Performance of English stop smoking services in first 10 years: analysis of service monitoring data
Performance of English stop smoking services in first 10 years: analysis of service monitoring data
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DOI：
10.1136/bmj.f4921
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发表时间：
2013-08-20
影响因子：
105.7
通讯作者：
McEwen, Andy
中科院分区：
文献类型：
--
作者：
West, Robert;May, Sylvia;McEwen, Andy
目的分析2001/02至2010/11年度英国戒烟服务的表现。设计分析国家服务监测数据。设置英格兰。参与者在2001年4月至2011年3月期间接受过英国戒烟服务的吸烟者。设定戒烟日期的年度数字（吞吐量），四周后经生化验证戒烟的百分比（四周戒烟率），以及四周戒烟人数的“影响”，超过那些估计只服用戒烟治疗处方就会戒烟的人；接受治疗的吸烟者的特点、使用的药物和给药方式（例如，一对一、以组为基础）；不同本地服务的吞吐量、四周离职率和2010/11年度的影响差异。结果吸烟人数从2001/02年度的227335人增加到2010/11年度的788527人（占吸烟者总数的8%）。四周戒烟者的比例略有下降，从35%降至34%。影响从2001/02年度的22 933例四周戒烟者增加到2010/11年度的72 411例（相当于估计的21 723例12个月戒烟者）。这些服务成功地惠及了处境不利的吸烟者；54% （n=425 684）在2010/11年度接受免费处方。本地服务之间在吞吐量、成功率和影响方面存在很大差异。结论英国戒烟服务在实施的前10年里对帮助吸烟者戒烟的影响越来越大，并成功地覆盖了弱势群体。然而，本地服务之间的性能差异很大。
Objectives To analyse the performance of the English Stop Smoking Services from 2001/02 to 2010/11.Design Analysis of national service monitoring data.Setting England.Participants Smokers recorded as having been treated by English stop smoking services between April 2001 and March 2011.Main outcome measures Annual figures for the number of quit dates set (throughput), the percentage of these that led to biochemically verified abstinence after four weeks (four week quit rate), and the "impact" in terms of the number of four week quitters beyond those who it is estimated would have stopped with only a prescription for smoking cessation treatment; characteristics of smokers being treated, medication used, and mode of delivery (for example, one to one, group based); variability across local services in throughput, four week quit rates, and impact for 2010/11.Results Throughput rose from 227 335 in 2001/02 to 787 527 (8% of all smokers) in 2010/11. The percentage of four week quitters declined slightly from 35% to 34%. Impact rose from 22 933 four week quitters created in 2001/02 to 72 411 in 2010/11 (corresponding to an estimated 21 723 12 month quitters). The services were successful in reaching disadvantaged smokers; 54% (n=425 684) were in receipt of free prescriptions in 2010/11. Substantial variation existed across local services in throughput, success rates, and impact.Conclusions The English stop smoking services have had an increasing impact in helping smokers to stop in their first 10 years of operation and have successfully reached disadvantaged groups. However, performance across local services has varied considerably.