Survey and analysis of the current situation of tobacco dependence diagnosis and physicians′ awareness of diagnosis in some tertiary hospitals in Zhejiang Province
10.3760/cma.j.cn115624-20241201-00975
- VernacularTitle:浙江省部分三甲医院烟草依赖诊断现状及医师诊断意识调查分析
- Author:
Hanyi HU
1
;
Hequan LI
1
Author Information
1. 浙江大学医学院附属第一医院呼吸与危重症学科，杭州 310003
- Publication Type:Journal Article
- Keywords:
Tobacco dependence;
Diagnosis;
Smoking;
Smoking cessation;
Tobacco control
- From:
Chinese Journal of Health Management
2025;19(6):408-413
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the circumstances of tobacco dependence diagnosis among smoking patients in 5 tertiary hospitals in Zhejiang Province and to assess the diagnostic awareness of the disease among specialists.Methods:A cross-sectional study was used to retrospectively collect data on outpatients and inpatients in a total of five tertiary hospitals, namely, the First Affiliated Hospital of Zhejiang University School of Medicine, the Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, the Fourth Hospital Affiliated to the Medical College of Zhejiang University, the Zhejiang Provincial Tongde Hospital, and the Lishui People′s Hospital of Zhejiang Province, from January 1, 2018 to December 31, 2022. Diagnoses were obtained through an outpatient or inpatient electronic medical record system, diagnostic data on tobacco dependence were analyzed, and a web-based questionnaire was further used to investigate the diagnostic awareness of physicians of various specialties in 1 of the hospitals.Results:A total of 340 tobacco dependence diagnoses were queried, including 5 inpatient diagnoses and 335 outpatient diagnoses. A total of 278 cases of tobacco dependence diagnosis in the First Affiliated Hospital of Zhejiang University School of Medicine.Of the 273 cases in the hospital′s internal medicine clinic, 268 (98.2%) were in respiratory medicine and 5 (1.8%) in cardiology; 234 (87.3%) were diagnosed by physicians trained in smoking cessation. Of the 170 clinicians surveyed at the First Affiliated Hospital of Zhejiang University School of Medicine, 7 were smokers, with a smoking rate of 4.1%. Regarding clinicians′ knowledge of tobacco dependence, 40 (23.5%) said"I know a lot about it", 96 (56.5%) said "I′ve heard of it but don′t know much about it", and 34 (20.0%) said "I have not heard of it". Of the 170 clinicians, 132 (77.6%) always or frequently asked patients about their smoking status, and 38 (22.4%) rarely or never asked. 145 (85.3%) clinicians always or frequently advised patients to quit smoking when they knew they smoked and 25 (14.7%) rarely or never advised.Conclusions:The diagnosis rate of tobacco dependence remains low in some comprehensive tertiary hospitals in Zhejiang, and clinicians in these tertiary hospitals in the region are not sufficiently aware of tobacco dependence and its diagnosis.
