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An electronic health record-based interoperable eReferral system to enhance smoking Quitline treatment in primary care.


ABSTRACT: OBJECTIVE:The study sought to determine whether interoperable, electronic health record-based referral (eReferral) produces higher rates of referral and connection to a state tobacco quitline than does fax-based referral, thus addressing low rates of smoking treatment delivery in health care. MATERIALS AND METHODS:Twenty-three primary care clinics from 2 healthcare systems (A and B) in Wisconsin were randomized, unblinded, over 2016-2017, to 2 smoking treatment referral methods: paper-based fax-to-quit (system A =6, system B = 6) or electronic (eReferral; system A = 5, system B = 6). Both methods referred adult patients who smoked to the Wisconsin Tobacco Quitline. A total of 14 636 smokers were seen in the 2 systems (system A: 54.5% women, mean age 48.2 years; system B: 53.8% women, mean age 50.2 years). RESULTS:Clinics with eReferral, vs fax-to-quit, referred a higher percentage of adult smokers to the quitline: system A clinic referral rate = 17.9% (95% confidence interval [CI], 17.2%-18.5%) vs 3.8% (95% CI, 3.5%-4.2%) (P?

SUBMITTER: Fiore M 

PROVIDER: S-EPMC6696502 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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An electronic health record-based interoperable eReferral system to enhance smoking Quitline treatment in primary care.

Fiore Michael M   Adsit Rob R   Zehner Mark M   McCarthy Danielle D   Lundsten Susan S   Hartlaub Paul P   Mahr Todd T   Gorrilla Allison A   Skora Amy A   Baker Timothy T  

Journal of the American Medical Informatics Association : JAMIA 20190801 8-9


<h4>Objective</h4>The study sought to determine whether interoperable, electronic health record-based referral (eReferral) produces higher rates of referral and connection to a state tobacco quitline than does fax-based referral, thus addressing low rates of smoking treatment delivery in health care.<h4>Materials and methods</h4>Twenty-three primary care clinics from 2 healthcare systems (A and B) in Wisconsin were randomized, unblinded, over 2016-2017, to 2 smoking treatment referral methods: p  ...[more]

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