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Collaboration between Oregon's chronic disease programs and Medicaid to decrease smoking among Medicaid-insured

R David Rebanal1, Richard Leman

  • 1Oregon Health Services, Health Promotion and Chronic Disease Prevention Program, 800 NE Oregon St, Suite 730, Portland, OR 97232, USA. David.Rebanal@state.or.us

Preventing Chronic Disease
|November 3, 2005
PubMed
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Oregon

Area of Science:

  • Public Health
  • Environmental Health
  • Health Policy

Background:

  • Environmental tobacco smoke is a significant asthma trigger, impacting both children and adults.
  • Oregon faces higher asthma rates than the national average, with a substantial portion of individuals with asthma being smokers.
  • Effective asthma management necessitates smoking cessation and reduced exposure to secondhand smoke.

Purpose of the Study:

  • To describe a public health partnership aimed at reducing smoking and environmental tobacco smoke exposure.
  • To focus on Medicaid-insured Oregonians diagnosed with asthma.
  • To integrate asthma management and smoking control strategies within healthcare systems.

Main Methods:

  • The Asthma-Tobacco Integration Project, launched in 2003, involved two state agencies (Oregon Department of Human Services' Health Promotion and Chronic Disease Prevention Program and Office of Medical Assistance Programs) and 14 health plans.

Related Experiment Videos

  • Initiatives included developing partnerships among health plans, providers, and healthcare organizations for systems innovation and provider education.
  • Educational tools and information on tobacco's impact on asthma morbidity were distributed to healthcare providers serving low-income populations.

    • Main Results:

    • The partnership facilitated resource leveraging and support for public health initiatives.
    • Collaborative educational workshops and outreach increased awareness among healthcare professionals regarding the importance of addressing smoking in asthma patients.
    • Formative research was conducted to enhance community involvement in promoting tobacco-free environments.

    Conclusions:

    • The collaboration between the Office of Medical Assistance Programs and the Health Promotion and Chronic Disease Prevention Program was crucial for successful smoking cessation efforts in Oregon.
    • This partnership has been particularly effective in addressing tobacco use among Oregonians with asthma.
    • The project fostered a more integrated approach to managing asthma and controlling tobacco use within the state's healthcare system.