Program (MTCP), the largest, single purpose public health initiative in the nation, includes tobacco treatment services provided primarily through tobacco treatment specialists (TTSs) housed within community health settings (CHSs). The goal of this study is to evaluate present Massachusetts state policy designed to make effective tobacco treatment services available to a wide group of adult tobacco users, especially those at greatest risk (e.g., underserved, low income, industry-targeted minority groups), and to inform future policy. The proposed study is divided into two phases. Phase I is a descriptive case study of the longitudinal development of allocative policies and program standards developed by the MTCP for funding tobacco treatment services. Phase II is a prospective comparative case study of CHSs participating in MTCP initiatives to determine the relationship of the policy and standards to implementation of tobacco treatment services. Data will be obtained via two types of methods: (1) qualitative methods, including content analysis of public documents, and key informant interviews at the state, community and organizational level; and (2) quantitative methods including: structured surveys of CHS administrator and clinicians, TTSs and community informants; CHS monitoring data; and treatment checklists completed by standardized patients and by observers to evaluate quality of treatment services provided. These data will be used to investigate factors associated with program implementation, as measured by quantity of tobacco treatment services provided by CHSs, quality of services provided (i.e., the degree to which standards of practice are applied), reach of services (i.e., the degree of penetration into the CHS and surrounding community), and implementation of tobacco treatment-related systems to support the services within the CHS. The historical and prospective information gathered will be summarized into two reports. The first report will describe the funding policy and program standards development from 1994 to 2000; the process by which CHSs received, or did not receive, funding; and then, if funded, the process used to implement the tobacco treatment program. This report will provide recommendations for other states considering similar policies. The second report will summarize the continuing policy development and factors related to successful implementation of the program in CHSs. Recommendations will be made about what standards should be included in a funding policy in order to assure successful implementation of a tobacco treatment program and services in different types of settings.

最近在48个州的烟草定居点将挑战国家公共卫生部门和其他机构，以制定和实施旨在预防，控制和治疗烟草使用的公共和组织政策。 全国最大的单一目的公共卫生计划（MTCP）全国认可的马萨诸塞州烟草控制计划（MTCP）包括主要通过社区健康环境（CHSS）内的烟草治疗专家（TTSS）提供的烟草治疗服务。 这项研究的目的是评估目前的马萨诸塞州国家政策，旨在为许多成年烟草使用者提供有效的烟草治疗服务，尤其是那些面临最大风险的烟草使用者（例如，服务不足的，低收入的，低收入，以行业为目标的少数群体），并为未来的政策提供信息。拟议的研究分为两个阶段。 第一阶段是MTCP为烟草治疗服务提供的分配政策和计划标准的纵向发展的描述性案例研究。 第二阶段是参与MTCP计划的CHSS的前瞻性比较案例研究，以确定政策和标准与实施烟草治疗服务的关系。 数据将通过两种类型的方法获得：（1）定性方法，包括公共文件的内容分析以及州，社区和组织层面的主要线人访谈； （2）定量方法包括：CHS管理员和临床医生，TTSS和社区线人的结构化调查； CHS监视数据；标准化患者和观察家完成的治疗清单，以评估所提供的治疗服务质量。 这些数据将用于调查与计划实施相关的因素，该因素通过CHSS提供的烟草处理服务的数量，提供的服务质量（即应用了实践标准的应用程度），服务范围（即，渗透到CHS和周围社区的渗透程度），以及为CHS内部提供服务的服务。收集的历史和前瞻性信息将汇总为两份报告。 第一份报告将描述1994年至2000年的资金政策和计划标准的发展； CHSS收到或未获得资金的过程；然后，如果资助，该过程用于实施烟草治疗计划。 该报告将为考虑类似政策的其他州提供建议。第二个报告将总结与CHSS成功实施该计划有关的持续政策制定和因素。 为了确保在不同类型的环境中成功实施烟草治疗计划和服务，将为资金政策中的哪些标准提出建议。

项目成果

Organizational systems to support publicly funded tobacco treatment services.

支持公共资助的烟草治疗服务的组织系统。

• DOI: 10.1016/j.amepre.2005.01.008
• 发表时间: 2005
• 期刊: American journal of preventive medicine
• 影响因子: 5.5
• 作者: Zapka,JaneG;White,MaryJo;Reed,George;Ockene,JudithK;List,Elena;Pbert,Lori;Jolicoeur,Denise;Reiff-Hekking,Sarah
• 通讯作者: Reiff-Hekking,Sarah

Implementing state tobacco treatment services: lessons from the Massachusetts experience.

实施国家烟草治疗服务：马萨诸塞州的经验教训。

• DOI: 10.1177/1524839910376035
• 发表时间: 2011
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Pbert,Lori;Zapka,Jane;Jolicoeur,DeniseG;White,MaryJo;ValentineGoins,Karin;Reed,George;Ockene,JudithK
• 通讯作者: Ockene,JudithK

An evaluation of tobacco treatment specialist counseling performance using standardized patient interviews.

使用标准化患者访谈评估烟草治疗专家咨询表现。

• DOI: 10.1080/14622200601078491
• 发表时间: 2007
• 期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
• 作者: Pbert,Lori;Jolicoeur,Denise;Reed,George;Gammon,WendyL
• 通讯作者: Gammon,WendyL