Key messages

  • The Victorian Government supports smoke-free hospitals and healthcare services.
  • The ABCD approach helps patients quit smoking. 

An ABCD approach to help patients quit smoking

Supporting patients to be smokefree: an ABCD approach in Victorian health services is a Department of Health & Human Services initiative that supports patients in Victorian health services to quit smoking.

The initiative is a systematic approach to identifying the smoking status of every patient within the Victorian health system and supporting them to quit by:

  • Asking
  • providing advice (Brief intervention)
  • recording the action taken at the point of hospital discharge (Communicating at Discharge).

This project is funded by the Victorian Government and is coordinated by Alfred Health on behalf of the department.

A project working group, which comprises representatives from Alfred Health, Barwon Health, Peninsula Health, Quit Victoria, the Australian Medical Association, the Royal Australian College of General Practitioners, and the Victorian Network of Smokefree Healthcare Services, is overseeing the project. A patient representative is also on the working group.

Pilot sites

Following the expression of interest, seven health services piloted the development of a systematic approach to supporting patients to be smokefree.

  • Ballarat Health Service
  • Bendigo Health
  • Goulburn Valley Health
  • Kyabram Health Service
  • Northeast Health
  • Southwest Healthcare
  • Western Health

Pilot projects were completed in 2014.

Project model

modelSupporting patients to be smokefree: project

More information

Situational analysis results

A situational analysis was undertaken to identify current practice and opportunities for improvement in the management of nicotine dependency within Victoria's hospital system. It also informed the development of the pilot model.

resultsSupporting patients to be smokefree: situational analysis

Health targets: better help for smokers to quit

The Supporting patients to be smokefree: an ABCD approach in Victorian health services was influenced by the New Zealand Government's policy, Health targets - better help for smokers to quit.

Resources

  • ABCsThe effectiveness of interventions to increase the delivery of effective smoking cessation treatments in primary care settings - the
    (Brinson D. and Ali W. 2009. The effectiveness of interventions to increase the delivery of effective smoking cessation treatments in primary care settings - the ABCs. HSAC Report 2009; 2(9). Christchurch, New Zealand: Health Services Assessment Collaboration (HSAC).)
  • GuidelinesLiterature Review for the Revision of the New Zealand Smoking Cessation
    (Ministry of Health. 2007. Literature review for the revision of the New Zealand smoking cessation guidelines. Wellington, New Zealand: Ministry of Health.)
  • settingsBrief interventions and referral for smoking cessation in primary care and other
    (NICE. 2006. Implementation advice: Brief interventions and referral for smoking cessation in primary care and other settings. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE).)
  • researchABC Smokefree outcomes
    (Wyllie A. 2012. ABC Smokefree Outcomes research: Hospital based intervention. Research report for The Ministry of Health. Auckland, New Zealand: Phoenix Research.)
  • Does advice from doctors encourage people who smoke to quit
  • Stead et al. 2013. Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, Issue 5. Art. No.: CD000165. DOI: 10.1002/14651858.CD000165.pub4.
  • An ABCD approach to supporting people who smoke: A guide for health services
  • Pharmacotherapy for smoking cessation

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