Effectiveness of Different Service Models and the Factors Correlated with Cessation Success: Taking a Tobacco-Free Hospital as an Example.

Background: Discussing on the characteristics of participating smokers in various cessation services provided by the hospital and understanding the effectiveness of different service models as well as the factors correlated with cessation success, can enable medical and public health personnel to establish more efficient consultations and policies. Method: This study collected and categorized all smokers seeking to quit smoking in a medical center in the year 2017. According to the cessation service models, they were divided into four groups: (1) outpatient cessation treatment (outpatient cessation group), (2) outpatient cessation plus smoking cessation education (outpatient + education group), (3) hospital-sponsored smoking cessation activities (cessation activity group), (4) mobile workplace cessation treatment (workplace cessation group). We checked the smoking cessation results from the website of Liaison Office of Management of Smoking Cessation, Health Promotion Administration, Ministry of Health and Welfare, compared the success rates and service efficiency of various service models, and explored the characteristics of the smokers and factors correlated to cessation success. Results: The smoking cessation activity carried out by the hospital combined with cessation treatment and health education could attract the people who are older and/or less addicted. The cessation activity group serves smokers more efficiently and their success rate was not significantly different from that of outpatient cessation group. The study also found that fewer daily cigarette consumption, lower addition score, lower carbon monoxide expiratory concentration, taking smoking cessation drug champix and more than one outpatient visits were correlated with higher six-month success rate of smoking cessation. Conclusion: When the hospital provides smoking cessation services to the community and workplace, it helps more people take the first step to quit smoking. Physicians can take personal factors as a reference in the case management and drug choosing with as well as encourage follow-up visits, which will increase the success rate of smoking cessation. [ABSTRACT FROM AUTHOR]