A comparison of patient recall of smoking cessation advice with advice recorded in electronic medical records

Szatkowski, Lisa; McNeill, Ann; Lewis, Sarah; Coleman, Tim
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p291
Academic Journal
Background: Brief cessation advice delivered to smokers during routine primary care consultations increases smoking cessation rates. However, in previous studies investigating recall of smoking cessation advice, smokers have reported more advice being received than is actually documented in their medical records. Recording of smoking cessation advice in UK primary care medical records has increased since the introduction of the Quality and Outcomes Framework (QOF) in 2004, and so we compare recall and recording of cessation advice since this time to assess whether or not agreement between these two data sources has improved. Methods: For each year from 2000 to 2009, the proportion of patients in The Health Improvement Network Database (THIN) with a recording of cessation advice in their notes in the last 12 months was calculated. In 2004, 2005 and 2008, these figures were compared to rates of patients recalling having received cessation advice in the last 12 months in the Primary Care Trust (PCT) Patient Surveys, with adjustment for age, sex and regional differences between the populations. Results: In 2004 there was good agreement between the proportion of THIN patients who had cessation advice recorded in their medical records and the proportion recalling advice in the Patient Survey. However, in both 2005 and 2008, more patients had cessation advice recorded in their medical records than recalled receiving advice. Conclusions: Since the introduction of the QOF, the rate of recording of cessation advice in primary care medical records has exceeded that of patient recall. Whilst both data sources have limitations, our study suggests that, in recent years, the proportion of smokers being advised to quit by primary care health professionals may not have improved as much as the improved recording rates imply.


Related Articles

  • GP Practice: PCTs make traffic wardens look great. Handysides, Stuart // GP: General Practitioner;4/1/2005, p30 

    The article focuses on primary care trusts (PCT). Disgruntled patients have been coming into the surgery this week slapping questionnaires down on the reception counter. Now, the author would not call smoking itself clinical and smoking cessation need not involve doctors, but then he still think...

  • Smoking cessation interventions in rural family practices: An UPRNet study. Sesney, John W.; Kreher, Nan E.; Hickner, John M.; Webb, Sean // Journal of Family Practice;Jun97, Vol. 44 Issue 6, p578 

    BACKGROUND. Primary care physicians are urged to offer smoking cessation counseling to their patients. Many studies have sought to determine which smoking interventions are most effective in medical office settings. As a result, routine identification of smokers, brief counseling, referral to...

  • Enhancing smoking cessation rates in primary care. Wadland, William C.; St�ffelmayr, Bertram; Berger, Ellen; Crombach, Anna; Ives, Kathy // Journal of Family Practice;Sep99, Vol. 48 Issue 9, p711 

    BACKGROUND. The Agency for Health Care Policy and Research (AHCPR) guidelines on smoking cessation recommend that primary care physicians provide both brief advice against smoking and follow-up care for all smokers. Surveys show that although physicians understand the importance of smoking...

  • Randomized Controlled Trial of a Computer-Based, Tailored Intervention to Increase Smoking Cessation Counseling by Primary Care Physicians. Unrod, Marina; Smith, Meredith; Spring, Bonnie; DePue, Judith; Redd, William; Winkel, Gary // JGIM: Journal of General Internal Medicine;Apr2007, Vol. 22 Issue 4, p478 

    OBJECTIVE: The primary care visit represents an important venue for intervening with a large population of smokers. However, physician adherence to the Smoking Cessation Clinical Guideline (5As) remains low. We evaluated the effectiveness of a computer- tailored intervention designed to increase...

  • Physicians' Perceived Barriers to Promoting Smoking Cessation. Berlin, Ivan // Journal of Smoking Cessation;Dec2008, Vol. 3 Issue 2, p92 

    Background/Aims: Physicians' reluctance to promoting smoking cessation reduces the effectiveness of evidence-based recommendations resulting in suboptimal patient outcomes. Primary aim: to draw together findings from studies that addressed physicians' perceived barriers to promoting smoking...

  • Electronic Medical Record Availability and Primary Care Depression Treatment. Harman, Jeffrey; Rost, Kathryn; Harle, Christopher; Cook, Robert // JGIM: Journal of General Internal Medicine;Aug2012, Vol. 27 Issue 8, p962 

    Background: Electronic medical records (EMR) are commonly believed to improve quality of care. Primary care patients with multiple chronic conditions have potentially greater opportunity to benefit from receiving care at practices with EMRs if these systems help coordinate complex care....

  • Implementation of an Electronic Health Record-Based Care Management System to Improve Tobacco Treatment. Kruse, Gina; Kelley, Jennifer; Linder, Jeffrey; Park, Elyse; Rigotti, Nancy // JGIM: Journal of General Internal Medicine;Dec2012, Vol. 27 Issue 12, p1690 

    BACKGROUND: Tobacco treatment is underused in primary care. We designed a Tobacco Care Management system to increase the delivery of treatment and reduce the burden on primary care providers (PCPs). A one-click functionality added to the electronic health record (EHR) allowed PCPs to refer...

  • The attitude toward tobacco dependence and barriers to discussing smoking cessation: a survey among Turkish general practitioners. Gokirmak, Munire; Ozturk, Onder; Bircan, Ahmet; Akkaya, Ahmet // International Journal of Public Health;Jun2010, Vol. 55 Issue 3, p177 

    To evaluate the general attitude of a sample of Turkish general practitioners (GPs) toward tobacco dependence and to assess their knowledge and behavior regarding smoking cessation (SC). A self-administered questionnaire modified from WHO, Global Health Professional Survey was distributed to...

  • Factors predicting recruitment to a UK wide primary care smoking cessation study (the ESCAPE trial). Gilbert, Hazel; Leurent, Baptiste; Sutton, Stephen; Morris, Richard; Alexis-Garsee, Camille; Nazareth, Irwin // Family Practice;Jan2012, Vol. 29 Issue 1, p110 

    Background. Recruiting smokers to smoking cessation trials is challenging and participation rates are often low. Consequently, the interventions evaluated may fail to reach a broad spectrum of the target population, thus compromising the generalizability of the findings. Brief interventions,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics