[Consensus on health assistance for smoking control in Spain]. / Consenso sobre la atención sanitaria del tabaquismo en España.

The Consensus on Health Assistance for Smoking Cessation in Spain, is a document reviewing the treatment evidence, as well as policy needs in relation to smoking cessation in Spain. It has been developed by technical representatives of public health administrations, at a national and autonomous level, together with representatives of the scientific societies and professional bodies which are members of the Spanish coalition on smoking prevention National Committee on Tobacco Prevention (CNPT). After approval of a new national tobacco control law 28/2005, several tobacco control policies are being developed, especially by the autonomous governments, including treatment policies. Within this framework, and as part of the requirements of the law, all parties have considered the need to review effectiveness, experimentally validated tobacco dependence treatments and practices. An initial draft written by an expert committee was presented to all parties and discussed at three meetings over a period of a year and a half. The initial draft did review primary and secondary scientific literature from 1987 to 2007 on efficacy and effectiveness of different smoking cessation interventions, including: medical advice and brief smoking cessation interventions; pharmacological aids for treating nicotine dependence; behavioral interventions; specialized intensive treatment; community interventions; and treatment for groups with special needs. Considering the available evidence; current treatment needs; policy gaps; and the criteria of risk, accessibility, efficiency, sustainability and equity; the consensus document recommends the minimal requirements which should be taken into account when developing a policy on smoking cessation in Spain.

[Spain's process of passing effective smoking prevention legislation]. / El proceso en españa de la adopción de una legislación eficaz para la prevención del tabaquismo.

The prevention movement has been the key agent involved in smoking control policies. This study describes the context and the process in which Law 28/2005 was passed in Spain with a synthesis of its substance. It provides the background of the events leading up to Spain's current smoking control law in addition to an analysis of the role played by the different social actors in the process and the arguments and strategies employed in opposition by the tobacco industry. A review is also provided of the political agents, highlighting that decentralized countries have further problems in enforcing regulations. This case offers lessons for the future.

Consenso sobre la Atención Sanitaria del tabaquismo en España / Consensus on Health Assistance for Smoking Control in Spain

Tras la aprobación de la Ley 28/2005, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidad de los productos del tabaco, se están produciendo diversos desarrollos y progresos en el campo del tratamiento del tabaquismo en todas las Comunidades Autónomas. Por este motivo y por los propios requerimientos de la Ley, tanto las administraciones públicas como las sociedades científicas integradas en el Comité Nacional de Prevención del Tabaquismo CNPT, han considerado que nuestro país se halla en una posición óptima para revisar los avances conseguidos hasta el momento y señalar las bases de carácter técnico que, de acuerdo a la evidencia y los recursos disponibles, sería conveniente que pudieran orientar las actuaciones de asistencia a las personas que fuman en el Marco del Sistema Nacional de Salud. La finalidad de este documento, de carácter exclusivamente técnico y científico, ha sido consensuar una propuesta básica de calidad sobre asistencia en tabaquismo que sirva como guía orientativa en nuestro país. Los objetivos de este documento son analizar las necesidades a las que responde una estrategia asistencial en tabaquismo, revisar la eficacia de las opciones asistenciales existentes en tabaquismo, sintetizar la evidencia disponible sobre el impacto de las políticas asistenciales en la disminución del porcentaje de personas fumadoras y señalar las necesidades existentes en este sector. El documento señala los mínimos básicos para orientar las actuaciones asistenciales de calidad en España, teniendo en cuenta criterios de riesgo sanitario, accesibilidad, eficiencia, sostenibilidad y equidad (AU)

The Consensus on Health Assistance for Smoking Cessation in Spain, is a document reviewing the treatment evidence, as well as policy needs in relation to smoking cessation in Spain. It has been developed by technical representatives of public health administrations, at a national and autonomous level, together with representatives of the scientific societies and professional bodies which are members of the Spanish coalition on smoking prevention National Committee on Tobacco Prevention (CNPT). After approval of a new national tobacco control law 28/2005, several tobacco control policies are being developed, especially by the autonomous governments, including treatment policies. Within this framework, and as part of the requirements of the law, all parties have considered the need to review effectiveness, experimentally validated tobacco dependence treatments and practices. An initial draft written by an expert committee was presented to all parties and discussed at three meetings over a period of a year and a half. The initial draft did review primary and secondary scientific literature from 1987 to 2007 on efficacy and effectiveness of different smoking cessation interventions, including: medical advice and brief smoking cessation interventions; pharmacological aids for treating nicotine dependence; behavioral interventions; specialized intensive treatment; community interventions; and treatment for groups with special needs. Considering the available evidence; current treatment needs; policy gaps; and the criteria of risk, accessibility, efficiency, sustainability and equity; the consensus document recommends the minimal requirements which should be taken into account when developing a policy on smoking cessation in Spain (AU)

El proceso en España de la adopción de una legislación eficaz para la prevención del tabaquismo / Spain's process of passing effective smoking prevention legislation

El movimiento de prevención ha sido el agente clave para laadopción de políticas de prevención y control del tabaquismo y parapromover una legislación eficaz. En este trabajo se describen el contextoy el proceso en el que se ha desarrollado en España la aprobaciónde la Ley 28/2005 y se sintetizan sus contenidos. Se resumen losantecedentes de la política española de control del tabaquismo, seanaliza el papel que han jugado los distintos actores sociales en elproceso de aprobación de la Ley, así como los argumentos y estrategiasutilizados en contra por la industria tabacalera. Se revisan losobstáculos políticos y se señala que los países descentralizados presentanproblemas añadidos para el cumplimiento de las regulaciones.Este caso permite extraer algunas lecciones para el futuro(AU)

The prevention movement has been the key agent involved insmoking control policies. This study describes the context and theprocess in which Law 28/2005 was passed in Spain with a synthesisof its substance. It provides the background of the events leading upto Spain's current smoking control law in addition to an analysis ofthe role played by the different social actors in the process and thearguments and strategies employed in opposition by the tobaccoindustry. A review is also provided of the political agents, highlightingthat decentralized countries have further problems in enforcingregulations. This case offers lessons for the future(AU)

Las administraciones sanitarias ante la nueva ley que regula el tabaquismo en el medio laboral / The health care administrations in the face of the new law that controls smoking in the work setting

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