Akademik Veri Yönetim Sistemi
TURKISH JOURNAL OF PUBLIC HEALTH, cilt.20, sa.3, ss.280-293, 2022 (Hakemli Dergi)
Objective: In 2011, Turkey started the nationwide “Smoking Cessation Treatment
Support Program” via Smoking Cessation Clinics (SCC). This study examined the
accessibility of these clinics using Levesque’s framework of access to healthcare
services. From the (potential) users’ perspectives, it was aimed to find the challenges
they face in accessing these clinics, and it proposed solutions for better implementation.
Methods: This study was conducted among 304 smokers who visited four
Family Health Centers in a geographically defined area in Istanbul, Turkey, in 2018.
Result: In this study, it was found that 74% of smokers wished to quit smoking. Within them,
21% didn’t know of SCCs, and half of them didn’t know what services were provided there.
Among those who knew of SCCs, 30% used them to quit smoking. The majority (75.7%) of
the SCC users found the medications expensive; 41% didn’t use them, and 64% didn’t re-visit
the clinics for follow-ups. Eventually, 4.3% of smokers quit smoking through SCCs. Utilization
of these clinics were significantly higher among women (35%) than men (18.6%) (p=0.024).
T; and there was no other differences in terms of age, marital status, income, and education level.
Conclusion: Smoking cessation programs in Turkey and other countries can be implemented
more efficiently if the sufficient number of clinics are opened and are accessible at the local
level; more health professionals are trained to practice; the clinics are made more visible;
smoking cessation medications are made available constantly; and closer monitoring of
service users is ensured.
Keywords: Smoking Cessation, Access To Health Care, Health Plan Implementations, Turkey