[Which patients should be referred to the hospital for the management of tobacco dependence?].
The existence of efficient smoking cessation therapies should lead to a systematic management of smoking cessation. Most smokers should be managed by their general practitioner. For addicted smokers, an adequate training on drug and non-drug therapies for smoking cessation provided to general practitioners as a part of public health contracts could reduce the high level of relapses. For highly dependent and cessation-resistant smokers, a referral to a smoking cessation center may be necessary. Finally, the creation of collaboration networks between general practitioners and smoking cessation centers with reinforced human and financial resources should be considered.
Centre de tabacologie, Hôpital européen Georges-Pompidou, universités Paris-VII Denis-Diderot, Paris. anne-laurence.le-faou@spim.jussieu.fr
Anne-Laurence
AL
Le Faou
D005260:Female; D006801:Humans; D008297:Male; D018579:Patient Selection; D012017:Referral and Consultation; D012907:Smoking / Q000628:therapy*