کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4139660 1272216 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Enhancing the Electronic Health Record to Increase Counseling and Quit-Line Referral for Parents Who Smoke
ترجمه فارسی عنوان
تقویت پرونده سلامت الکترونیکی برای افزایش مشاوره و ارجاع مجدد برای والدین که دود می کنند
کلمات کلیدی
سیستم های پشتیبانی تصمیم گیری بالینی، رکورد سلامتی الکترونیکی، پایبندی به دستورالعمل خط را ترک کنید آلودگی دود سیگار، مصرف تنباکو از بین برود
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveTo assess the impact of an electronic health record (EHR) modification and brief clinician training on tobacco smoke exposure (TSE) management in pediatric primary care.MethodsWithin a teaching hospital-based, urban primary care setting, we modified the EHR to include TSE screening prompts, decision support, educational literature, and simplified referral to the state quit line (QuitWorks). A brief training was conducted for the 48 clinic physicians (34 residents and 14 attendings). We collected cross-sectional, independent, random samples of EHR data from well-child visits for children ≤12 years old seen 3 months before (2024 visits) and 3 months after (1895 visits) the intervention and pooled client data from QuitWorks to evaluate TSE screening, counseling, and quit-line referrals. A needs assessment questionnaire examined preintervention attitudes and practice around TSE management; follow-up questionnaires explored satisfaction and subjective changes in skills.ResultsThe baseline needs assessment revealed that although most clinicians agreed that it is appropriate for pediatricians to conduct TSE screening, counseling, and referral during well-child visits, only about half screened, 42% counseled, and 28% routinely offered to refer smoking parents. In pre–post analyses of 117 and 112 EHR-documented positive screens, the intervention was associated with a 16-fold greater likelihood of counseling among positive screens (adjusted odds ratio 16.12; 95% confidence interval 7.28, 35.68). Referrals to QuitWorks increased from 1 before to 31 after the intervention.ConclusionsImplementation of EHR modifications and a brief training to support TSE management was associated with higher rates of counseling and quit-line referrals for parents who smoke.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 14, Issue 5, September–October 2014, Pages 478–484
نویسندگان
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