TY - JOUR
T1 - Addressing tobacco cessation at federally qualified health centers
T2 - Current practices & resources
AU - Flocke, Susan A.
AU - Vanderpool, Robin
AU - Birkby, Genevieve
AU - Gullett, Heidi
AU - Seaman, Elizabeth L.
AU - Land, Stephanie
AU - Zeliadt, Steve
N1 - Funding Information:
This manuscript is supported by Cooperative Agreement Numbers U48DP001930-SIP14-011, U48DP005014-SIP14-011 and U48DP005013 SIP14-011 from the Centers for Disease Control and Prevention (CDC). The findings and conclu- sions in this manuscript are those of the authors and do not necessarily represent the official position of the CDC, the NCI, or the Department of Health and Human Services.
Funding Information:
This manuscript is supported by Cooperative Agreement Numbers U48DP001930-SIP14-011, U48DP005014-SIP14-011 and U48DP005013 SIP14-011 from the Centers for Disease Control and Prevention (CDC). The findings and conclusions in this manuscript are those of the authors and do not necessarily represent the official position of the CDC, the NCI, or the Department of Health and Human Services.
Publisher Copyright:
© Meharry Medical College.
PY - 2019/8
Y1 - 2019/8
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.
KW - Community health centers
KW - Federally qualified health centers
KW - Tobacco
KW - Tobacco cessation
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
SN - 1049-2089
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
IS - 3
ER -