Biomaterial Database

A smoking cessation counsellor: should every hospital have one? 1998

B V Prathiba, and S Tjeder, and C Phillips, and I A Campbell

Chest Department, Llandough Hospital, Penarth, Nr. Cardiff, South Wales.

The study was performed in order to ascertain the sustained smoking cessation rate in hospital patients who received a structured programme of advice and support from a counsellor and to estimate the cost-effectiveness of such an intervention. Hospital in-patients out-patients were referred by their physician/surgeon to the smoking cessation counsellor who provided advice to reinforce that of the doctor and gave support by repeated follow-up sessions, weekly in the first month and thereafter at three, six and twelve months. Of 1,155 patients referred to the counsellor, 114 (13%) failed to keep the first appointment and 348 (30%) attended for advice on one occasion only. Among the latter, the self-reported sustained cessation rate at one year was 5%. In the 663 patients who participated in the programme the validated (expired air CO) 12-month, sustained cessation rate was 21%. Allowing 7.5% success rate among patients receiving a physician's advice only, the cost of each additional success achieved as a result of the programme is 851 Pounds and the cost per life year saved is between 340 Pounds and 426 Pounds. Assuming that after one year's abstinence relapse rates are relatively small, this represents a sound investment in the light of the cost of treating patients with smoking-related illnesses and compares favourably with other smoking cessation strategies and health care interventions.

UI	MeSH Term	Description	Entries
D007587	Job Description	Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.	Position Description,Description, Job,Description, Position,Descriptions, Job,Descriptions, Position,Job Descriptions,Position Descriptions
D010564	Personnel, Hospital	The individuals employed by the hospital.	Hospital Personnel
D003362	Cost-Benefit Analysis	A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. In contrast a cost effectiveness in general compares cost with qualitative outcomes.	Cost and Benefit,Cost-Benefit Data,Benefits and Costs,Cost Benefit,Cost Benefit Analysis,Cost-Utility Analysis,Costs and Benefits,Economic Evaluation,Marginal Analysis,Analyses, Cost Benefit,Analysis, Cost Benefit,Analysis, Cost-Benefit,Analysis, Cost-Utility,Analysis, Marginal,Benefit and Cost,Cost Benefit Analyses,Cost Benefit Data,Cost Utility Analysis,Cost-Benefit Analyses,Cost-Utility Analyses,Data, Cost-Benefit,Economic Evaluations,Evaluation, Economic,Marginal Analyses
D003376	Counseling	The giving of advice and assistance to individuals with educational or personal problems.
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015397	Program Evaluation	Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.	Evaluation, Program,Family Planning Program Evaluation,Program Appropriateness,Program Effectiveness,Program Sustainability,Appropriateness, Program,Effectiveness, Program,Evaluations, Program,Program Evaluations,Program Sustainabilities,Sustainabilities, Program,Sustainability, Program
D016540	Smoking Cessation	Discontinuing the habit of SMOKING.	Giving Up Smoking,Quitting Smoking,Stopping Smoking,Cessation, Smoking,Smoking Cessations,Smoking, Giving Up,Smoking, Quitting,Smoking, Stopping,Smokings, Giving Up,Up Smoking, Giving
D020380	Needs Assessment	Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.	Assessment of Health Care Needs,Determination of Health Care Needs,Educational Needs Assessment,Assessment of Healthcare Needs,Determination of Healthcare Needs,Assessment, Educational Needs,Needs Assessment, Educational,Needs Assessment, Healthcare,Needs Assessments,Needs Assessments, Educational,Needs Assessments, Healthcare
D026712	Value of Life	The intrinsic moral worth ascribed to a living being. (Bioethics Thesaurus)	Economic Value of Life,Life Valuation, Economic,Economic Life Valuation,Economic Value, Life,Economic Values, Life,Life Economic Value,Life Economic Values,Respect for Life,Right to Life,Sanctity of Life,Valuation, Economic Life,Economic Life Valuations,Life Sanctities,Life Sanctity,Life Valuations, Economic,Life, Respect for,Life, Right to,Valuations, Economic Life