Cargando…
Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services
BACKGROUND: The English National Health Service’s (NHS) Stop Smoking Services (SSSs) constitute one of the most highly developed behavioural support programmes in the world. However, there is significant variation in success rates across the approximately 150 services, some of which may be due to va...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444944/ https://www.ncbi.nlm.nih.gov/pubmed/22621715 http://dx.doi.org/10.1186/1472-6963-12-121 |
_version_ | 1782243745444397056 |
---|---|
author | McDermott, Máirtín S Thomson, Heather West, Robert Kenyon, Jennifer AM McEwen, Andy |
author_facet | McDermott, Máirtín S Thomson, Heather West, Robert Kenyon, Jennifer AM McEwen, Andy |
author_sort | McDermott, Máirtín S |
collection | PubMed |
description | BACKGROUND: The English National Health Service’s (NHS) Stop Smoking Services (SSSs) constitute one of the most highly developed behavioural support programmes in the world. However, there is significant variation in success rates across the approximately 150 services, some of which may be due to variation in practice. This study aimed to assess these differences in practice. METHODS: Two online surveys were administered. All commissioners (people who purchase services for the NHS) and managers (those who run the services) of NHS SSSs in England were invited to participate. Items included details of current practices and services provided, what informed the commissioning of SSSs, what targets were included within service specifications and whether the types of treatment model to be delivered were specified. RESULTS: Both surveys had a response rate of 35%, with 50 commissioners and 58 managers participating. There were no significant differences between the characteristics of the Primary Care Trusts (PCTs) from which commissioners and managers responded to this survey and those PCTs from which there was no response. Managers reported that the treatment model most frequently offered by SSSs was one-to-one (98%). A total of 16% of managers reported that some approved medications were not available as first-line treatments. Just over one third (38%) of commissioners reported consulting national guidelines or best evidence to inform local commissioning. Almost one third (30%) of commissioners reported that they specified the types of stop smoking interventions to be delivered by the providers. CONCLUSIONS: A substantial part of commissioning of Stop Smoking Services in England appears to take place without adequate consultation of evidence-based guidelines or specification of the service to be provided. This may account for at least some of the variation in success rates. |
format | Online Article Text |
id | pubmed-3444944 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34449442012-09-19 Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services McDermott, Máirtín S Thomson, Heather West, Robert Kenyon, Jennifer AM McEwen, Andy BMC Health Serv Res Research Article BACKGROUND: The English National Health Service’s (NHS) Stop Smoking Services (SSSs) constitute one of the most highly developed behavioural support programmes in the world. However, there is significant variation in success rates across the approximately 150 services, some of which may be due to variation in practice. This study aimed to assess these differences in practice. METHODS: Two online surveys were administered. All commissioners (people who purchase services for the NHS) and managers (those who run the services) of NHS SSSs in England were invited to participate. Items included details of current practices and services provided, what informed the commissioning of SSSs, what targets were included within service specifications and whether the types of treatment model to be delivered were specified. RESULTS: Both surveys had a response rate of 35%, with 50 commissioners and 58 managers participating. There were no significant differences between the characteristics of the Primary Care Trusts (PCTs) from which commissioners and managers responded to this survey and those PCTs from which there was no response. Managers reported that the treatment model most frequently offered by SSSs was one-to-one (98%). A total of 16% of managers reported that some approved medications were not available as first-line treatments. Just over one third (38%) of commissioners reported consulting national guidelines or best evidence to inform local commissioning. Almost one third (30%) of commissioners reported that they specified the types of stop smoking interventions to be delivered by the providers. CONCLUSIONS: A substantial part of commissioning of Stop Smoking Services in England appears to take place without adequate consultation of evidence-based guidelines or specification of the service to be provided. This may account for at least some of the variation in success rates. BioMed Central 2012-05-23 /pmc/articles/PMC3444944/ /pubmed/22621715 http://dx.doi.org/10.1186/1472-6963-12-121 Text en Copyright ©2012 McDermott et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article McDermott, Máirtín S Thomson, Heather West, Robert Kenyon, Jennifer AM McEwen, Andy Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title | Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title_full | Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title_fullStr | Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title_full_unstemmed | Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title_short | Translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the English stop smoking services |
title_sort | translating evidence-based guidelines into practice: a survey of practices of commissioners and managers of the english stop smoking services |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444944/ https://www.ncbi.nlm.nih.gov/pubmed/22621715 http://dx.doi.org/10.1186/1472-6963-12-121 |
work_keys_str_mv | AT mcdermottmairtins translatingevidencebasedguidelinesintopracticeasurveyofpracticesofcommissionersandmanagersoftheenglishstopsmokingservices AT thomsonheather translatingevidencebasedguidelinesintopracticeasurveyofpracticesofcommissionersandmanagersoftheenglishstopsmokingservices AT westrobert translatingevidencebasedguidelinesintopracticeasurveyofpracticesofcommissionersandmanagersoftheenglishstopsmokingservices AT kenyonjenniferam translatingevidencebasedguidelinesintopracticeasurveyofpracticesofcommissionersandmanagersoftheenglishstopsmokingservices AT mcewenandy translatingevidencebasedguidelinesintopracticeasurveyofpracticesofcommissionersandmanagersoftheenglishstopsmokingservices |