Population impact of reimbursement for smoking cessation: a natural experiment in the Netherlands
Version of Record online: 1 NOV 2012
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Volume 108, Issue 3, pages 602–604, March 2013
How to Cite
Willemsen, M. C., Segaar, D. and van Schayck, O. C. P. (2013), Population impact of reimbursement for smoking cessation: a natural experiment in the Netherlands. Addiction, 108: 602–604. doi: 10.1111/j.1360-0443.2012.04089.x
- Issue online: 18 FEB 2013
- Version of Record online: 1 NOV 2012
- Accepted manuscript online: 20 SEP 2012 10:53PM EST
- Manuscript Accepted: 15 SEP 2012
- Manuscript Revised: 15 AUG 2012
- Manuscript Received: 27 JUN 2012
- smoking cessation;
- telephone counselling
To report on the impact of financial reimbursement of pharmacotherapy for smoking cessation in combination with behavioural support on the number of enrollees to proactive counselling in the Dutch national quitline.
Descriptive time–series analysis was used to compare quitline enrolment in 2010 and 2012 (no reimbursement) with 2011 (reimbursement).
National smoking cessation quitline.
Smokers signing up for proactive counselling.
Treatment enrolment data recorded by the quitline as part of usual care from 2010, 2011 and 2012 (until May).
In 2010, a total of 848 smokers started treatment. In 2011, 9091 smokers enrolled. In 2012, the number of enrollees dropped dramatically, even below the 2010 level. In addition, the proportion of smokers in the population dropped from 27.2% in 2010 to 24.7% in 2011.
The introduction of a national reimbursement system in the Netherlands was associated with a more than 10-fold increase in telephone counselling for smoking cessation and suggests that reimbursement for smoking cessation contributed to improvements in public health.