Alcohol and Alcoholism Vol. 34, No. 4, pp. 559-566, 1999
© 1999 Medical Council on Alcoholism
INTERVENTION FOR EXCESSIVE ALCOHOL CONSUMPTION IN PRIMARY HEALTH CARE: ATTITUDES AND PRACTICES OF ENGLISH GENERAL PRACTITIONERS
Department of Primary Health Care, School of Health Sciences, The Medical School, Framlington Place, University of Newcastle upon Tyne NE2 4HH and
1 Centre for Alcohol and Drug Studies, Northern Regional Alcohol & Drug Service, Newcastle City Health NHS Trust, Plummer Court, Carliol Place, Newcastle upon Tyne NE1 6UR, UK
Received 6 July 1998; first review notified 27 October 1998; accepted 11 November 1998
General practitioners' (GPs') recognition of, attitudes towards, and intervention for, excessive drinking and alcohol problems among their patients were assessed in a postal questionnaire survey. Levels of recognition of, and intervention for, excessive drinking by GPs were low. GPs did not routinely enquire about alcohol and had managed only small numbers of patients specifically for excessive drinking or alcohol problems in the previous year. Enquiry about alcohol issues was elicited mainly by physical symptoms or by new patient registrations. Although 83% of GPs felt prepared to counsel excessive drinkers, only 21% felt effective in helping patients reduce consumption. Over the past 10 years, there appears to have been an increase in numbers of GPs who feel that they should be working with alcohol issues, but fewer GPs perceive themselves as being effective in this work. The main barriers to brief alcohol intervention were given as insufficient time and training, and lack of help from government policy; the main incentives related to availability of appropriate support services and proven efficacy of brief interventions.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D. Ruf, M. Berner, L. Kriston, M. Lohmann, G. Mundle, G. Lorenz, W. Niebling, and M. Harter Cluster-randomized Controlled Trial of Dissemination Strategies of an Online Quality Improvement Programme for Alcohol-related Disorders Alcohol Alcohol., November 4, 2009; (2009) agp079v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Geirsson, G. Hensing, and F. Spak Does Gender Matter? A Vignette Study of General Practitioners' Management Skills in Handling Patients with Alcohol-Related Problems Alcohol Alcohol., November 1, 2009; 44(6): 620 - 625. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Blanco, M. Okuda, C. Wright, D. S. Hasin, B. F. Grant, S.-M. Liu, and M. Olfson Mental Health of College Students and Their Non-College-Attending Peers: Results From the National Epidemiologic Study on Alcohol and Related Conditions Arch Gen Psychiatry, December 1, 2008; 65(12): 1429 - 1437. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J R Parker, E J. Marshall, and D. M Ball Diagnosis and management of alcohol use disorders BMJ, March 1, 2008; 336(7642): 496 - 501. [Full Text] [PDF]
|
|
|
|
|
|
D. S. Hasin, F. S. Stinson, E. Ogburn, and B. F. Grant Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions Arch Gen Psychiatry, July 1, 2007; 64(7): 830 - 842. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Berner, M. Harter, L. Kriston, M. Lohmann, D. Ruf, G. Lorenz, and G. Mundle Detection and management of alcohol use disorders in German primary care influenced by non-clinical factors Alcohol Alcohol., July 1, 2007; 42(4): 308 - 316. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Kaner, T. Rapley, and C. May Seeing through the glass darkly? A qualitative exploration of GPs' drinking and their alcohol intervention practices Fam. Pract., August 1, 2006; 23(4): 481 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. SMITH, J. WHITE, C. NELSON, M. DAVIES, J. LAVERS, and N. SHERON SEVERE ALCOHOL-INDUCED LIVER DISEASE AND THE ALCOHOL DEPENDENCE SYNDROME Alcohol Alcohol., May 1, 2006; 41(3): 274 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. MILLER, S. E. THOMAS, and R. MALLIN PATIENT ATTITUDES TOWARDS SELF-REPORT AND BIOMARKER ALCOHOL SCREENING BY PRIMARY CARE PHYSICIANS Alcohol Alcohol., May 1, 2006; 41(3): 306 - 310. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Coulton, C. Drummond, D. James, C. Godfrey, J M. Bland, S. Parrott, T. Peters, and the Stepwice Research Team Opportunistic screening for alcohol use disorders in primary care: comparative study BMJ, March 4, 2006; 332(7540): 511 - 517. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Johansson, P. Bendtsen, and I. Akerlind Advice to patients in Swedish primary care regarding alcohol and other lifestyle habits: how patients report the actions of GPs in relation to their own expectations and satisfaction with the consultation Eur J Public Health, December 1, 2005; 15(6): 615 - 620. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. GEIRSSON, P. BENDTSEN, and F. SPAK ATTITUDES OF SWEDISH GENERAL PRACTITIONERS AND NURSES TO WORKING WITH LIFESTYLE CHANGE, WITH SPECIAL REFERENCE TO ALCOHOL CONSUMPTION Alcohol Alcohol., September 1, 2005; 40(5): 388 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. AALTO and K. SEPPA USEFULNESS, LENGTH AND CONTENT OF ALCOHOL-RELATED DISCUSSIONS IN PRIMARY HEALTH CARE: THE EXIT POLL SURVEY Alcohol Alcohol., November 1, 2004; 39(6): 532 - 535. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. ANDERSON, E. KANER, S. WUTZKE, M. FUNK, N. HEATHER, M. WENSING, R. GROL, A. GUAL, and L. PAS ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY Alcohol Alcohol., July 1, 2004; 39(4): 351 - 356. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Aira, J. Kauhanen, P. Larivaara, and P. Rautio Factors influencing inquiry about patients' alcohol consumption by primary health care physicians: qualitative semi-structured interview study Fam. Pract., June 1, 2003; 20(3): 270 - 275. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Johansson, P. Bendtsen, and I. Akerlind EARLY INTERVENTION FOR PROBLEM DRINKERS: READINESS TO PARTICIPATE AMONG GENERAL PRACTITIONERS AND NURSES IN SWEDISH PRIMARY HEALTH CARE Alcohol Alcohol., January 1, 2002; 37(1): 38 - 42. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Kaariainen, P. Sillanaukee, P. Poutanen, and K. Seppa Opinions on alcohol-related issues among professionals in primary, occupational, and specialized health care Alcohol Alcohol., March 1, 2001; 36(2): 141 - 146. [Abstract] [Full Text] [PDF]
|
|