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The treatment of smoking by US physicians during ambulatory visits: 1994-2003

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  • Thorndike, A.N.
  • Regan, S.
  • Rigotti, N.A.

Abstract

Objectives. We sought to determine whether US physicians' practice patterns in treating tobacco use at ambulatory visits improved over the past decade with the appearance of national clinical practice guidelines, new smoking cessation medications, and public reporting of physician performance in counseling smokers. Methods. We compared data from the National Ambulatory Medical Care Survey, an annual survey of a random sample of office visits to US physicians, between 1994-1996 and 2001-2003. Results. Physicians identified patients' smoking status at 68% of visits in 2001-2003 versus 65% in 1994-1996 (adjusted odds ratio [AOR] = 1.16; 95% confidence interval [CI] = 1.04, 1.30). Physicians counseled about smoking at 20% of smokers' visits in 2001-2003 versus 22% in 1994-1996 (AOR = 0.84; 95% CI = 0.71, 0.99). In both time periods, smoking cessation medication use was low (

Suggested Citation

  • Thorndike, A.N. & Regan, S. & Rigotti, N.A., 2007. "The treatment of smoking by US physicians during ambulatory visits: 1994-2003," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1878-1883.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.092577_6
    DOI: 10.2105/AJPH.2006.092577
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