Alcohol & Alcoholism Vol. 38, No. 6, pp. 597-601, 2003
© 2003 Medical Council on Alcohol
ATTITUDES AND MANAGEMENT OF ALCOHOL PROBLEMS IN GENERAL PRACTICE: DESCRIPTIVE ANALYSIS BASED ON FINDINGS OF A WORLD HEALTH ORGANIZATION INTERNATIONAL COLLABORATIVE SURVEY
1 Centre for Quality of Care Research, University Medical Centre Nijmegen, Nijmegen, The Netherlands, 2 Centre for Health Services Research, University of Newcastle upon Tyne, Newcastle upon Tyne, 4 Centre for Alcohol and Drug Studies, University of Northumbria, Newcastle upon Tyne, UK, 3 Department of Public Health and Community Medicine, University of Sydney, Sydney and 5 National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
(Received 12 June 2003; first review notified 5 July 2003; in revised form 21 July 2003; accepted 28 July 2003)
* Author to whom correspondence should be addressed at: Centre for Quality of Care Research, University Medical Centre Nijmegen, 229 WOK, PO Box 9101, 6500 HB Nijmegen, The Netherlands. Fax: +31 24 344 3137; E-mail: PDAnderson{at}compuserve.com
Aims: To determine if general practitioners' (GPs) experience of education on alcohol, support in their working environment for intervening with alcohol problems, and their attitudes have an impact on the number of patients they manage with alcohol problems. Methods: 1300 GPs from nine countries were surveyed with a postal questionnaire as part of a World Health Organization (WHO) collaborative study. Results: GPs who received more education on alcohol (OR = 1.5; 95% CI, 1.3–1.7), who perceived that they were working in a supportive environment (OR = 1.6; 95% CI, 1.4–1.9), who expressed higher role security in working with alcohol problems (OR = 2.0; 95% CI, 1.5–2.5) and who reported greater therapeutic commitment to working with alcohol problems (OR = 1.4; 95% CI, 1.1–1.7) were more likely to manage patients with alcohol-related harm. Conclusion: Both education and support in the working environment need to be provided to enhance the involvement of GPs in the management of alcohol problems.
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