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Utah Healthcare Tobacco System and Treatment Guidelines

History

The Utah Healthcare Tobacco System & Treatment Guidelines are based the Public Health Service (PHS) Clinical Practice Guideline for Treating Tobacco Use and Dependence. The PHS Guideline was derived from a meta-analysis of 6,000 research articles on treating tobacco use and dependence in healthcare settings. Based on this research, the PHS compiled the most effective treatment and referral methods into one 3-5 minute intervention called "the 5 A’s". The PHS also recommended that healthcare administrators, insurers, managed care organizations, and purchasers adopt systems changes that facilitate the 5 A’s intervention. The Utah Tobacco Prevention and Control Program and its Utah partners in healthcare, public health and advocacy contributed to the Utah Healthcare Tobacco System & Treatment Guidelines. The Guidelines are subject to constant revisions and improvement as the research base expands and local realities change.

Utah Healthcare Tobacco Treatment Guideline

The Utah Healthcare Tobacco Treatment Guideline is based on "the 5 A's" intervention advocated by the Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence. This guideline outlines the responsibilities of clinicians and staff to treat and refer tobacco-using clients. These activities may and should be divided or shared among more than one member of the clinic staff and usually only take 3-5 minutes of clinic time. For example, a receptionist may provide the patient with an intake form that asks if the patient uses tobacco, a physician may advise the patient to quit and prescribe pharmacotherapy, a nurse may help the patient create a quit plan, and a case manager may refer the patient to intensive counseling and provide follow-up. Go to the Treatment Guideline.

Utah Healthcare Tobacco System Guideline

Clinicians and staff are more likely to implement "the 5 A’s" intervention advocated by the Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence when appropriate systems are in place to facilitate tobacco dependence treatment. This guideline outlines the responsibilities of healthcare administrators, insurers, managed care organizations, and healthcare purchasers to make tobacco dependence treatment and referrals feasible for clinicians and staff. Go to the System Guideline.

 




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