ArticleAmerican journal of public health2015
Effect of systems change and use of electronic health records on quit rates among tobacco users in a public hospital system.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.Journal of medical systems · 2018Pooled it
- Improving clinical documentation: introduction of electronic health records in paediatrics.BMJ open quality · 2021Article
- Nicotine and Opioids: a Call for Co-treatment as the Standard of Care.The journal of behavioral health services & research · 2020Review
- Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care.American journal of health promotion : AJHP · 2018Observational
- Linking Data From Health Surveys and Electronic Health Records: A Demonstration Project in Two Chicago Health Center Clinics.Preventing chronic disease · 2018Article
- Systems change to improve tobacco use identification and referral in the chiropractic setting: a pilot study.Chiropractic & manual therapies · 2018Article
- The Prevalence of Tobacco Use at Federally Qualified Health Centers in the United States, 2013.Preventing chronic disease · 2017Article
- Provider satisfaction with an inpatient tobacco treatment program: results from an inpatient provider survey.International journal of general medicine · 2017Article
- Do complexity-informed health interventions work? A scoping review.Implementation science : IS · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe examined electronic health records (EHRs) to assess the impact of systems change on tobacco use screening, treatment, and quit rates among low-income primary care patients in Louisiana.
methodsWe examined EHR data on 79,777 patients with more than 1.2 million adult primary care encounters from January 1, 2009, through January 31, 2012, for evidence of systems change. We adapted a definition of "systems change" to evaluate a tobacco screening and treatment protocol used by medical staff during primary care visits at 7 sites in a public hospital system.
resultsSix of 7 sites met the definition of systems change, with routine screening rates for tobacco use higher than 50%. Within the first year, a 99.7% screening rate was reached. Sites had a 9.5% relative decrease in prevalence over the study period. Patients were 1.03 times more likely to sustain quit with each additional intervention (95% confidence interval = 1.02, 1.04).
conclusionsEHRs can be used to demonstrate that routine clinical interventions with low-income primary care patients result in reductions in tobacco use and sustained quits.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.