Background: Smoking and tobacco use is the biggest cause of premature death worldwide. Smoking cessation services report a four-fold increase in successfully supporting clients to quit and are reported to increase a smoker's chances of stopping smoking four-fold. Yet, there remains a knowledge gap of the comparative success and cost effectiveness of smoking cessation providers and the socio-demographics of their clients. Aim: To compare differences in clients, effectiveness and costs by smoking cessation service delivered in dental, GP, pharmacy and NHS Stop Smoking Services in Bradford & Airedale. Methods: Retrospective smoking cessation data were accessed (July 2011 - December 2011) from four smoking cessation services (dental, GP, pharmacy and NHS SSS) in Bradford & Airedale. The analysis compared the socio-demographic features of clients, spatial distribution of smoking cessation services by setting and the clients who use them and the cost and effectiveness by service. Results: Of those using the services across the smoking cessation services, 3% used dental, 11% pharmacy, 31% NHS SSS and 55% GP. Dental and NHS SSS had the largest proportion of clients who had 'quit' (Chi square p=O.01). Clients attending dental services travelled further than other clients (ANOVA: p=O.01). Dental services had the highest mean cost per quitter: £167.84. Pharmacy services were cost effective when compared against usual care (NHS SSS), whereas dental services were more effective and more costly and GP services were less effective and less costly compared to usual care (NHS SSS). Conclusions: This novel research shows variations in smoking cessation service by setting when considering client socio-demographic features, spatial distribution of clients and service distribution and the cost and effectiveness by setting in Bradford & Airedale. These research findings provide the foundations by which to further explore the role of dental services as a smoking cessation service provider.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:595841 |
| Date | January 2013 |
| Creators | Morgan, Julia Irene |
| Publisher | University of Leeds |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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