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Related Experiment Videos

Awakening the sleeping giant: mainstreaming efforts to decrease tobacco use in an HMO.

T McAfee1, J Wilson, S Dacey

  • 1Group Health Cooperative of Puget Sound, Seattle, WA 98101, USA.

HMO Practice
|August 6, 1995
PubMed
Summary
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Group Health Cooperative reduced smoking prevalence by nearly 10% over ten years through a comprehensive, quality-driven strategy. This population-based approach significantly outperformed state-level declines in tobacco use.

Area of Science:

  • Public Health
  • Health Services Research
  • Quality Improvement

Background:

  • Tobacco use remains a significant public health concern.
  • Effective strategies are needed to reduce smoking prevalence at a population level.
  • Healthcare organizations can play a vital role in tobacco cessation efforts.

Purpose of the Study:

  • To describe Group Health Cooperative's (GHC) comprehensive, population-based strategy for reducing tobacco use.
  • To evaluate the impact of GHC's quality improvement framework on smoking prevalence.
  • To compare GHC's smoking prevalence reduction with state-level trends.

Main Methods:

  • Implementation of a quality improvement framework focused on tobacco use reduction.
  • Integration of centralized support with clinic-level activities.

Related Experiment Videos

  • Empowerment of healthcare teams for local outcome ownership.
  • Support for community and policy-based tobacco control initiatives.

    • Main Results:

    • GHC's smoking prevalence decreased from 25% to 15.5% over a decade.
    • This represents a significant reduction in tobacco use within the GHC population.
    • The decline in GHC's smoking prevalence outpaced the decline in Washington state (23.7% to 21.8%).

    Conclusions:

    • A comprehensive, population-based approach integrated within a quality improvement framework can effectively reduce smoking prevalence.
    • Organizational support, local ownership, and community/policy engagement are key components of successful tobacco control programs.
    • GHC's strategy demonstrates a successful model for healthcare systems aiming to decrease tobacco use.