Skip to main content
Article
Implementing point of care "e-referrals" in 137 clinics to increase access to a quit smoking internet system: the Quit-Primo and National Dental PBRN HI-QUIT Studies
University of Massachusetts Medical School Faculty Publications
  • Rajani S. Sadasivam, University of Massachusetts Medical School
  • Timothy P. Hogan, University of Massachusetts Medical School
  • Julie E. Volkman, University of Massachusetts Medical School
  • Bridget M. Smith, Loyola University Chicago
  • Heather L. Coley, University of Alabama at Birmingham
  • Jessica H. Williams, University of Alabama at Birmingham
  • Kathryn Delaughter, University of Massachusetts Medical School
  • Midge N. Ray, University of Alabama at Birmingham
  • Gregg H. Gilbert, University of Alabama at Birmingham
  • Daniel E. Ford, Johns Hopkins University
  • Jeroan J. Allison, University of Massachusetts Medical School
  • Thomas K. Houston, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences
Date
12-1-2013
Document Type
Article
Abstract
Integrating electronic referral systems into clinical practices may increase use of web-accessible tobacco interventions. We report on our feasibility evaluation of using theory-driven implementation science techniques to translate an e-referral system (ReferASmoker.org) into the workflow of 137 community-based medical and dental practices, including system use, patient registration, implementation costs, and lessons learned. After 6 months, 2,376 smokers were e-referred (medical, 1,625; dental, 751). Eighty-six percent of the medical practices [75/87, mean referral = 18.7 (SD = 17.9), range 0-105] and dental practices [43/50, mean referral = 15.0 (SD = 10.5), range 0-38] had e-referred. Of those smokers e-referred, 25.3 registered [mean smoker registration rate-medical 4.9 (SD = 7.6, range 0-59), dental 3.6 (SD = 3.0, range 0-10)]. Estimated mean implementation costs are medical practices, US$429.00 (SD = 85.3); and dental practices, US$238.75 (SD = 13.6). High performing practices reported specific strategies to integrate ReferASmoker.org; low performers reported lack of smokers and patient disinterest in the study. Thus, a majority of practices e-referred and 25.3 % of referred smokers registered demonstrating e-referral feasibility. However, further examination of the identified implementation barriers is important as of the estimated 90,000 to 140,000 smokers seen in the 87 medical practices in 6 months, only 1,625 were e-referred.
Comments

Citation: Sadasivam RS, Hogan TP, Volkman JE, Smith BM, Coley HL, Williams JH, Delaughter K, Ray MN, Gilbert GH, Ford DE, Allison JJ, Houston TK; National Dental PBRN and QUITPRIMO Collaborative Groups. Implementing point of care "e-referrals" in 137 clinics to increase access to a quit smoking internet system: the Quit-Primo and National Dental PBRN HI-QUIT Studies. Transl Behav Med. 2013 Dec;3(4):370-8. doi: 10.1007/s13142-013-0230-3. Link to article on publisher's site

Related Resources
Link to Article in PubMed
Keywords
  • UMCCTS funding
PubMed ID
24294325
Citation Information
Rajani S. Sadasivam, Timothy P. Hogan, Julie E. Volkman, Bridget M. Smith, et al.. "Implementing point of care "e-referrals" in 137 clinics to increase access to a quit smoking internet system: the Quit-Primo and National Dental PBRN HI-QUIT Studies" Vol. 3 Iss. 4 (2013) ISSN: 1869-6716 (Print)
Available at: http://works.bepress.com/rajani_sadasivam/27/