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Smoking is the biggest cause of premature mortality. Almost half of smokers meet the criteria for addiction. Treatment fails primarily because of the lack of reimbursement. Doctors could treat tobacco addiction and with it the secondary diseases with high efficacy if the conditions with behavioral therapy and medication were made available to them., Competing Interests: Thomas Hering: Honorare für Beratung, Vorträge 2016/2017/2018 von AstraZeneca GmbH, Berlin Chemie, Böhringer, Marpinion, Meda Pharma, Novartis GmbH, Pfizer Pharma GmbH, PulmonX, Roche-Pharma AG, Sanofi-AventisAnil Batra: Wirtschaftliche Verbindungen: Verlage: Thieme. Kohlhammer, Elsevier, Fortbildung: FomF, Ärztekammern, Wissentransfer Tübingen, Forschung: Janssen, Pfizer, ParexelStephan Mühlig: Pfizer: Reisekosten und Vortragshonorare, (© Georg Thieme Verlag KG Stuttgart · New York.)

The DNRfK (German Network for Tobacco-Free Hospitals & Health-Care Services) is based on the Code of the ENSH-Global Network for Tobacco-Free Health-Care Services. To evaluate the project, a total survey of network members using an online questionnaire (78 items) was carried out (n=181; 67.4% response rate). At the time of the recording period, 17% achieved the silver level of certification, 43% the bronze level and 40% had not been certified. Various smoking cessation methods are offered (motivational interviewing, 47%; brief interventions, 45%; individual counselling, 45%). Smokers received pharmacological support in 63% of the hospitals. Smoking cessation services are mainly carried out by physicians (63%), nursing staff (51%) and psychologists (51%). Guideline-oriented smoking cessation is offered by 36% of participants (69% silver level, 33% bronze level, and 32% in clinics without certification). The Code has been widely accepted and, consequently, well implemented by members. The quality of the tobacco control measures and evidence-based smoking cessation treatments increases with duration of membership and certification level or is validated through this. Some deficiencies were found with respect to training-the-trainer qualifications and follow-up measurements., (© Georg Thieme Verlag KG Stuttgart · New York.)

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