Page 60 - TAIWAN TOBACCO CONTROL ANNUAL REPORT 2019

Physicians, pharmacists, and health instructors must undergo smoking cessation therapy courses, training and receive official certification before being able to establish a medical institution contracted to offer cessation services. Medical fees shall be paid for through the National Health Insurance system, while medical institutions offering cessation services must accept and support smoking cessation therapy quality assessments, service satisfaction investigations, monitoring of smoking cessation success rates, and costbenefit analysis. To understand the effectiveness of outpatient medication treatment services for smoking cessation, telephone interviews were used to track the 6-month success rate of individual cases after going through smoking cessation therapy (where success is defined as cases that refrained from smoking for 7 days within the period of 6 months after initiation of treatment). From 2003 to December 2018, 6-month success rate after going through smoking cessation therapy (Fig. 1-9) showed that among medical institutions of every level, medical centers achieved the highest success rate at 35.2%, while basic clinics had the highest success cases due to their prevalence, convenience, and larger number of cases treated (Table 1-2). Fig. 1-9 35% 30% 25% 20% 15% 10% 5% 0% 2017 2018 Year Table 1-2 Effectiveness of cessation services conducted by healthcare institutions of different levels in 2018 Success rates of smoking cessation service 6 month point success rate 25.2% 17.0% one-year point success rate 6 month continuous success rate 30.0% 28.9% one-year continuous success rate 27.7% 26.5% 26.7% 26.6% 26.4% 26.3% 21.3% 20.6% 21.7% 12.7% 12.1% 11.4% 7.08% 6.30% 7.43% 28.5% 21.4% 19.9% 11.7% 11.4% 7.12% 6.2% 24.4% 25.0% 26.4% 21.7% 21.1% 20.7% 19.5% 20.2% 21.4% 22.9% 18.8% 17.9% 24.3% 24.8% 14.0% 14.3% 9.14% 9.36% 13.8% 14.8% 14.5% 15.6% 11.2% 11.5% 13.2% 12.3% 8.7% 10.1% 10.1% 12.6% 5.8% 5.3% 5.0% 5.1% 5.2% 5.2% 6.2% 6.5% 7.1% 7.5% 9.3% 3.1% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Level Patients Courses carried out 6-month point success rate Estimated number of smokers who successfully quit Medical centers 16,574 43,338 35.2% 5,836 Regional hospitals 36,204 97,246 29.3% 10,609 Community hospitals 18,936 58,548 27.7% 5,239 Clinics 51,881 161,124 26.5% 13,747 Public health center 30,340 66,277 21.4% 6,483 Dental clinics 10,109 22,916 17.1% 1,729 Community pharmacies 33,555 253,504 26.8% 9,003 Total 191,514 705,953 26.4% 50,529 58 Note: The number of people and samples does not equal the total as repetitions will be deducted. Success rate