4 responses to “Smoking Cessation”

  1. interesting article. I have been documenting smoking status in my patients for many years and have been doing cessation counselling. I will be trying to make more referrals to the Quit Now program

  2. In the two year Health Coordinator Pilot we worked closely with one front-line staff in each of six BC practices to systematically deliver clinical tobacco intervention. We offered, secondarily, brief clinical intervention for depression, at-risk alcohol use, and physical inactitivy. We measured baseline and one year follow-up levels of documentation of six intervention components: smoking-status chart-reminder, advice to quit, self-management plan (including stop-smoking medication), target date, referral to community program, and follow-up date. We supported the ‘health coordinators’ with training, clinical materials, payment (a day a week), and weekly telephone conference calls. At follow-up all were increased (statistically) significantly. So we have very tangible evidence of change for the six components of CTI (and less for the other three risks). Further, the front-line staff, the patients, and the physicians all valued what the ‘health coordinators’ were doing. What is important in this work is that it shows that (selected) front-line staff can make a very substantial difference in the delivery of clinical preventive services.

  3. As quitting smoking is the most important lifestyle change anyone can ever make, having medications covered that will support this would be a big step

  4. somewhat worried about varenicline and CV risk. thank you for the online resource, most patients tend to do Internet research these days

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