Tobacco Dependence Treatment Guidelines in Arizona
Author Information
Author(s): Gilles Mary E, Strayer Louise J, Leischow Robert, Feng Chun, Menke J Michael, Sechrest Lee
Primary Institution: The University of Arizona
Hypothesis
What is the awareness and implementation status of tobacco cessation and prevention measures among Arizona healthcare systems?
Conclusion
In 2000, Arizona healthcare systems showed awareness of tobacco cessation guidelines but limited implementation, particularly among 'Managed Medicaid' organizations.
Supporting Evidence
- 88% of healthcare systems reported awareness of at least one clinical practice guideline for tobacco dependence treatment.
- Only 33% of healthcare systems reported full implementation of at least one clinical practice guideline.
- 10% of 'Managed Medicaid' organizations covered tobacco treatment medication.
Takeaway
Most healthcare systems in Arizona knew about tobacco treatment guidelines, but many didn't fully follow them, especially those helping low-income patients.
Methodology
A 20-item survey was mailed to representatives of 40 healthcare systems in Arizona, with a response rate of 83%.
Potential Biases
Potential bias in self-reported data from healthcare systems regarding their awareness and implementation of guidelines.
Limitations
The survey only reflects the status in 2000 and may not account for changes in guidelines or practices since then.
Participant Demographics
Healthcare systems included commercial, Medicare, Medicaid, Veterans Affairs, and Indian Health Service organizations.
Statistical Information
P-Value
p = 0.006 for behavioral therapy coverage
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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