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So what causes the feeling of pleasure in some tobacco users

Previous work has shown that systems level changes, including EHR modifications, for assessing and referring patients to treatment can result in increased tobacco use documentation and counseling referrals ( Measuring effectiveness posed a different set of challenges (e.g., low rates of smoking status ascertainment), which may limit information regarding quit rates ( In addition to reach and effectiveness, measuring implementation and adoption was facilitated by generating EHR reports for screening rates and provider-level program referrals

PMID 11069313

The only exceptions were Vector, Gudang Garam and BAT