title: ["Do not do" also as regards tobacco].
abstract: We do have very effective and efficient interventions to help our patients to stop smoking. The strategy that has more evidence and consensus in primary care is the 5 A's, that is, ask, advise, assess willingness to try to quit smoking, helping those who want to try and make follow-up visits. However, we intervene lot less than we should. The available protocols oversized interventions, and propose elements without scientific evidence or therapeutic effect. It is therefore necessary to develop more simple, useful and evidence-based interventions to assist us in carrying out our work interventions, and stop doing those that dońt contribute. In this article we will use as an example a critical review of Smoker Care Service Portfolio of Madrid Health Service, and we will propose a number of alternatives to allow a simple, effective and evidence-based intervention.
authors.affiliation: Centro de Salud Los Castillos, Alcorcón, Madrid, miembro del Grupo de Abordaje al Tabaquismo (GAT) de la Sociedad Madrileña de Medicina Familiar y Comunitaria (SoMaMFyC). Electronic address: e.oeoeoeoe@gmail.com.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Olano-Espinosa
authors.affiliation: Centro de Salud Perales del Río, Getafe, Madrid, coordinador del Grupo de Abordaje al Tabaquismo (GAT) de la Sociedad Madrileña de Medicina Familiar y Comunitaria (SoMaMFyC).
authors.forename: César
authors.initials: C
authors.lastname: Minué-Lorenzo
mesh_terms: D006801:Humans; D011320:Primary Health Care; D012907:Smoking; D016540:Smoking Cessation; D014026:Nicotiana
keywords: Atención primaria; Cartera de servicios; Intervención; Intervention; Primary care; Services potfolio; Smoking; Tabaquismo