Multilevel analysis of the chronic care model and 5A services for treating tobacco use in urban primary care clinics.

ABSTRACT:

Objective

To examine the chronic care model (CCM) as a framework for improving provider delivery of 5A tobacco cessation services.

Methods

Cross-sectional surveys were used to obtain data from 497 health care providers in 60 primary care clinics serving low-income patients in New York City. A hierarchical generalized linear modeling approach to ordinal regression was used to estimate the probability of full 5A service delivery, adjusting for provider covariates and clustering effects. We examined associations between provider delivery of 5A services, clinic implementation of CCM elements tailored for treating tobacco use, and the degree of CCM integration in clinics.

Principal findings

Providers practicing in clinics with enhanced delivery system design, clinical info

SUBMITTER: Hung DY 

PROVIDER: S-EPMC2669639 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature