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The cost effectiveness of an education outreach representative to OB practitioners to promote smoking cessation counseling.
Authors:E C McParlane  P D Mullen  L A DeNino
Affiliation:1. Houston City Health Department, 1115 North MacGregor, Houston, TX 77030, U.S.A.;2. University of Texas School of Public Health, Houston TX 77225, U.S.A.;3. The University of Texas Center for Health Promotion Research and Development, Houston TX 77225, U.S.A.;1. Department of Health Policy and Administration, Washington State University, Spokane, Washington;2. Program of Excellence in Addictions Research, Washington State University, Spokane, Washington;1. Philliber Research Associates, Accord, New York;2. Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, California;1. Hubert Department of Global Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA;2. Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI 53202, USA;1. Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD, Australia;2. Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia;3. School of Dentistry and Health Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia;4. Health Promotion Service, Illawarra Shoalhaven Local Health District, Warrawong, NSW, Australia;5. School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia
Abstract:Growing concern about mothers, smoking during pregnancy calls for effective patient education by health care professionals. Because most women receive prenatal care and people with high perceived self-risk do have high cessation rates when advised by physicians, prenatal care in private practice offers a unique opportunity to decrease the number of pregnant women who smoke. The pilot test described here is a one-group pretest and posttest community trial which tested the feasibility of using an education outreach representative to market smoking- and pregnancy-education materials to private practice physicians. The costs of the pilot test are compared to the costs of three other strategies for disseminating education materials. The pilot test proved more cost-effective than two direct-mail strategies and one commercial enterprise. These results suggest that this strategy is feasible and merits further study for distributing education materials and teaching effective education strategies to physicians.
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