Targetting special populations for tobacco intervention in managed care
Prenatal smoking cessation strategies in managed care
Dianne C Barkera, Carol McPhillips-Tangumb
a Barker Bi-Coastal
Health Consultants, 3556 Elm Drive, Calabasas, CA 91302, USA, b Blue Shield of California, Center for
Health Improvement, 50 Beale Street, San Francisco, CA 94105, USA
Correspondence to: Dianne C Barker dcbarker@earthlink.net
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Treatment
of nicotine addiction is an important component of any prenatal care
plan. For a managed care system, investment in smoking cessation
interventions for the pregnant women is cost effective,1
resulting in healthier women and infants. In 1997-98, the Robert Wood
Johnson Foundation and American Association of Health Plans (AAHP)
Addressing Tobacco in Managed Care (ATMC) National Technical Assistance
Office conducted a survey of 542 AAHP member plans, achieving a 60%
response rate. Methods and overall results are reported
elsewhere.2 A follow up survey to the ATMC survey will be
conducted later in 1999 to measure further the extent and content of
existing prenatal smoking cessation programs in managed care. To
summarise our knowledge to date regarding tobacco treatment programs
for pregnant women, we further analysed the existing ATMC survey,
examining differences between those managed care organisations (MCOs)
who reported having a special strategy addressing smoking cessation
during pregnancy (n = 145), and
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