Organizational and provider characteristics fostering smoking cessation practice guideline adherence

An empirical look

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

Research output: Contribution to journalArticle

30 Citations (Scopus)

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
StatePublished - 2002
Externally publishedYes

Fingerprint

Guideline Adherence
Foster Home Care
Smoking Cessation
Practice Guidelines
Physicians
Organizational Policy
Guidelines
American Hospital Association
Nicotine
Prescriptions

Keywords

  • Clinical guideline
  • Organization
  • Quality

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Organizational and provider characteristics fostering smoking cessation practice guideline adherence : An empirical look. / Vaughn, Thomas E.; Ward, Marcia M.; Doebbeling, Bradley; Uden-Holman, Tanya; Clarke, William T.; Woolson, Robert F.

In: Journal of Ambulatory Care Management, Vol. 25, No. 2, 2002, p. 17-31.

Research output: Contribution to journalArticle

Vaughn, Thomas E. ; Ward, Marcia M. ; Doebbeling, Bradley ; Uden-Holman, Tanya ; Clarke, William T. ; Woolson, Robert F. / Organizational and provider characteristics fostering smoking cessation practice guideline adherence : An empirical look. In: Journal of Ambulatory Care Management. 2002 ; Vol. 25, No. 2. pp. 17-31.
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