Organizational and provider characteristics fostering smoking cessation practice guideline adherence: An empirical look

Thomas E. Vaughn, Marcia M. Ward, Bradley N. Doebbeling, Tanya Uden-Holman, William T. Clarke, Robert F. Woolson

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

We examined the relationship between physician adherence with a smoking cessation guideline and organizational structures, policies, leadership support, and physician knowledge and attitudes. A random sample of 844 physicians practicing in 127 VHA hospitals was surveyed. Survey results were aggregated to the hospital level and linked with data on organizational characteristics from the 1998 annual survey of hospitals by the American Hospital Association. Significant predictors of adherence included organizational policies related to nicotine replacement prescriptions, the timing and effectiveness of guideline implementation, physicians' knowledge of VHA clinical guidelines generally, and physicians' beliefs about the receptiveness of patients to smoking cessation.

Original languageEnglish (US)
Pages (from-to)17-31
Number of pages15
JournalJournal of Ambulatory Care Management
Volume25
Issue number2
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

Keywords

  • Clinical guideline
  • Organization
  • Quality

ASJC Scopus subject areas

  • Health Policy

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