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J L Gruber

Publications and source records attributed to J L Gruber.

2 recordsLinked to original sources

Implementing the Agency for Health Care Policy and Research smoking cessation guidelines: a call to action.

Smoking is the single most preventable cause of death in our society. Each year, cigarettes kill more Americans than AIDS, alcohol, car accidents, fires, illegal drugs, murders, and suicides combined. An estimated 46 million adults in the United States smoke--28% of all men and 23.5% of all women. Seventy percent of Americans who smoke say that they would like to quit. Additionally, 70% who smoke visit a healthcare provider each year. Unfortunately, half of these who seek health care each year say they have never been advised to quit smoking or provided specific strategies to be successful at quitting. In 1996, the Agency for Health Care Policy and Research (AHCPR) published smoking cessation materials in several formats that target different audiences. This article describes the significant health problems of smoking and the AHCPR publications for smoking cessation. Providers are encouraged to identify smoking cessation as a priority and incorporate the AHCPR guidelines into routine health care for all patient encounters.

Adult↗

Strategies for implementing quantifiable group practice guidelines.

Managed care organizations are striving to provide quality healthcare by establishing best-practice guidelines that decrease the variability in delivering care. Current literature provides few details on how organizations have developed and implemented guidelines and evaluated indicators. This article describes Methodist Medical Group's step-by-step approach to executing each component of this process for seven guidelines in physician office practices. It offers practical guidance for choosing a measurement method for each guideline, introduces patient surveys to measure guidelines, and identifies proven strategies for overcoming barriers in each phase.

Attitude of Health Personnel↗