Awareness and implementation of tobacco dependence treatment guidelines in Arizona: Healthcare Systems Survey 2000
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Research
Awareness and implementation of tobacco dependence treatment guidelines in Arizona: Healthcare Systems Survey 2000 Mary E Gilles*1, Louise J Strayer1, Robert Leischow2, Chun Feng1, J Michael Menke1 and Lee Sechrest1 Address: 1The University of Arizona HealthCare Partnership, Department of Psychology, The University of Arizona, Tucson, Arizona, USA and 2SHPS, Inc, Scottsdale, Arizona, USA Email: Mary E Gilles* - [email protected]; Louise J Strayer - [email protected]; Robert Leischow - [email protected]; Chun Feng - [email protected]; J Michael Menke - [email protected]; Lee Sechrest - [email protected] * Corresponding author
Published: 19 December 2008 Health Research Policy and Systems 2008, 6:13
doi:10.1186/1478-4505-6-13
Received: 30 June 2008 Accepted: 19 December 2008
This article is available from: http://www.health-policy-systems.com/content/6/1/13 © 2008 Gilles et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: This paper presents findings from the Tobacco Control in Arizona Healthcare Systems Survey, conducted in 2000. The purpose of the survey was to assess the status of Arizona healthcare systems' awareness and implementation of tobacco cessation and prevention measures. Methods: The 20-item survey was developed by The University of Arizona HealthCare Partnership in collaboration with the Arizona Department of Health Services Bureau of Tobacco Education and Prevention. It was mailed to representatives of Arizona's 40 healthcare systems, including commercial and Medicare managed care organizations, "managed Medicaid" organizations, Veterans Affairs Health Care Systems, and Indian Health Service Medical Centers. Thirty-three healthcare systems (83%) completed the survey. Results: The majority of healthcare systems reported awareness of at least one tobacco cessation and prevention clinical practice guideline, but only one third reported full guideline implementation. While a majority covered some form of behavioral therapy, less than half reported covering tobacco treatment medications. "Managed Medicaid" organizations administered through the Arizona Health Care Cost Containment System were significantly less likely to offer coverage for behavioral therapy and less likely to cover pharmacotherapy than were their non-Medicaid counterparts in managed care, Veterans Affairs Health Care Systems and Indian Health Service Medical Centers. Conclusion: Arizona healthcare system coverage for tobacco cessation in the year 2000 was comparable to national survey findings of the same year. The findings that only 10% of "Managed Medicaid" organizations covered tobacco treatment medication and were significantly less likely to cover behavioral therapy were important given the nearly double
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