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Table 2 Themes, Major and Minor Categories

From: Clinician perceptions of factors influencing referrals to a smoking cessation program

Theme

Major Category

Minor Category

Procedure

Ask/Identification

forms (flowsheet, encounter form, chart intake, history, problem list)

  

process (initial interview, annual physical, for chronic disease or respiratory infection)

  

staff (nurse, physician)

Procedure

Assessment

interest in quitting

  

risk of disease

  

habits

Procedure

Advise/Assistance/Arrange

stage of change

  

pharmacotherapy

  

Counseling

  

Brochures

  

Programs

  

Follow-up visit

Barrier

Provider

Provider Characteristics (forgetfulness, program knowledge, fear of "badgering" patient)

  

Practice characteristics (type, staff turnover, lack of billing code)

  

Patient characteristics (desire to quit, insurance type, addiction)

Benefit

Quit line Program

Single source for referral

  

Personalized attention

Barrier

Quit line Program

Provider Characteristics (lack of reminders, lack of feedback, only for one type of insurance, lack of advertising)

  

Patient Characteristics (comfort with program, short term solution, insurance type)

Procedure

Satisfaction

Good (identification, assessment, advise)

  

Poor (assistance, arrangement, follow-up)

Motivation

Provider

Individual (family death, concern for own health, patient care)

  

Program (ease, one referral, feedback)

  

General (healthcare costs, good medicine)

Motivation

Patient

Cost

  

Support/feedback

Incentives

Provider

Physician responsibility

  

Code for patient education/prevention