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KMID : 1039620150050030302
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Korean Journal of Family Practice
2015 Volume.5 No. 3 p.302 ~ p.308
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Research for the Effect and Operation of the Community Health Center Smoking Cessation Services
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Kim Hyun-Ho
Shin Dong-Wook
Cho Be-Long
Choi Eun-Joo
Yoo Hyo-Sang
Ahn Eun-Mi
Lee Dae-Geun
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Abstract
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Background : Smoking causes various diseases such as cancer. Among the Organization for Economic Cooperation and Development countries, South Korea has the highest adult smoking rate. Although many smokers want to quit, the success rate of personal efforts to do so is very low. Domestic Community Health Center Smoking Cessation Services (CHCSCS) were initiated in 2004. However, the current situation and the effects of these services have not been systematically analyzed from a staff perspective.
Methods : A questionnaire was completed by 66 out of 253 nationwide CHCSCS operators. We asked 13 questions across the following 4 categories: smoking cessation counselors as human resources, the present situation of facilities, effect of smoking cessation services, and opinion on the future direction of such services.
Results : The response rate was 26%. On average, one counselor had to consult 305.4 people per month. The rate of referral to doctors for pharmacotherapy was very low (0.81%). Smoking cessation counselors reported difficulty in securing human resources due to unstable employment (92.3%); they also felt that advanced education was inadequate (74.6%). The effectiveness (93.9%) and operating system (95.5%) of the CHCSCS were positively evaluated. Respondents recommended securing human resources, improving treatment, and ensuring an adequate business budget. They considered it necessary to establish an integrated health promotion service and collaboration plan.
Conclusion : Although the effectiveness and operating system of CHCSCS were good, it is necessary to ensure stable employment for counselors, provide additional human resource support, improve smoking cessation facilities, and promote collaboration to realize an integrated health promotion service.
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KEYWORD
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Tobacco, Smoking Cessation, Community Health Centers, Questionnaires
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