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Ask-advise-refer increases referrals to a smoking cessation group clinic

机译:咨询-建议-推荐增加了对戒烟小组诊所的推荐

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Background: The Department of Pharmaceutical Care at the University of Iowa Hospitals and Clinics sponsors a pharmacist-managed smoking cessation group clinic. Ask-Advise-Refer is a method to refer patients to smoking cessation programs, but few data are available to support its use by pharmacists in an academic medical center outpatient pharmacy. Objective: To quantify the number of individuals asked about tobacco use, advised to quit smoking, referred, and enrolled in the pharmacist-managed smoking cessation group clinic through the hospital's 2 ambulatory care pharmacies. Methods: The Ask-Advise-Refer program was implemented and evaluated prospectively in both ambulatory care pharmacies. Patients over 18 years old who received their own prescriptions were asked about tobacco use. Pharmacists advised tobacco users to quit and surveyed their interest in quitting within the next 30 days. A pharmacist contacted interested patients by phone to provide them with more information to enroll them in the smoking cessation group clinic. A documentation form followed the prescription through the filling process. Forms used for data collection were gathered daily and information on tobacco use was entered into the dispensing system weekly. Forms also provided numerical counts for evaluating the program. Results: Of the 3,267 patients asked about smoking status, 889 of them used tobacco. Of those, 53.8% were interested in quitting in the next 30 days; 30% of these patients wanted the pharmacist to contact them. Of the patients who were contacted, 22 agreed to enroll in the clinic, and 10 attended the clinic. Conclusions: By implementing an Ask-Advise-Refer brief smoking cessation intervention at an academic medical center outpatient pharmacy, referrals and participation were increased in the pharmacist-managed smoking cessation group clinic.
机译:背景:爱荷华大学医院和诊所的药物治疗系发起了一个由药剂师管理的戒烟小组诊所。 Ask-Advise-Refer是一种将患者转介到戒烟计划的方法,但是很少有数据可支持学术医疗中心门诊药房的药剂师使用该方法。目的:通过医院的两家门诊药房,量化被问及烟草使用,被建议戒烟,转介并参加药剂师管理的戒烟小组诊所的个人数量。方法:在两家门诊药房均实施了前瞻咨询计划,并对其进行了前瞻性评估。向18岁以上接受自己处方的患者询问烟草使用情况。药剂师建议烟草使用者戒烟,并在接下来的30天内调查他们对戒烟的兴趣。一名药剂师通过电话与感兴趣的患者联系,以向他们提供更多信息,以使他们参加戒烟小组的诊所。在填写过程中,遵循处方的文档表格。每天收集用于数据收集的表格,每周将有关烟草使用的信息输入分配系统。表格还提供了用于评估程序的数值计数。结果:在3267位询问吸烟状况的患者中,其中889位使用了烟草。其中53.8%的人希望在接下来的30天内退出;这些患者中有30%希望药剂师与他们联系。在所联系的患者中,有22名同意参加该诊所,有10名参加了该诊所。结论:通过在学术医学中心的门诊药房实施“询问-咨询-推荐”简短戒烟干预措施,药剂师管理的戒烟小组诊所的转诊和参与率有所提高。

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