Kersnik Janko, Poplas Susic T, Kolsek M, Svab I
Department of Family Medicine, Medical Faculty Maribor, University of Maribor, Maribor, Slovenia.
J Int Med Res. 2009 Sep-Oct;37(5):1561-9. doi: 10.1177/147323000903700534.
Screening and brief intervention (SBI) presents an effective early response by healthcare professionals to their patients' alcohol-related problems. This qualitative research study used focus group discussions with general practitioners (GPs) to identify incentives that may increase the use of SBI in Slovene general practice. Seven categories of actions that may improve the use of SBI were identified: motivation, professional institution, financial support, adequate knowledge and skills, community support, workload (i.e. relief from the burden of current obligations in order to allow more time for prevention), and record keeping (suitable medical documentation). Several of these actions can be changed by the GPs themselves (motivation, adequate knowledge and skills, and record keeping), while the remaining four require more extensive community action on the part of society as a whole, e.g. government intervention. The results of this study will guide future changes in the way that prevention strategies for excess alcohol consumption will be implemented in Slovenia.
筛查与简短干预(SBI)是医疗保健专业人员针对患者与酒精相关问题的一种有效的早期应对措施。这项定性研究通过与全科医生(GP)进行焦点小组讨论,以确定可能会增加斯洛文尼亚全科医疗中SBI使用的激励因素。确定了七类可能改善SBI使用情况的行动:动机、专业机构、财政支持、足够的知识和技能、社区支持、工作量(即减轻当前义务负担以便有更多时间用于预防)以及记录保存(合适的医疗文档)。其中一些行动可由全科医生自身改变(动机、足够的知识和技能以及记录保存),而其余四项则需要整个社会采取更广泛的社区行动,例如政府干预。本研究结果将指导斯洛文尼亚未来实施过量饮酒预防策略的方式变化。