Health care delivery systems are critical components of tobacco cessation efforts. This review summarizes recent evidence in support of the health care system recommendations in the 2000 U.S. Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence. Measurable progress in addressing tobacco use through the health care system is summarized, including accountabilities for addressing tobacco in national health care reporting systems, increases in reported advice to quit smoking from health care providers, and wider availability of insurance coverage for tobacco cessation treatments. Despite progress, significant gaps remain between what is possible and what is done by health care systems to impact tobacco cessation. A four-point public policy agenda is outlined to help close these gaps.

中文翻译：

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卫生保健系统在增加戒烟中的作用。

卫生保健提供系统是戒烟工作的关键组成部分。这篇综述总结了最近的证据，这些证据支持2000年《美国公共卫生服务临床实践指南，治疗烟草使用和依赖性》中对卫生保健系统建议的支持。总结了通过卫生保健系统解决烟草使用方面可衡量的进展，包括在国家卫生保健报告系统中解决烟草问题的责任，已报告的从卫生保健提供者处戒烟的建议增加以及为戒烟治疗提供更大的保险范围。尽管取得了进展，但在可能的范围与卫生保健系统在影响戒烟方面所做的努力之间仍然存在巨大差距。概述了四点公共政策议程，以帮助弥合这些差距。