Please select the eligibility criteria that correspond to the clinical trial below.
Title: Evaluating the Impact of Computer-Based Decision Support for the Management of Asthma in Primary Care
Brief Summary: Asthma is a health problem that afflicts many Canadians. Better methods are needed to provide primary care physicians with ways of implementing current guidelines into regular practice for optimal disease management. This study will test the benefits of providing computer-based decision-support for asthma to primary care physicians, with links to home monitoring for their patients. To add value and to ensure regular use for the physician for all of his/her patients, these computerized decision-support tools will be linked to an electronic prescribing and drug management system. The investigators will evaluate the effectiveness of the computer-based decision-support system by determining whether asthma patients of physicians who receive computer-assisted management tools have better disease control after 33 months of implementation compared to asthma patients of physicians who have the electronic prescription and drug management system alone. To answer this question, the investigators will conduct a cluster randomized controlled trial in a population of approximately 100 physicians in 40 clinics in Quebec, and a total of approximately 4500 of their patients with asthma.


Options:
A: Inclusion Criteria:

* Physicians are eligible for inclusion if they are general practitioners or family physicians in full-time (≥ 4 days/week), fee-for-service practice in Quebec
* Patients where the study physician has written or dispensed prescriptions for beta2-agonists, anti-leukotrienes, or inhaled corticosteroids, and has verified the diagnosis of asthma

Exclusion Criteria:

* Younger than 5 years old
* Diagnosis of COPD
B: Inclusion Criteria:

* Age ≥2 months and \<60 months of age
* Written informed consent from the child's parent or caregiver
* Axillary temperature ≥37.5°C and/or tympanic temperature ≥38.0°C
* History of fever for ≤7 days
* First consultation for the current illness
* Live in the catchment area of the health facility

Exclusion Criteria:

* Age 60 months or greater
* Age less than 2 months
* Weight less than 2.5kg
* Chief health problem is an injury, trauma or acute poisoning
C: Inclusion Criteria:

* Age 18 or over.
* Treated during the study duration
* Primary or secondary discharge diagnoses of NVUGIB (per charted ICD-10 code). Additional confirmation of NVUGIB using endoscopic findings or patient symptoms done as previous.

Exclusion Criteria:

* Patients initially assessed at another institution for the present episode of NVUGIB and subsequently transferred to the participating site with unavailable initial data.
* Endoscopy noted no gastro-duodenal ulcer bleeding, to ensure patient homogeneity.
D: Inclusion Criteria:

* 18 years or older
* admitted to any medical ward, telemetry or cardiac care unit
* identified as a smoker by the nurse or physician in the admitting EMR
* treated by a study physician
* able to give written informed consent

Exclusion Criteria:

* inability to read or understand English or Spanish
* lacks capacity to give informed consent
* currently receiving formal tobacco dependence treatment
* current suicide or homicide risk
* current psychotic disorder or life-threatening or unstable medical or psychiatric condition within past 6 months
* unable to provide 2 telephone contact numbers
* unwilling to follow up per study protocol, including release of information to assess treatment engagement at 30-days
* live outside of New Haven County
* leaving the hospital against medical advice
* history of clinically significant allergic reaction to nicotine replacement therapies, varenicline or bupropion
* use of an investigational drug within 30 days
* use of tobacco products other than cigarettes
* women of childbearing potential who are pregnant, nursing, or sexually active and not practicing effective contraception (oral injectable, or implantable contraceptives, intrauterine device, or barrier method with spermicide)
* do not have access to a phone with a CT area code (required to use the CT Tobacco Quitline)

Answer: A