TY - JOUR
KW - Adult
KW - Counseling
KW - Electronic Health Records
KW - England
KW - Family Practice
KW - Female
KW - Humans
KW - Male
KW - Mental Recall
KW - Middle Aged
KW - Primary Health Care
KW - Smoking Cessation
AU - L. Szatkowski
AU - A. McNeill
AU - S. Lewis
AU - T. Coleman
A1 - 
AB - BACKGROUND: Brief cessation advice delivered to smokers during routine primary care consultations increases smoking cessation rates. However, in previous studies investigating recall of smoking cessation advice, smokers have reported more advice being received than is actually documented in their medical records. Recording of smoking cessation advice in UK primary care medical records has increased since the introduction of the Quality and Outcomes Framework (QOF) in 2004, and so we compare recall and recording of cessation advice since this time to assess whether or not agreement between these two data sources has improved. METHODS: For each year from 2000 to 2009, the proportion of patients in The Health Improvement Network Database (THIN) with a recording of cessation advice in their notes in the last 12 months was calculated. In 2004, 2005 and 2008, these figures were compared to rates of patients recalling having received cessation advice in the last 12 months in the Primary Care Trust (PCT) Patient Surveys, with adjustment for age, sex and regional differences between the populations. RESULTS: In 2004 there was good agreement between the proportion of THIN patients who had cessation advice recorded in their medical records and the proportion recalling advice in the Patient Survey. However, in both 2005 and 2008, more patients had cessation advice recorded in their medical records than recalled receiving advice. CONCLUSIONS: Since the introduction of the QOF, the rate of recording of cessation advice in primary care medical records has exceeded that of patient recall. Whilst both data sources have limitations, our study suggests that, in recent years, the proportion of smokers being advised to quit by primary care health professionals may not have improved as much as the improved recording rates imply.
BT - BMC public health
C5 - HIT & Telehealth
CY - England
DO - 10.1186/1471-2458-11-291
JF - BMC public health
N2 - BACKGROUND: Brief cessation advice delivered to smokers during routine primary care consultations increases smoking cessation rates. However, in previous studies investigating recall of smoking cessation advice, smokers have reported more advice being received than is actually documented in their medical records. Recording of smoking cessation advice in UK primary care medical records has increased since the introduction of the Quality and Outcomes Framework (QOF) in 2004, and so we compare recall and recording of cessation advice since this time to assess whether or not agreement between these two data sources has improved. METHODS: For each year from 2000 to 2009, the proportion of patients in The Health Improvement Network Database (THIN) with a recording of cessation advice in their notes in the last 12 months was calculated. In 2004, 2005 and 2008, these figures were compared to rates of patients recalling having received cessation advice in the last 12 months in the Primary Care Trust (PCT) Patient Surveys, with adjustment for age, sex and regional differences between the populations. RESULTS: In 2004 there was good agreement between the proportion of THIN patients who had cessation advice recorded in their medical records and the proportion recalling advice in the Patient Survey. However, in both 2005 and 2008, more patients had cessation advice recorded in their medical records than recalled receiving advice. CONCLUSIONS: Since the introduction of the QOF, the rate of recording of cessation advice in primary care medical records has exceeded that of patient recall. Whilst both data sources have limitations, our study suggests that, in recent years, the proportion of smokers being advised to quit by primary care health professionals may not have improved as much as the improved recording rates imply.
PP - England
PY - 2011
SN - 1471-2458; 1471-2458
SP - 291
T1 - A comparison of patient recall of smoking cessation advice with advice recorded in electronic medical records
T2 - BMC public health
TI - A comparison of patient recall of smoking cessation advice with advice recorded in electronic medical records
U1 - HIT & Telehealth
U2 - 21569283
U3 - 10.1186/1471-2458-11-291
VL - 11
VO - 1471-2458; 1471-2458
Y1 - 2011
ER -