Division of General Internal Medicine, University at Buffalo State University of New York, Buffalo, NY, USA.
Addict Sci Clin Pract. 2013 Jun 5;8(1):11. doi: 10.1186/1940-0640-8-11.
There is increasing emphasis on screening, brief intervention, and referral to treatment (SBIRT) for unhealthy alcohol use in the general hospital, as highlighted by new Joint Commission recommendations on SBIRT. However, the evidence supporting this approach is not as robust relative to primary care settings. This review is targeted to hospital-based clinicians and administrators who are responsible for generally ensuring the provision of high quality care to patients presenting with a myriad of conditions, one of which is unhealthy alcohol use. The review summarizes the major issues involved in caring for patients with unhealthy alcohol use in the general hospital setting, including prevalence, detection, assessment of severity, reduction in drinking with brief intervention, common acute management scenarios for heavy drinkers, and discharge planning. The review concludes with consideration of Joint Commission recommendations on SBIRT for unhealthy alcohol use, integration of these recommendations into hospital work flows, and directions for future research.
越来越多的人强调在综合医院进行不健康饮酒的筛查、简短干预和转介治疗（SBIRT），新的联合委员会关于 SBIRT 的建议也强调了这一点。然而，相对于基层医疗机构而言，支持这种方法的证据并不那么充分。这篇综述针对的是负责为各种疾病就诊的患者提供高质量医疗服务的医院临床医生和管理人员，其中之一就是不健康的饮酒问题。该综述总结了在综合医院环境中照顾患有不健康饮酒问题的患者所涉及的主要问题，包括流行率、检测、严重程度评估、通过简短干预减少饮酒、重度饮酒者常见的急性管理场景，以及出院计划。综述最后考虑了联合委员会关于 SBIRT 治疗不健康饮酒的建议，将这些建议整合到医院工作流程中，并为未来的研究指明了方向。
