Ocena postępowania w zespole uzależnienia od tytoniu (ZUT) w podstawowej opiece zdrowotnej (POZ) : wyniki ogólnopolskiego badania zrealizowanego ramach Programu Ministerstwa Zdrowia POLKARD

2009
journal article
article
dc.abstract.enAbout 40% of men and 25% of women in Poland are smokers and smoking causes approximately 50 000 premature deaths annually. According to the WHO experts, a tobacco cessation short intervention program provided by primary care physicians is one of the most important prevention measures. In 2004 National Cardiovascular Disease Prevention Program was launched as a procedure funded by National Health Funds (NFZ), which included the identification of smokers, assessment and treatment of smoking habit. In 2007, the Polish Forum of Prevention issued guidelines that can serve as an effective framework for tobacco cessation intervention in primary care clinics. The aim of this paper is: 1) evaluation the effectiveness of primary care in professional assistance for smoking patients, 2) evaluation of the impact of the NFZ program on frequency of professional consultations on smoking cessation and evaluation of the impact of the NFZ program on smoking prevalence. There were 66 primary care clinics which were recruited to participate the project; 33 clinics participated in NFZ program, the remaining 33 constituted a control group. Random sample of persons at age 35–55 years was selected from all persons registered in each clinic. Eligible for the study were patients free of cvd for whom medical records were available from January 1st 2005 at least. Finally 3940 patients in NFZ clinics, 3162 patients in control clinics were included. For each eligible patient medical records were reviewed and information was collected using a standard questionnaire. All patients were invited for a visit in the clinic. Finally, 2314 persons from the NFZ clinics and 2107 persons from the control clinics participated were examined. That effectiveness of the routine management of smoking cessation in primary care practices was very low. Equally in the NFZ clinics and the control group about 45% of participants were current smokers. Only 15% of patients had recorded information on smoking status in medical documentation and no significant difference between the NFZ clinics and the control group was observed. The NFZ program increased identification of smoking patients (up to about 80%). Physicians and nurses provided advising to 80% and 30% patients, respectively and the other measures to facilitate smoking cessation were used in small proportion of patients. For instance nicotine replacement therapy, including bupropion, was advised to less than 10% of smokers. With the exception to distribution of leaflets which were distributed more frequently in patients of clinics which participated in the NFZ program (22.5%) as compared to control clinics (12.8%), there were no statistical differences in proportion of patients getting professional assistance or other intervention measures between the studied groups. The NFZ program appeared to play important role in identification of smokers. However, the program was not effective enough in treatment of patients addicted to smoking. There is a need to supply the NFZ program by more effective procedure, a kind of structured intervention, which would allow to lower smoking prevalence in primary care patients.pl
dc.affiliationWydział Lekarski : Klinika Chorób Wewnętrznych i Geriatriipl
dc.affiliationWydział Nauk o Zdrowiu : Instytut Zdrowia Publicznegopl
dc.contributor.authorSzafraniec, Krystyna - 133553 pl
dc.contributor.authorPająk, Andrzej - 133069 pl
dc.contributor.authorCichocka, Izabelapl
dc.contributor.authorFrejek, Magdalenapl
dc.contributor.authorBroda, Grażynapl
dc.contributor.authorDrygas, Wojciechpl
dc.contributor.authorGąsior, Zbigniewpl
dc.contributor.authorGrodzicki, Tomasz - 129614 pl
dc.contributor.authorZdrojewski, Tomaszpl
dc.date.accession2019-11-27pl
dc.date.accessioned2019-11-27T11:54:25Z
dc.date.available2019-11-27T11:54:25Z
dc.date.issued2009pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 126pl
dc.description.number2pl
dc.description.physical120-127pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume7pl
dc.identifier.eissn2084-2627pl
dc.identifier.issn1731-7398pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/88055
dc.identifier.weblinkhttp://www.ejournals.eu/Zdrowie-Publiczne-i-Zarzadzanie/2009/Tom-7-zeszyt-2/art/5439/pl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsDozwolony użytek utworów chronionych*
dc.rights.licenceOTHER
dc.rights.urihttp://ruj.uj.edu.pl/4dspace/License/copyright/licencja_copyright.pdf*
dc.share.typeotwarte czasopismo
dc.subject.ensmokingpl
dc.subject.enprimary carepl
dc.subject.enpreventionpl
dc.subject.plpalenie tytoniupl
dc.subject.plpodstawowa opieka zdrowotnapl
dc.subtypeArticlepl
dc.titleOcena postępowania w zespole uzależnienia od tytoniu (ZUT) w podstawowej opiece zdrowotnej (POZ) : wyniki ogólnopolskiego badania zrealizowanego ramach Programu Ministerstwa Zdrowia POLKARDpl
dc.title.alternativeEvaluation the effectiveness of primary care in professional assistance for smoking patientspl
dc.title.journalZeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarządzaniepl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
About 40% of men and 25% of women in Poland are smokers and smoking causes approximately 50 000 premature deaths annually. According to the WHO experts, a tobacco cessation short intervention program provided by primary care physicians is one of the most important prevention measures. In 2004 National Cardiovascular Disease Prevention Program was launched as a procedure funded by National Health Funds (NFZ), which included the identification of smokers, assessment and treatment of smoking habit. In 2007, the Polish Forum of Prevention issued guidelines that can serve as an effective framework for tobacco cessation intervention in primary care clinics. The aim of this paper is: 1) evaluation the effectiveness of primary care in professional assistance for smoking patients, 2) evaluation of the impact of the NFZ program on frequency of professional consultations on smoking cessation and evaluation of the impact of the NFZ program on smoking prevalence. There were 66 primary care clinics which were recruited to participate the project; 33 clinics participated in NFZ program, the remaining 33 constituted a control group. Random sample of persons at age 35–55 years was selected from all persons registered in each clinic. Eligible for the study were patients free of cvd for whom medical records were available from January 1st 2005 at least. Finally 3940 patients in NFZ clinics, 3162 patients in control clinics were included. For each eligible patient medical records were reviewed and information was collected using a standard questionnaire. All patients were invited for a visit in the clinic. Finally, 2314 persons from the NFZ clinics and 2107 persons from the control clinics participated were examined. That effectiveness of the routine management of smoking cessation in primary care practices was very low. Equally in the NFZ clinics and the control group about 45% of participants were current smokers. Only 15% of patients had recorded information on smoking status in medical documentation and no significant difference between the NFZ clinics and the control group was observed. The NFZ program increased identification of smoking patients (up to about 80%). Physicians and nurses provided advising to 80% and 30% patients, respectively and the other measures to facilitate smoking cessation were used in small proportion of patients. For instance nicotine replacement therapy, including bupropion, was advised to less than 10% of smokers. With the exception to distribution of leaflets which were distributed more frequently in patients of clinics which participated in the NFZ program (22.5%) as compared to control clinics (12.8%), there were no statistical differences in proportion of patients getting professional assistance or other intervention measures between the studied groups. The NFZ program appeared to play important role in identification of smokers. However, the program was not effective enough in treatment of patients addicted to smoking. There is a need to supply the NFZ program by more effective procedure, a kind of structured intervention, which would allow to lower smoking prevalence in primary care patients.
dc.affiliationpl
Wydział Lekarski : Klinika Chorób Wewnętrznych i Geriatrii
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Zdrowia Publicznego
dc.contributor.authorpl
Szafraniec, Krystyna - 133553
dc.contributor.authorpl
Pająk, Andrzej - 133069
dc.contributor.authorpl
Cichocka, Izabela
dc.contributor.authorpl
Frejek, Magdalena
dc.contributor.authorpl
Broda, Grażyna
dc.contributor.authorpl
Drygas, Wojciech
dc.contributor.authorpl
Gąsior, Zbigniew
dc.contributor.authorpl
Grodzicki, Tomasz - 129614
dc.contributor.authorpl
Zdrojewski, Tomasz
dc.date.accessionpl
2019-11-27
dc.date.accessioned
2019-11-27T11:54:25Z
dc.date.available
2019-11-27T11:54:25Z
dc.date.issuedpl
2009
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 126
dc.description.numberpl
2
dc.description.physicalpl
120-127
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
7
dc.identifier.eissnpl
2084-2627
dc.identifier.issnpl
1731-7398
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/88055
dc.identifier.weblinkpl
http://www.ejournals.eu/Zdrowie-Publiczne-i-Zarzadzanie/2009/Tom-7-zeszyt-2/art/5439/
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Dozwolony użytek utworów chronionych
dc.rights.licence
OTHER
dc.rights.uri*
http://ruj.uj.edu.pl/4dspace/License/copyright/licencja_copyright.pdf
dc.share.type
otwarte czasopismo
dc.subject.enpl
smoking
dc.subject.enpl
primary care
dc.subject.enpl
prevention
dc.subject.plpl
palenie tytoniu
dc.subject.plpl
podstawowa opieka zdrowotna
dc.subtypepl
Article
dc.titlepl
Ocena postępowania w zespole uzależnienia od tytoniu (ZUT) w podstawowej opiece zdrowotnej (POZ) : wyniki ogólnopolskiego badania zrealizowanego ramach Programu Ministerstwa Zdrowia POLKARD
dc.title.alternativepl
Evaluation the effectiveness of primary care in professional assistance for smoking patients
dc.title.journalpl
Zeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarządzanie
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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