RCHC Community Project Abstracts

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Helping Prineville Physicians Help Patients Quit Smoking: Efficacy and Cost Comparisons of Smoking Cessation Methods
Date of project: 9/10/2007

Smoking continues to be a health burden in the United States and in Prineville, Oregon. As many hospital campuses are becoming tobacco-free, including Pioneer Memorial Hospital in Prineville as of October 1, 2007, now is a crucial time to assist patients with smoking cessation. This study is an analysis of the various smoking cessation methods available and their relative costs and efficacies. To study this, the four pharmacies in Prineville were contacted in person and/or by telephone to request pricing information for nicotine replacement products as well as first and second-line smoking cessation medications including Bupropion SR, Chantix, Nortriptyline, and Clonidine. In addition, two pharmacies commonly used by Prineville residents, Wal-Mart and Costco, were contacted by phone for pricing information. To study relative efficacies, evidence-based medicine and internet resources were used to analyze the relevant clinical trials and their outcomes. Research was also done to identify local resources available in Prineville for smoking cessation as well as available patient handouts and other telephone and internet support resources. After collecting this data, the results were presented to the physicians of Prineville at their weekly staff meeting in an effort to provide them with knowledge of smoking cessation methods to better assist their patients with their cessation efforts. Data was presented in the form of a handout to the physicians, which included the efficacy and cost comparisons as well as a short summary of other useful resources.

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