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Using policy to increase prescribing of smoking cessation medications in the VA healthcare system

机译：使用政策来增加VA医疗保健系统中的戒烟药物处方

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摘要

Background Since 2002 the US Veterans Affairs (VA) healthcare system has initiated national policies and programmes to reduce smoking among its patients and to increase evidence-based treatment for smoking. Objective To document changes in dispensing rates of cessation-related medications in VA from 2004 to 2008. Design Retrospective analysis of VA administrative data. Results Prescription fills for nicotine replacement therapy (NRT), and for bupropion among NRT users, each grew more than 60% in four years. The increase stemmed primarily from treating more people rather than from filling more prescriptions per person. Conclusion The results provide strong support for the efficacy of these policies and illustrate how healthcare systems can successfully employ multiple strategies to increase evidence-based smoking-cessation treatment.
机译：背景技术自2002年以来，美国退伍军人事务（VA）医疗保健系统已启动了国家政策和计划，以减少其患者中的吸烟并增加循证吸烟。目的记录2004年至2008年弗吉尼亚州戒烟相关药物的配药率变化。设计回顾性分析弗吉尼亚州行政数据。结果尼古丁替代疗法（NRT）和安非他酮使用者中的安非他明处方药在四年内增长了60％以上。增加的主要原因是治疗更多的人，而不是因为每人需要提供更多的处方。结论结论为这些政策的有效性提供了有力的支持，并说明了医疗保健系统如何成功采用多种策略来增加循证戒烟治疗。

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  • 来源
    《Tobacco control》 |2010年第6期|p.507-511|共5页
  • 作者

    Mark W Smith; Shuo Chen; Andrew M Siroka; Kim Hamlett-Berry;

  • 作者单位

    Center for Primary Care and Outcomes Research, Stanford Medical School, Stanford, California, USA,Health Economics Resource Center, VA Palo Alto Health Care System 650-617-2630, 795 Willow Rd 152 MPD, Menlo Park, CA 94025, USA;

    Health Economics Resource Center, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA;

    Health Economics Resource Center, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA;

    Office of Public Health Policy and Prevention, Public Health Strategic Health Care Group, US Department of Veterans Affairs, Washington, District of Columbia, USA;

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