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Drug Alcohol Rev. 2014 Jan;33(1):99-101. doi: 10.1111/dar.12086. Epub 2013 Nov 20.

System-centred tobacco management: from 'whole-person' to 'whole-system' change.

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  • 1Faculty of Health and Medicine, School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.


Patient-centred tobacco management is a pragmatic approach for helping smokers achieve their goals in terms of either cessation or harm reduction. However, the success of the approach is dependent on clinicians embracing and delivering it as intended. There are a number of structural and systemic organisational barriers which are limiting clinician-delivered patient-centred tobacco dependence. In response, 'whole system' approaches which help support clinicians in the delivery of patient-centred tobacco management are required. Health system changes to support clinicians and facilitate the delivery of patient-centred tobacco management are worth further investigation, particularly in settings where tobacco smoking rates are high.

© 2013 Australasian Professional Society on Alcohol and other Drugs.


nicotine dependence; patient-centred care; smoking cessation; systems change

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