Addressing Tobacco Cessation at Federally Qualified Health Centers: Current Practices & Resources

Sue Flocke, Robin Vanderpool, Genevieve Birkby, Heidi Gullett, Elizabeth L. Seaman, Stephanie Land, Steve Zeliadt

Research output: Contribution to journalArticle

Abstract

This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lacking insurance coverage (35%), limited transportation (27%), and variance in coverage of cessation services by insurance type (26%). Nearly 50% indicated that two or more tobacco cessation resources met the needs of their patients; 25% had one resource, and the remaining 25% had no resources. There were no differences among resource groups in the use of electronic health record (EHR) best-practice-alerts for tobacco use or in the perceived barriers to providing tobacco cessation assistance. Systems changes to harmonize coverage of tobacco assistance, such as broader accessibility to evidence-based cessation services could have a positive impact on the efforts of FQHCs to provide tobacco cessation assistance to their patients.

Original languageEnglish (US)
Pages (from-to)1024-1036
Number of pages13
JournalJournal of health care for the poor and underserved
Volume30
Issue number3
DOIs
StatePublished - Jan 1 2019

Fingerprint

Tobacco Use Cessation
Health
Physician Executives
Insurance Coverage
Electronic Health Records
Tobacco Use
Insurance
Practice Guidelines
Tobacco

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Addressing Tobacco Cessation at Federally Qualified Health Centers : Current Practices & Resources. / Flocke, Sue; Vanderpool, Robin; Birkby, Genevieve; Gullett, Heidi; Seaman, Elizabeth L.; Land, Stephanie; Zeliadt, Steve.

In: Journal of health care for the poor and underserved, Vol. 30, No. 3, 01.01.2019, p. 1024-1036.

Research output: Contribution to journalArticle

Flocke, Sue ; Vanderpool, Robin ; Birkby, Genevieve ; Gullett, Heidi ; Seaman, Elizabeth L. ; Land, Stephanie ; Zeliadt, Steve. / Addressing Tobacco Cessation at Federally Qualified Health Centers : Current Practices & Resources. In: Journal of health care for the poor and underserved. 2019 ; Vol. 30, No. 3. pp. 1024-1036.
@article{02d5d58f2f9149b8954be0eba6998650,
title = "Addressing Tobacco Cessation at Federally Qualified Health Centers: Current Practices & Resources",
abstract = "This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lacking insurance coverage (35{\%}), limited transportation (27{\%}), and variance in coverage of cessation services by insurance type (26{\%}). Nearly 50{\%} indicated that two or more tobacco cessation resources met the needs of their patients; 25{\%} had one resource, and the remaining 25{\%} had no resources. There were no differences among resource groups in the use of electronic health record (EHR) best-practice-alerts for tobacco use or in the perceived barriers to providing tobacco cessation assistance. Systems changes to harmonize coverage of tobacco assistance, such as broader accessibility to evidence-based cessation services could have a positive impact on the efforts of FQHCs to provide tobacco cessation assistance to their patients.",
author = "Sue Flocke and Robin Vanderpool and Genevieve Birkby and Heidi Gullett and Seaman, {Elizabeth L.} and Stephanie Land and Steve Zeliadt",
year = "2019",
month = "1",
day = "1",
doi = "10.1353/hpu.2019.0071",
language = "English (US)",
volume = "30",
pages = "1024--1036",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "3",

}

TY - JOUR

T1 - Addressing Tobacco Cessation at Federally Qualified Health Centers

T2 - Current Practices & Resources

AU - Flocke, Sue

AU - Vanderpool, Robin

AU - Birkby, Genevieve

AU - Gullett, Heidi

AU - Seaman, Elizabeth L.

AU - Land, Stephanie

AU - Zeliadt, Steve

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lacking insurance coverage (35%), limited transportation (27%), and variance in coverage of cessation services by insurance type (26%). Nearly 50% indicated that two or more tobacco cessation resources met the needs of their patients; 25% had one resource, and the remaining 25% had no resources. There were no differences among resource groups in the use of electronic health record (EHR) best-practice-alerts for tobacco use or in the perceived barriers to providing tobacco cessation assistance. Systems changes to harmonize coverage of tobacco assistance, such as broader accessibility to evidence-based cessation services could have a positive impact on the efforts of FQHCs to provide tobacco cessation assistance to their patients.

AB - This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lacking insurance coverage (35%), limited transportation (27%), and variance in coverage of cessation services by insurance type (26%). Nearly 50% indicated that two or more tobacco cessation resources met the needs of their patients; 25% had one resource, and the remaining 25% had no resources. There were no differences among resource groups in the use of electronic health record (EHR) best-practice-alerts for tobacco use or in the perceived barriers to providing tobacco cessation assistance. Systems changes to harmonize coverage of tobacco assistance, such as broader accessibility to evidence-based cessation services could have a positive impact on the efforts of FQHCs to provide tobacco cessation assistance to their patients.

UR - http://www.scopus.com/inward/record.url?scp=85072141353&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072141353&partnerID=8YFLogxK

U2 - 10.1353/hpu.2019.0071

DO - 10.1353/hpu.2019.0071

M3 - Article

C2 - 31422986

AN - SCOPUS:85072141353

VL - 30

SP - 1024

EP - 1036

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 3

ER -