title: Maintenance of tobacco cessation programmes in public hospitals in Catalonia, Spain.
abstract: BACKGROUND
  The provision of smoking cessation interventions in hospitals has been strongly recommended. The aim of this study is to determine the maintenance of smoking cessation programmes for inpatients and hospital workers in hospitals of Catalonia (Spain) seven years after the implementation of a Tobacco Cessation Programme.
  
  
  METHODS
  A cross-sectional survey was conducted in all hospitals that offer public service in Catalonia, Spain (n=73). An online questionnaire was sent to all coordinators of the smoke-free hospital project or managers of each hospital. The survey included questions about the type of hospital, type of programmes implemented and availability and source of smoking cessation drugs.
  
  
  RESULTS
  Responses to the questionnaire were submitted by 58 hospitals (79.5%). 74% and 93.1% of the hospitals had smoking cessation programmes for inpatients and workers, respectively. Most of the hospitals maintained the programmes and started routinely buying smoking cessation drugs after a period of receiving them free-of-charge. However, 17.2% of the hospitals refused to buy these drugs and 24% never had these drugs available.
  
  
  CONCLUSIONS
  Through a supportive Tobacco Cessation Programme, most hospitals have smoking cessation programmes for both patients and workers. Most of them have incorporated smoking cessation drugs as a regular resource in their services' portfolio. The lack of these resources may jeopardise the maintenance of well-established programmes in hospitals.
authors.affiliation: Tobacco Control Unit, Cancer Prevention and Control Programme, Institut Català d'Oncologia, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Catalan Network of Smoke-free Hospitals, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Addictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de Barcelona - IDIBAPS, C. Villarroel 170, 08036 Barcelona, Spain. Electronic address: mballbe@iconcologia.net.
authors.forename: Montse
authors.initials: M
authors.lastname: Ballbè
authors.affiliation: Tobacco Control Unit, Cancer Prevention and Control Programme, Institut Català d'Oncologia, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Catalan Network of Smoke-free Hospitals, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Medicine and Health Sciences School, Universitat Internacional de Catalunya, Josep Trueta s/n, 08195 Sant Cugat del Vallès, Barcelona, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Martínez
authors.affiliation: Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Health Plan Directorate, Ministry of Health, Generalitat de Catalunya, Travessera de les Corts 131-159, Pavelló Ave Maria, 08028 Barcelona, Spain; Department of Public Health, Universitat de Barcelona, C. Casanova 143, 08036 Barcelona, Spain.
authors.forename: Esteve
authors.initials: E
authors.lastname: Saltó
authors.affiliation: Public Health Agency, Ministry of Health, Generalitat de Catalunya, C. Roc Boronat 81-95, 08005 Barcelona, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Cabezas
authors.affiliation: Tobacco Control Unit, Cancer Prevention and Control Programme, Institut Català d'Oncologia, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Anna
authors.initials: A
authors.lastname: Riccobene
authors.affiliation: Public Health Agency, Ministry of Health, Generalitat de Catalunya, C. Roc Boronat 81-95, 08005 Barcelona, Spain.
authors.forename: Araceli
authors.initials: A
authors.lastname: Valverde
authors.affiliation: Addictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de Barcelona - IDIBAPS, C. Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Antoni
authors.initials: A
authors.lastname: Gual
authors.affiliation: Tobacco Control Unit, Cancer Prevention and Control Programme, Institut Català d'Oncologia, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Catalan Network of Smoke-free Hospitals, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, Av. de la Granvia de l'Hospitalet de Llobregat, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Department of Clinical Sciences, Universitat de Barcelona, C. Feixa Llarga s/n, 08907 Barcelona, Spain.
authors.forename: Esteve
authors.initials: E
authors.lastname: Fernández
mesh_terms: D001552:Benzazepines / Q000600:supply & distribution; D016642:Bupropion / Q000600:supply & distribution; D003430:Cross-Sectional Studies; D018765:Dopamine Uptake Inhibitors / Q000600:supply & distribution; D006760:Hospitalization / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients; D018722:Nicotinic Agonists / Q000600:supply & distribution; D010564:Personnel, Hospital; D011810:Quinoxalines / Q000600:supply & distribution; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D061485:Tobacco Use Cessation Devices / Q000706:statistics & numerical data / Q000600:supply & distribution*; D000068580:Varenicline
chemical_list: D001552:Benzazepines; D018765:Dopamine Uptake Inhibitors; D018722:Nicotinic Agonists; D011810:Quinoxalines; D016642:Bupropion; D000068580:Varenicline
keywords: Drug therapy; Health personnel; Hospitals; Inpatients; Nicotine; Smoking cessation