In conjunction with other advances in treatments to address tobacco use and dependency, health professionals in clinical settings increasingly are talking to patients who smoke about quitting. Clinical systems, however, need to change to improve tobacco treatment implementation.
The Consumer Demand Initiative identified 10 design principles for clinicians and health care systems to increase consumers’ use of proven tobacco treatments. They are:
- Reframe the definition of success.
- Portray proven treatments as the best care.
- Redesign the 5A’s of tobacco intervention.
- Be ready to deliver the right treatment at the right time.
- Move tobacco from the social history to the problem list.
- Use words as therapy and language that makes sense.
- Fıt tobacco treatment into clinical team workflows.
- Embed tobacco treatment into health information technology.
- Make every encounter an opportunity to intervene.
- End social disparities for tobacco users.
This roadmap exhibits an understanding of clinicians’ role in helping tobacco users quit, highlights the value of evidence-based tobacco treatments, employs shared decision-making skills and integrates routine tobacco treatment into clinical system routines. Health care systems need to make it as easy for smokers to receive proven treatments as it is for them to buy cigarettes.
This article is part of a special issue on tobacco cessation in the March 2010 edition of the American Journal of Preventive Medicine.
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
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