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Supporting smoking cessation in healthcare: obstacles in scientific understanding and tobacco addiction management

Health 2010年第11期2卷 1272-1279页

作者： Dianne de Korte Onno C.Pvan Schayck Paul van Spiegel Ad A.Kaptein Alfred Sachs Maureen Rutten-van Molken Niels Chavannes Trudi Tromp-Beelen Rik Bes Remi Allard Gerard Peeters Leo Kliphuis Jan Willem Schouten Lies van Gennip Renevan Ommen Javier Asin Department of General Practice Maastricht University Medical CentreSchool CAPHRIMaastrichtthe Netherlands 2.MIRO Innovation in Smoking CessationCore Teamthe Netherlands Slotervaart Hospital Amsterdamthe Netherlands Leiden University Medical Center Leidenthe Netherlands Julius Center for Health Sciences and Primary Care Utrechtthe Netherlands Erasmus University Rotterdam Rotterdamthe Netherlands Jellinek Clinic Amsterdamthe Netherlands Centre for Motivation and Change Hilversumthe Netherlands VU University Medical Center Amsterdamthe Netherlands St.Elisabeth Hospital Tilburgthe Netherlands Netherlands Association of Organized Primary Healthcare Utrechtthe Netherlands stivoro Den Haagthe Netherlands Pfizer BV Capelle aan den IJsselthe Netherlands ACSION Zeistthe Netherlands

Despite ongoing efforts to reduce tobacco smoking, the smoking prevalence in many countries has remained stable for years. This may be a consequence of either lack of knowledge about effective ways to reduce smoking, or failing treatment of tobacco addiction in healthcare. This study explored gaps in the current understanding of smoking cessation and the challenges facing tobacco addiction management in order to formulate recommendations for future research and healthcare practice. A narrative review was written to determine areas in which more research is needed as well as areas in which sufficient knowledge is already available. Recommendations for future research were prioritised using a Delphi-procedure. Recommendations for healthcare practice were confirmed by expert’s assessment. Smoking is not widely acknowledged as an addiction and a relatively small number of smokers ask help from a healthcare professional when trying to stop smoking. Most healthcare professionals recognise the importance of advising patients to stop smoking, but experience certain barriers to actually do this. Overall, healthcare professionals need to be convinced that tobacco smoking is an addiction and should be treated likewise. If all healthcare professionals systematically advise their patients to give up smoking, eventually more smokers will successfully stop smoking.

关键词： Tobacco Addiction Smoking Cessation Smoking Cessation Interventions Healthcare Practice Tobacco Control

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