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Alcohol and Alcoholism, Vol 34, 55-58, Copyright © 1999 by Medical Council on Alcoholism


ARTICLES

Enhancing the identification of excessive drinkers on medical wards: a 1-year follow-up study

R Shepherd, M London and G Alexander
Drug and Alcohol Service, Mill House, Brookfields Hospital, Cambridge CB1 3DF, UK; Department of Medicine, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK; Corresponding author

This paper describes a 1-year follow-up study examining whether hospital ward doctors and nurses continue to take quantitative alcohol histories and provide brief intervention to problem drinkers on general medical wards after the introduction of a simple protocol. Regular training in the use of this protocol was stipulated in the annual service contract between the Health Authority and the Hospital Trusts. Improvements in staff practice persisted at 1-year follow-up, although it fell from a peak at an earlier phase of the study. The positive role of state purchasers of health services in sustaining improvements in clinical practice is discussed.
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