The group's establishments, as part of their public service missions and their commitment to the National Program for the Reduction of Smoking, are financed by the fund for the fight against tobacco, through their actions and their approaches in the deployment of the “Health Places Without Tobacco” system.
They also naturally got involved in the Mois Sans Tabac campaign.
Smoking cessation assistance at Clinique Sainte-Clotilde
The national health strategy and the Priorité Prévention plan make the fight against tobacco a leading public health priority. To respond to the regional health situation related to tobacco consumption, ARS La Réunion has chosen the fight against tobacco as a regional priority, shared with its partners, and has initiated a regional tobacco reduction program (P2RT) by mobilizing actors concerned.
It is in this policy that the Clinique Sainte-Clotilde subscribed, starting by dedicating a period of consultations per week to smoking cessation in the Mother-Child Center of the Clinique Sainte-Clotilde in 2017. This period allows weekly follow-up and weaning support for women wishing to become pregnant, pregnant and also for those accompanying them.
Quite naturally, new services have been included in this priority. In 2020, it was the Cardiology department which, in turn, set up a time slot devoted to tobacco consultations per week for hospitalized patients or outpatients, and also followed a time slot integrated into the Bariatric Surgery program in the course of care.
The main objective is to take advantage of hospitalization in order to improve the health of the smoking patient and to offer him a smoking cessation approach before and during his stay in the establishment.
In 2020, more than 350 maternity patients have already been made aware by our tobacco specialist, including 102 patients who have registered for the weaning process. Of these 102 patients, 76% quit smoking completely during pregnancy. In order to go even further, the Clinique Sainte-Clotilde is part of the “Health Places Without Tobacco” approach from 2020. For this, a tobacco control and prevention establishment strategy has been developed aimed at users and professionals through pre-defined actions.
The establishment's smoking personnel are therefore fully concerned by this process of quitting smoking, in particular through awareness-raising, UPR, by access to internal training and support proposals for help with weaning in connection with Occupational Medicine.
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Clinique Robert Debré committed to the LSST approach in 2020
The development of the “Health Places Without Tobacco” label is one of the priorities of the National Tobacco Control Program, coordinated by RESPADD (Addiction Prevention Network).
A Tobacco-free Health Center is a health establishment with a global approach to the prevention and management of smoking, targeting patients, professionals and the entire public present in the establishment.
Because of our addictology activity, integrating this system by responding to the national audit was obvious to us. If our actions and systems in favor of patients are already significant (individual support, use of nicotine substitutes and CO tester, tobacco workshop, development of a patient smoking area, staff training by Dr FROST, referring tobacco specialist), it It is nonetheless necessary to continue the momentum through external staff training actions and by improving the methods of individual and collective support. At the same time, it is planned to deploy a strategy that concerns the employees of the establishment (smoking survey in white coats, tobacco advice and guidance, dedicated smoking shelter, etc.). On the strength of our audit result, which turned out to be the best among the establishments in Reunion to have responded, we are ranked BRONZE level and are aiming.
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The support of ARS La Réunion makes it possible to extend smoking cessation assistance to all patients at the Clinique Jeanne d'Arc-Les Orchidées!
Since 2013, the maternity department and then the bariatric surgery department have offered weaning assistance consultations with a tobacco specialist. Since this year and with the support of the ARS, this care has now been extended to all services, including the specialist consultation service. Thus, all patients followed at the clinic can now benefit from this care free of charge. These are patients seen in consultation by clinic specialists or hospitalized patients, including outpatients. They can be monitored, free of charge, throughout their withdrawal until they stop smoking. The clinic has been aware of this problem for years.
The ease and accessibility of weaning aids are key success factors. She decided to expand access in the fight against tobacco. It has therefore set up a consultation day on Wednesdays, within the Vanilla Service, for this purpose. Access is either by addressing doctors or clinic departments to the Tabacologist, or by making direct appointments with patients. In addition, the clinic is also part of the “Health Places Without Tobacco” approach: Smoking staff are concerned by this approach through awareness-raising workshops, training and support proposals for smoking cessation.
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