connecting patients to smoking cessation support
TRANSCRIPT
Less than 5%• In 2012 Government established the goal of
a Smokefree Aotearoa by 2025• There is a long-standing policy framework
to address smoking, including:
- Advertising restrictions
- Smokefree environments
- Point of sale restrictions
- Cessation support
- Health targets • We need more quitting and health
practioners have a key role to play
Getting outcomes fromABC
1. Meaningful conversations2. Patient willingness3. Systematic Referrals4. On-going support5. Repeated enquiry
“Where suitable services exist, we recommend that
referral become the normative strategy for
management of smoking cessation in general practice to complement any practice-based help
provided”
Why ReferResearch shows that GPs referring smokers to an evidence-based Quitline service results in increased cessation (Borland, 2008)
Borland R, Balmford J, Bishop N, Segan C, Piterman L, McKay-Brown L, Kirby C, Tasker C. In-practice management versus quitline referral for enhancing smoking cessation in general practice: A cluster randomised trial. Family Practice 2008; 25(5): 382-389.
Systematic Referrals
800,000 ABC Conversationsby PHOs in 2012
2,767 PHO referrals to Quitline
3,386 PHO referrals to Quitline800,000
ABC Conversationsby PHOs in 2013
800,000 ABC Conversationsby PHOs in 2014
7,366 PHO referrals to Quitline from
January 2014 to now
May-13
Jun Jul Aug Sep Oct Nov Dec Jan-14
Feb Mar Apr May0%
5%
10%
15%
20%
25%
30%
35%
Health Professional or GP Cigarette box or Tobacco Packet
Television Advertising Online Advertising
Word of Mouth None of the Above
What lead you to call?
GP referrals grow by 8.3% from May 2013 to
May 2014
What happens once a Referral is submitted to
Quitline?• An acknowledgement of receipt of
referral will be submitted• All patients are contacted within 3
working days• Register patient on our 3-month
programme• Support from a local face-to-face
provider is offered in addition to our services
What are the benefits for Medtech users?
• Referrals to Quitline directly from patient management system
• Easy and efficient • Free for all Medtech users (80% of
PHOs) • Read codes automatically updated• Feedback loop provides information on
patient quit date and smokefree status
Referral Form
• Referral form available on our website www.quit.org.nz/healthprofessionals
• E-mail to: [email protected]• Fax to: 04 460 9879• Referral Enquiries Hotline: 0508 555 010• Plans to support other patient
management systems in the future
3-month Quit Programme
• Quit Plan• 4 follow up support contacts • Nicotine patches, gum and lozenges • Steps to change
Quitline services
40,000 smokers
supported per year
Phone
Onlinewww.quit.org.nz
Txt2Quit
Cessation WorksQuitline outcomes
Phone
onl
y
Phone
& o
nlin
e
Phone
, onl
ine
& tex
t
20.90%
33.40% 37.00%
Average success rate at 6 months
The more Quitline services used, the better the quit success rates:
15,000 quit per
year