This literature review highlights research, published
in 1998-present, on the organizational processes and practices used
by managed care organizations (MCOs) to provide smoking cessation
treatment to their patients. NPO staff conduct multiple PubMed
searches, review the search results, and select articles for inclusion
in this review based on their relevance to researchers and managed
care professionals engaged in evaluating or promoting system-level
The initial review of the literature was conducted
in August 1999 and is updated approximately every three months.
The review is based on the results of six PubMed searches designed
to capture research on or about one of the six system-level recommendations
outlined in the Public Health Service Treating Tobacco Use
and Dependence: A Clinical Practice Guideline. Detailed information
on the search parameters for each of the six searches can be viewed
by clicking on the names of the searches listed at the bottom of
Database of Selected Articles:
The results of the NPO's literature review are
available in a Reference
Manager database. You may search the database by author, publication
date, and/or keywords. (To view a complete listing of database contents,
select "Advanced Search," followed by "All Indexed
Fields," in the Field to Search box. Type an asterisk in the
Data to Locate box, and select the search button.) Full citations
and abstracts (where available) are included for each selected article.
- Implementing a tobacco
user identification system in every clinic.
- Providing education,
resources and feedback to promote provider intervention.
- Dedicating staff to
provide tobacco dependence treatment.
- Promoting hospital policies
that support and provide tobacco dependence services.
- Including effective
tobacco dependence treatments (both counseling and pharmacotherapy)
as paid or covered services.
- Reimbursing clinicians
and specialists for delivery of effective tobacco dependence treatments
and including these interventions among the defined duties of