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David M. Burns, MD

Arch Intern Med. 2008;168(18):1946-1947.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Cigarette smoking remains a persistent and difficult public health problem. Approximately 1 in 5 adults continues to smoke,¹ and annual long-term successful abstinence rates run around 2% to 3%.² Most smokers are aware that smoking poses risks to their health, and approximately 60% to 70% of smokers report having been counseled by their physicians to quit smoking.³ The effect of physician advice alone on smoking cessation is real but modest, and the current state of the art for health care–based smoking cessation assistance is to build physician advice into a comprehensive, systemwide approach to smokers covered by health care plans.⁴

Most practicing physicians are familiar with the excuses used to avoid dealing with smoking cessation, both by their patients, who are reluctant to give up their addiction, and by their colleagues, who are not sure it is worth their time to counsel patient cessation. The present . . . [Full Text of this Article]

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