Health Care Facility-based Settings

Health care facility-based interventions often entail tobacco use counseling by a health care provider in public or private health care settings (e.g., doctor’s office, hospital, health department or assisted living facility). However, these interventions can also include training for health care providers on the importance of tobacco prevention, ways to encourage people to live tobacco-free and specific information for subpopulations (e.g., children, people with a disability or those with depression). Some of the challenges in the health care setting include the limited time health care providers may have to visit with their individuals and the risk of information overload because of the competing health priorities with tobacco cessation (e.g., diet, physical activity or adherence to a medical pill regimen). Referrals can also be an important part of interventions in health care settings.

Previous work in health care facility-based settings has found:

  • Visual media placed in health care settings may help remind health care providers remember to speak with individuals about tobacco-free lifestyles.
  • Health care settings (e.g., hospitals, pharmacies, maternal clinics, dental clinics, WIC clinics, emergency rooms, newborn service providers, residential care facilities, and pediatrician clinics) are important settings for individual tobacco education interventions because of the natural physician-patient exchange.
  • In hospitals settings, patients with serious illness are more motivated to quit, because the threats of tobacco use become more personalized.
  • Because organizations in health care facility-based settings assess and store information on individuals, they are well-suited for tobacco education interventions because individual information is already collected and communication systems for these individuals are already in place. These settings make it easier to distribute individually tailored information to participants.
  • Clinics have the potential to reach high-risk populations (e.g., low income families) by combining group education sessions with primary health care services.
  • Group education that is delivered by a physician, nurse, dentist or other health professional can have a positive effect on smoking cessation as many patients are more likely to trust health information from health care providers.
  • Pharmacists at local pharmacies can be trained to provide counseling and advice regarding methods of cessation, help set quit dates and commend patients for quitting and staying quit.
  • Mass media campaigns based in clinical settings reach a smaller percentage of smokers in the population.

printer-friendly Print this window