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Facilitators and Barriers of Physician-Ordered Consultations and Medication Orders of a Tobacco Treatment Service

Weeden, James and Fertman, Carl and Gibbs, Bethany and Harris, Roderick (2019) Facilitators and Barriers of Physician-Ordered Consultations and Medication Orders of a Tobacco Treatment Service. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

The current inquiry investigates the practices of tobacco treatment physician-ordered consultation and nicotine pharmacotherapy medication orders from physicians at a tobacco treatment service. Smoking increases the chance of hospitalization and interferes with patients’ health. Smoking impacts pulmonary function and wound healing. It interferes with hospital treatments and medications. Tobacco treatment services (TTS) in hospitals decrease hospital readmission rates among patients at 30, 90, and 180 days, with statistical significance for patient readmission rates at 30 days. Despite evidence supporting the benefits of tobacco treatment service protocols set by hospitals and the Joint Commission, program utilization for high-priority patients (i.e., everyday smokers, serious medical conditions) is an issue. Key to TTS improvement are the tobacco treatment physician–ordered consultation and nicotine pharmacotherapy medication orders. The inquiry focuses on the barriers and facilitators to implementation of physician-ordered consultation and nicotine pharmacotherapy medication orders from physicians. TTS program improvement strategies are recommended to increase the number of physician order consultations, expand the age groups of the patients that receive physician-ordered consultations, and increase tobacco pharmacotherapy medication orders and utilization of all available medications when appropriate.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Weeden, Jamesjcw83@pitt.edujcw83
Fertman, Carlcarl@pitt.edu
Gibbs, Bethanybbarone@pitt.edu
Harris, RoderickRoderick.Harris@AlleghenyCounty.US
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairFertman, Carlcarl@pitt.edu
Committee CoChairGibbs, Bethanybbarone@pitt.edu
Committee MemberHarris, RoderickRoderick.Harris@AlleghenyCounty.US
Date: 25 September 2019
Date Type: Publication
Defense Date: 24 July 2019
Approval Date: 25 September 2019
Submission Date: 29 August 2019
Access Restriction: 1 year -- Restrict access to University of Pittsburgh for a period of 1 year.
Number of Pages: 104
Institution: University of Pittsburgh
Schools and Programs: School of Education > Health and Physical Activity
Degree: EdD - Doctor of Education
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: tobacco, facilitators, barriers, smoking, consultations
Date Deposited: 25 Sep 2019 15:30
Last Modified: 25 Sep 2019 15:30
URI: http://d-scholarship.pitt.edu/id/eprint/37425

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