Assessing the Structure of Smoking Cessation Care in the Veterans Health Administration

Abstract

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.

Real world evaluation of the smoking cessation services in the Rio de Janeiro municipality, Brazil

“…Clinical activities were not developed except by only one of the services. The percentage of cessation resources such as kits and brochures for 18 Veteran Administration facilities varied between 13% and 25%, while in this study, it was over 60%. In the study mentioned, the percentage of clinics using medicines routinely ranged between 93% and 100%, values close to those recorded in this study (99.3%).…”

“…Sherman et al pointed out that, even though the national smoking cessation practice guidelines have recommendations on the structure and process evaluation, the services rarely measure aspects related to structure . In this study, the inputs, the activities, and the short‐term outcomes of smoking cessation services have been analysed according to the recommendations of the Centers for Disease Control and Prevention…”

“…This type of evaluation aims to investigate, in a systematic way, the development of the programme, measuring inputs, activities, and short‐term outcomes . Besides, evaluating the adherence to Brazilian guidelines, it creates an opportunity for the improvement of health services, helping more smokers to quit . However, the evaluations of the smoking cessation services are scarce in Brazil.…”

Integrating Tobacco Cessation Into Mental Health Care for Posttraumatic Stress Disorder<subtitle>A Randomized Controlled Trial</subtitle>

“…Smokers are infrequently referred to specialized tobacco cessation clinics, and those referred often fail to attend or drop out prematurely. 8,9 Although primary care clinicians screen for tobacco use, 10,11 they usually do not provide treatment to aid quitting. 11 Psychiatrists deliver cessation counseling to patients who smoke at only 12% of visits.…”

The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol

“…However, implementation of Assist and Arrange has been lower [21,23,24]. One important component of assisting patients mentioned in the guideline is to refer patients to community resources, such as quitlines [15].…”