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A systematic primary care office-based smoking cessation program.

L I Solberg1, P L Maxwell, T E Kottke

  • 1Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis.

The Journal of Family Practice
|June 1, 1990
PubMed
Summary
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Implementing an integrated system for physician-supported smoking cessation significantly increased quit rates among tobacco users. This program offers a feasible and effective long-term intervention for primary care practices.

Area of Science:

  • Primary Care
  • Public Health
  • Behavioral Medicine

Background:

  • Physicians face challenges in implementing smoking cessation interventions despite their potential effectiveness.
  • A gap exists between the perceived importance and actual practice of smoking cessation support by healthcare providers.

Purpose of the Study:

  • To evaluate the 2-year effectiveness of an integrated system designed to support physicians in smoking cessation activities for tobacco-using patients.
  • To assess patient and provider acceptance and feasibility of the smoking cessation support system in a primary care setting.

Main Methods:

  • An integrated system encompassing patient identification, progress tracking, physician messaging, and follow-up support was implemented.
  • The system prioritized patients expressing interest in quitting tobacco use.

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  • Quit rates were monitored over a 2-year period in a primary care clinic.

    • Main Results:

    • Initial implementation led to a threefold to fivefold increase in quit rates among all tobacco-using patients.
    • After 2 years, the overall quit rate reached approximately 20%.
    • Patients with more frequent clinic contact or a longer duration of engagement achieved higher quit rates (33%).

    Conclusions:

    • The integrated system is well-accepted by patients, physicians, and staff.
    • This program provides necessary support for a feasible and effective long-term smoking cessation intervention in primary care.
    • Physician-supported smoking cessation programs can significantly improve quit rates in clinical practice.