Managing alcohol problems in general practice in Europe: results from the European ODHIN survey of general practitioners.

Autor:	Anderson P; University of Newcastle-Upon-Tyne, Newcastle, UK Maastricht University, Maastricht, The Netherlands., Wojnar M; Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland., Jakubczyk A; Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland ajakubczyk@wum.edu.pl., Gual A; Fundacio Privada Clinic per a la Recerca Biomèdica/Hospital Clinico i Provincial de Barcelona, Barcelona, Spain., Reynolds J, Segura L; Generalitat De Catalunya, Barcelona, Spain., Sovinova H; The National Institute of Public Health, Prague, Czech Republic., Csemy L; The National Institute of Public Health, Prague, Czech Republic., Kaner E; University of Newcastle-Upon-Tyne, Newcastle, UK., Newbury-Birch D; University of Newcastle-Upon-Tyne, Newcastle, UK., Fornasin A; Dipartimento di Scienze Economiche e Statistiche, Università degli Studi di Udine, Udine, Italy., Struzzo P; Centro Regional di Formazione per l'Area dlle Cure Primarie, Monfalcone, Italy., Ronda G; Maastricht University, Maastricht, The Netherlands., van Steenkiste B; Maastricht University, Maastricht, The Netherlands., Keurhorst M; Radboud University Medical Centre, Nijmegen, The Netherlands., Laurant M; Radboud University Medical Centre, Nijmegen, The Netherlands HAN University of Applied Sciences, Nijmegen, The Netherlands., Ribeiro C; General-Diretorate for Intervention on Addictive Behaviours and Dependencies, Lisbon, Portugal., do Rosário F; General-Diretorate for Intervention on Addictive Behaviours and Dependencies, Lisbon, Portugal., Alves I; General-Diretorate for Intervention on Addictive Behaviours and Dependencies, Lisbon, Portugal., Scafato E; Istituto Superiore di Sanita, Rome, Italy., Gandin C; Istituto Superiore di Sanita, Rome, Italy., Kolsek M; Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
Jazyk:	angličtina
Zdroj:	Alcohol and alcoholism (Oxford, Oxfordshire) [Alcohol Alcohol] 2014 Sep-Oct; Vol. 49 (5), pp. 531-9. Date of Electronic Publication: 2014 Jul 16.
DOI:	10.1093/alcalc/agu043
Abstrakt:	Aims: To document the attitudes of general practitioners (GPs) from eight European countries to alcohol and alcohol problems and how these attitudes are associated with self-reported activity in managing patients with alcohol and alcohol problems. Methods: A total of 2345 GPs were surveyed. The questionnaire included questions on the GP's demographics, reported education and training on alcohol, attitudes towards managing alcohol problems and self-reported estimates of numbers of patients managed for alcohol and alcohol problems during the previous year. Results: The estimated mean number of patients managed for alcohol and alcohol problems during the previous year ranged from 5 to 21 across the eight countries. GPs who reported higher levels of education for alcohol problems and GPs who felt more secure in managing patients with such problems reported managing a higher number of patients. GPs who reported that doctors tended to have a disease model of alcohol problems and those who felt that drinking was a personal rather than a medical responsibility reported managing a lower number of patients. Conclusion: The extent of alcohol education and GPs' attitudes towards alcohol were associated with the reported number of patients managed. Thus, it is worth exploring the extent to which improved education, using pharmacotherapy in primary health care and a shift to personalized health care in which individual patients are facilitated to undertake their own assessment and management (individual responsibility) might increase the number of heavy drinkers who receive feedback on their drinking and support to reduce their drinking. (© The Author 2014. Medical Council on Alcohol and Oxford University Press. All rights reserved.)
Databáze:	MEDLINE
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