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System Model

Below is a simplified model of evidence-based tobacco interventions in a healthcare setting – a hospital, clinic, community health center, or provider practice of any size. This model incorporates what is commonly known in the field of treating tobacco use dependence as the “5As.” They include: Ask, Advise, Assess, Assist, Arrange, together with a critical feedback loop. In a real-world “system”, these steps are often completed not by a single clinician, but spread across several personnel or a clinical team (e.g. Medical Assistant, Nurse, and Physician). 

 section2 a_simplified_model


Click on the steps below for more information:

Step 1. Identify Tobacco Use and Document (Ask)

Step 2. Conduct Brief Interventions and Record (Advise, Assess)

Step 3. Prescribe Medications (Assist)

Step 4. Refer for Behavioral Counseling

Step 5. Follow-Up Loop with Providers


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