A Smokeless Tobacco Case Study
Smokeless Tobacco: Challenges of Working with the Teen Population
Each day in the United States, approximately 3,600 young people between the ages of 12 and 17 years initiate cigarette smoking, and an estimated 1,100 young people become daily cigarette smokers. In 2007, 20 percent of high schools students reported current cigarette use and 14 percent reported current cigar use. In addition, 8 percent of high school students and 18 percent of white male high school students reported current smokeless tobacco use.
Jacob is a 16-year-old teenager who is on the baseball team at his local high school. He is particularly proud of earning the position of starting at second base. Jacob is in the clinic for a required physical examination before the official season begins. How would you proceed?
Making Tobacco Dependence Treatment a Standard of Care
A series of case studies on clinics that have implemented the recommendations in the U.S. Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence. Made available by the Center for Tobacco Research and Intervention University of Wisconsin School of Medicine and Public Health - www.ctri.wisc.edu
Health care professionals across Wisconsin are systematically implementing recommendations from the Clinical Practice Guideline: Treating Tobacco Use and Dependence. They're helping patients lead healthier lives, meeting high-quality standards and saving health care costs.
Scenic Bluffs Community Health Centers / Cashton, Wisconsin
Gerald L. Ignace Indian Health Center / Milwaukee, Wisconsin
UW Health Fox Valley / Appleton, Wisconsin
Aspirus Wausau Hospital / Wausau, Wisconsin
Mile Bluff Medical Center / Mauston, Wisconsin
Wheaton Franciscan Healthcare - All Saints / Racine, Wisconsin
GHC-SCW / Madison, Wisconsin
Gundersen Lutheran / La Crosse, Wisconsin
Tobacco dependence is hard enough to treat when you've got a plethora of resources at your disposal; it can be even more daunting when you don't. But the Wisconsin Primary Health Care Association (WPHCA) has a lot of will and, by partnering with the University of Wisconsin and state Department of Health Services (DHS), they've found a way.
Just as gunslingers from the Wild West had to be quick on the draw, physicians these days have to provide prompt, comprehensive care to a full slate of patients.
The patient-smoking rate at Aurora Health Care has dropped from 24 percent in 2000 to 19 percent in 2008. That's a 20 percent decrease due in part to efforts by Aurora to implement a systematic approach to helping patients and employees quit tobacco use.
Eight years ago, Holy Family Memorial Health Network (HFM) of northeast Wisconsin allowed smoking on its campuses, had about 200 smoking employees and sporadically asked patients about tobacco use.
Steve Brenton, president of the Wisconsin Hospital Association (WHA), remembers visiting hospitals in both rural and urban parts of Wisconsin. "You'd see this haze of smoke with a dozen people standing outside and smoking, holding IVs or wearing hospital garb. It was ridiculous."
If you like stories with happy endings, how about this: Once upon a time, a county tobacco-free coalition persuaded all major local healthcare systems, including smaller clinic partners, to not only go tobacco free but also improve the way they help every patient to quit tobacco use. Not only that, they all did it together.