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Innovative Models for Tobacco Dependency Treatment: A Review of Advances in Integrated Care Approaches in High-Income Healthcare Systems
Subject area: Science,Engineering and Technology · Area of research: Innovative Models
Abstract
Tobacco dependency remains a significant public health challenge in high-income healthcare systems, contributing to preventable morbidity and mortality worldwide. This paper reviews advances in integrated care approaches for tobacco dependency treatment, emphasizing their potential to improve patient outcomes through coordinated and multidisciplinary strategies. Key innovations, such as the integration of pharmacological and behavioral therapies, technology-driven solutions, and patient-centered care models, demonstrate substantial promise. However, healthcare system fragmentation, resource limitations, and societal stigma hinder widespread implementation. The paper highlights successful case examples, explores barriers and opportunities for improvement, and provides actionable recommendations for policymakers, healthcare providers, and researchers. By fostering collaboration, policy reforms, and technological innovation, integrated care approaches can effectively address tobacco dependency, paving the way for healthier populations and reduced healthcare burdens.
Keywords
Tobacco dependency, Integrated care, Smoking cessation, Public health, Multidisciplinary collaboration, Healthcare innovation
References
[1] Abdelmutti, N., Brual, J., Papadakos, J., Fathima, S., Goldstein, D., Eng, L., . . . Giuliani, M. (2019). Implementation of a comprehensive smoking cessation program in cancer care. Current Oncology, 26(6), 361.
[2] Akanbi, M. O., Carroll, A. J., Achenbach, C., O'Dwyer, L. C., Jordan, N., Hitsman, B., . . . Murphy, R. (2019). The efficacy of smoking cessation interventions in low‐and middle‐income countries: A systematic review and meta‐analysis. Addiction, 114(4), 620-635.
[3] Alves, J., & Meneses, R. (2018). Silos mentality in healthcare services. Paper presented at the 11th Annual Conference of the EuroMed Academy of Business.
[4] Bagula, A., Mandava, M., & Bagula, H. (2018). A framework for healthcare support in the rural and low income areas of the developing world. Journal of Network and Computer Applications, 120, 17-29.
[5] Berg, C. J., Fong, G. T., Thrasher, J. F., Cohen, J. E., Maziak, W., Lando, H., . . . Nakkash, R. (2018). The impact and relevance of tobacco control research in low-and middle-income countries globally and to the US. Addictive behaviors, 87, 162-168.
[6] Bhattacharyya, O., Shaw, J., Sinha, S., Gordon, D., Shahid, S., Wodchis, W. P., & Anderson, G. (2020). Innovative Integrated Health And Social Care Programs In Eleven High-Income Countries: Study reports on thirty health and social care programs in eleven high-income countries that delivered care in innovative ways. Health Affairs, 39(4), 689-696.
[7] Cortis, L. J., Ward, P. R., McKinnon, R. A., & Koczwara, B. (2016). Breaking the silos: Integrated care for cancer and chronic conditions. Cancer and Chronic Conditions: Addressing the Problem of Multimorbidity in Cancer Patients and Survivors, 287-313.
[8] Evans-Lacko, S., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bruffaerts, R., . . . Gureje, O. (2018). Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys. Psychological medicine, 48(9), 1560-1571.
[9] Gates, P. (2015). The effectiveness of helplines for the treatment of alcohol and illicit substance use. Journal of Telemedicine and Telecare, 21(1), 18-28.
[10] Greaves, L., Poole, N., & Hemsing, N. (2019). Tailored intervention for smoking reduction and cessation for young and socially disadvantaged women during pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(1), 90-98.
[11] Haque, M., Islam, T., Rahman, N. A. A., McKimm, J., Abdullah, A., & Dhingra, S. (2020). Strengthening primary health-care services to help prevent and control long-term (chronic) non-communicable diseases in low-and middle-income countries. Risk management and healthcare policy, 409-426.
[12] Harutyunyan, A., Abrahamyan, A., Hayrumyan, V., & Petrosyan, V. (2019). Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia. Primary Health Care Research & Development, 20, e17.
[13] James, H. M., Papoutsi, C., Wherton, J., Greenhalgh, T., & Shaw, S. E. (2021). Spread, scale-up, and sustainability of video consulting in health care: systematic review and synthesis guided by the NASSS framework. Journal of medical Internet research, 23(1), e23775.
[14] Kemper, K. E., Hurt, R. D., Hays, J. T., Glynn, T. J., & Wysocki, K. (2016). Developing, managing, and sustaining an effective international tobacco dependence treatment partnership. Journal of Smoking Cessation, 11(2), 78-89.
[15] Mancini, M. A. (2021). Integrated behavioral health practice: Springer.
[16] Mathre, M. L., & Bang, A. M. (2017). Alcohol, tobacco, and other drug problems in the community. Foundations for Population Health in Community/Public Health Nursing-E-Book: Foundations for Population Health in Community/Public Health Nursing-E-Book, 415.
[17] Mbunge, E., Muchemwa, B., & Batani, J. (2021). Sensors and healthcare 5.0: transformative shift in virtual care through emerging digital health technologies. Global Health Journal, 5(4), 169-177.
[18] Office, U. S. P. H. S. (2020). Interventions for Smoking Cessation and Treatments for Nicotine Dependence. Smoking Cessation: A Report of the Surgeon General [Internet].
[19] Oldenburg, J., Chase, D., Christensen, K. T., & Tritle, B. (2020). Engage!: Transforming Healthcare Through Digital Patient Engagement: CRC Press.
[20] Organization, W. H. (2015). WHO report on the global tobacco epidemic 2015: raising taxes on tobacco: World Health Organization.
[21] Patwardhan, S., & Rose, J. E. (2020). Overcoming barriers to disseminate effective smoking cessation treatments globally. Drugs and Alcohol Today, 20(3), 235-247.
[22] Peer, N. (2018). Current strategies are inadequate to curb the rise of tobacco use in Africa. South African Medical Journal, 108(7).
[23] Powles, J., & Gouda, H. (2021). Public health policy in developed countries. Oxford Textbook of Global Public Health, 323.
[24] Ribeiro, W. S., Bauer, A., Andrade, M. C. R., York-Smith, M., Pan, P. M., Pingani, L., . . . Evans-Lacko, S. (2017). Income inequality and mental illness-related morbidity and resilience: a systematic review and meta-analysis. The Lancet Psychiatry, 4(7), 554-562.
[25] Rogers, E. S., Gillespie, C., Smelson, D., & Sherman, S. E. (2018). A qualitative evaluation of mental health clinic staff perceptions of barriers and facilitators to treating tobacco use. Nicotine and Tobacco Research, 20(10), 1223-1230.
[26] Rossaki, F. M., Hurst, J. R., van Gemert, F., Kirenga, B. J., Williams, S., Khoo, E. M., . . . van Boven, J. F. (2021). Strategies for the prevention, diagnosis and treatment of COPD in low-and middle-income countries: the importance of primary care. Expert review of respiratory medicine, 15(12), 1563-1577.
[27] Roy, A., Rawal, I., Jabbour, S., & Prabhakaran, D. (2017). Tobacco and cardiovascular disease: a summary of evidence. Cardiovascular, Respiratory, and Related Disorders. 3rd edition.
[28] Sacks, E., Morrow, M., Story, W. T., Shelley, K. D., Shanklin, D., Rahimtoola, M., . . . Sarriot, E. (2019). Beyond the building blocks: integrating community roles into health systems frameworks to achieve health for all. BMJ global health, 3(Suppl 3), e001384.
[29] Sandhu, S., Sharma, A., Cholera, R., & Bettger, J. P. (2021). Integrated health and social care in the United States: a decade of policy progress. International Journal of Integrated Care, 21(4).
[30] Simons, T., Vermeulen, P. A., & Knoben, J. (2016). There’s no beer without a smoke: Community cohesion and neighboring communities’ effects on organizational resistance to antismoking regulations in the Dutch hospitality industry. Academy of Management Journal, 59(2), 545-578.
[31] Siu, A. L., & Force*, U. P. S. T. (2015). Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: US Preventive Services Task Force recommendation statement. Annals of internal medicine, 163(8), 622-634.
[32] Smith, C. E., Hill, S. E., & Amos, A. (2020). Impact of specialist and primary care stop smoking support on socio‐economic inequalities in cessation in the United Kingdom: a systematic review and national equity analysis. Addiction, 115(1), 34-46.
[33] Sutherland, J., & Hellsten, E. (2017). Integrated funding: connecting the silos for the healthcare we need. CD Howe Institute Commentary(463).
[34] Tall, J. A., Brew, B. K., Saurman, E., & Jones, T. C. (2015). Implementing an anti-smoking program in rural-remote communities: challenges and strategies. Rural and remote health, 15(4), 140-154.
[35] Van Schayck, O., Williams, S., Barchilon, V., Baxter, N., Jawad, M., Katsaounou, P., . . . Zwar, N. (2017). Treating tobacco dependence: guidance for primary care on life-saving interventions. Position statement of the IPCRG. NPJ primary care respiratory medicine, 27(1), 38.
[36] West, R., Raw, M., McNeill, A., Stead, L., Aveyard, P., Bitton, J., . . . Lester‐George, A. (2015). Health‐care interventions to promote and assist tobacco cessation: a review of efficacy, effectiveness and affordability for use in national guideline development. Addiction, 110(9), 1388-1403.
[37] Wodchis, W. P., Shaw, J., Sinha, S., Bhattacharyya, O., Shahid, S., & Anderson, G. (2020). Innovative Policy Supports For Integrated Health And Social Care Programs In High-Income Countries: An evaluation of innovative policy supports to provide integrated health and social care to high-needs and high-cost populations in high-income countries. Health Affairs, 39(4), 697-703.
[38] Ye, L., Goldie, C., Sharma, T., John, S., Bamford, M., Smith, P. M., . . . Schultz, A. S. (2018). Tobacco-nicotine education and training for health-care professional students and practitioners: a systematic review. Nicotine and Tobacco Research, 20(5), 531-542.
How to cite this paper
@article{1703003,
author = {Oluwaseyi Inumidun Alli, Samuel Ajibola Dada},
title = {Innovative Models for Tobacco Dependency Treatment: A Review of Advances in Integrated Care Approaches in High-Income Healthcare Systems},
journal = {Iconic Research And Engineering Journals},
year = {2021},
volume = {5},
number = {6},
pages = {273-282},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1703003.pdf},
abstract = {Tobacco dependency remains a significant public health challenge in high-income healthcare systems, contributing to preventable morbidity and mortality worldwide. This paper reviews advances in integrated care approaches for tobacco dependency treatment, emphasizing their potential to improve patient outcomes through coordinated and multidisciplinary strategies. Key innovations, such as the integration of pharmacological and behavioral therapies, technology-driven solutions, and patient-centered care models, demonstrate substantial promise. However, healthcare system fragmentation, resource limitations, and societal stigma hinder widespread implementation. The paper highlights successful case examples, explores barriers and opportunities for improvement, and provides actionable recommendations for policymakers, healthcare providers, and researchers. By fostering collaboration, policy reforms, and technological innovation, integrated care approaches can effectively address tobacco dependency, paving the way for healthier populations and reduced healthcare burdens.},
keywords = {Tobacco dependency, Integrated care, Smoking cessation, Public health, Multidisciplinary collaboration, Healthcare innovation},
month = {December},
}