Patient Characteristics Associated With Smoking Cessation Interventions and Quit Attempt Rates Acros
Monday, October 19, 2015
Posted by: Natalia Gromov
Sheryl L. Silfen, Jisung Cha, Jason J. Wang, Thomas G. Land, and Sarah C. Shih.
Patient Characteristics Associated With Smoking Cessation Interventions and Quit Attempt Rates Across 10 Community Health Centers With Electronic Health Records.
American Journal of Public Health: October 2015, Vol. 105, No. 10, pp. 2143-2149.
We used electronic health record (EHR) data to determine rates and patient characteristics in offering cessation interventions (counseling, medications, or referral) and initiating quit attempts. Ten community health centers in New York City contributed 30 months of de-identified patient data from their EHRs.
Of 302,940 patients, 40% had smoking status recorded and only 34% of documented current smokers received an intervention. Women and younger patients were less likely to have their smoking status documented or to receive an intervention. Patients with comorbidities that are exacerbated by smoking were more likely to have status documented (82.2%) and to receive an intervention (52.1%), especially medication (10.8%). Medication, either along (odds ratio [OR] = 1.9; 95% confidence interval [CI] = 1.5, 2.3) or combined with counseling (OR = 1.8; 95% CI = 1.5, 2.3), was associated with high quit attempts compared with no intervention. Data from EHRs demonstrated underdocumentation of smoking status and missed opportunities for cessation interventions. Use of data from EHRs can facilitate quality improvement efforts to increase screening and intervention delivery, with the potential to improve smoking cessation rates.