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A helpful option, she said, is to have in place at all hospitals a system that identifies smokers during their admission, so that trained staff can focus attention on helping them deal with cravings and provide cessation treatments.
In addition, smoking physicians are less likely to provide cessation support or to actively advocate for tobacco control policies [ 30].
This study, conducted in diabetes clinics, found that providing a referral to stand alone cessation clinics motivated clinicians to routinely provide cessation advice.
In the absence of such program in China, hiring of additional personnel to provide cessation counseling would have great public health impact and should be explored for feasibility.
This will also hopefully lead to more advocacy for SHS policies and further efforts to provide cessation advice to patients to improve the smoking situation in China.
14 17 Despite this promise, however, only one-third of smokers searching the Internet actually reach the limited number of websites that provide cessation treatment consistent with the 2008 Guideline.
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Key informants noted that additional resources and strategies are needed to increase the number and diversity of health/social care providers, provide cessation-specific training and consequently increase the availability of cessation support in rural/remote communities.
Further, their personal smoking habits have been shown to affect how frequently they provide cessation-related advice [ 8– 10].
Five trials provided cessation counselling with the medication of either brief (15 20 min) 19 25 or more extended duration.
Nurses were somewhat confident providing cessation interventions, agreed they should educate patients about tobacco, and 94% perceived tobacco counselling as part of their role.
For example, many Aboriginal health workers are themselves smokers, and may feel uncomfortable assessing the smoking status of their patients and providing cessation advice [ 19, 20].
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