Building a tobacco intervention system in managed care
 | Incentivising, facilitating, and implementing an office tobacco cessation system |
| Appendix |
Incentivising, facilitating, and implementing an office tobacco cessation system
Leif I Solberg
HealthPartners
Research Foundation, 8100-34th Avenue South, PO Box 1524, Minneapolis,
MN 55440-1524, USA;
solbergli@healthpartners.com
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
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Although the development and publication of a national evidence based clinical guideline for smoking cessation from the Agency for Health Care Policy and Research (AHCPR)1 has clarified the approach that should be used in medical practice settings, clinicians are still a long way from following it consistently.2-7 Cromwell et al have studied the cost effectiveness of applying the recommendations in the AHCPR guideline and concluded that at $1915 per quality adjusted life year, it is one of the most cost effective of all preventive services.8
However, if we are to realise the potential that clinicians have to
facilitate cessation and achieve these health and life gains, we shall
have to find some way to make large changes in the current behaviour of
clinicians. One of the obvious resources for stimulating this type of
change is the managed care health plans that have contracts with most
of the primary care clinics
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