Implementation planning for equitable tobacco treatment services: a mixed methods assessment of contextual facilitators and barriers in a large comprehensive cancer center.
Transl Behav Med
; 13(8): 539-550, 2023 08 11.
Article
en En
| MEDLINE
| ID: mdl-36940412
Implementation of equitable tobacco cessation services for diverse cancer patients will require understanding the specific needs and referral processes within health care setting context and target populations. In our study, we identified barriers to implementing a tobacco cessation program for diverse cancer patients (e.g., Asian/Asian American, Black/African American, Hispanic/Latino/a). Barriers noted by clinic team members to routine tobacco use screening and treatment included limited time during patient visits, lack of clinic team training on smoking cessation needs, language/cultural barriers for patients, and insurance coverage. Our findings showed health system leaders, providers, and staff agree that both tobacco use screening and providing tobacco cessation services are important, but there is a need for better understanding and improvement of clinic workflows, designated roles, and responsibilities of providers and staff, and increased awareness and training about tobacco use screening, available cessation services, and referral to treatment.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
/
13_ODS3_tobacco_control
/
1_ASSA2030
Problema de salud:
11_delivery_arrangements
/
13_tobacco_dependence_cessation
/
1_sistemas_informacao_saude
Asunto principal:
Cese del Hábito de Fumar
/
Cese del Uso de Tabaco
/
Neoplasias
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Límite:
Humans
Idioma:
En
Revista:
Transl Behav Med
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos