在急诊部门筛查过度饮酒：对急诊医生的全国评估。
Screening for Excessive Alcohol Consumption in Emergency Departments: A Nationwide Assessment of Emergency Department Physicians.
机构信息
Council of State and Territorial Epidemiologists, Atlanta, Georgia (Mr Uong and Ms Goodson); ECHO Institute (Dr Tomedi) and Department of Emergency Medicine (Drs Sklar and Crandall), University of New Mexico, Albuquerque, New Mexico; Injury and Violence Prevention Section, Minnesota Department of Health, St Paul Minnesota (Dr Gloppen); Forecasting and Research Division, Washington Office of Financial Management, Olympia, Washington (Dr Stahre); Lifecourse Epidemiology & Genomics Division, Michigan Department of Health and Human Services, Lansing, Michigan (Mr Hindman); and Alcohol Program, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Brewer).
出版信息
J Public Health Manag Pract. 2022;28(1):E162-E169. doi: 10.1097/PHH.0000000000001286.
OBJECTIVE
To assess current screening practices for excessive alcohol consumption, as well as perceived barriers, perceptions, and attitudes toward performing this screening among emergency department (ED) physicians.
DESIGN
A brief online assessment of screening practices for excessive drinking was disseminated electronically to a representative panel of ED physicians from November 2016 to January 2017. Descriptive statistics were calculated on the frequency of alcohol screening, factors affecting screening, and attitudes toward screening.
SETTING
An online assessment was sent to a national panel of ED physicians.
PARTICIPANTS
A panel of ED physicians who volunteered to be part of the American College of Emergency Physicians Emergency Medicine Practice Research Network survey panel.
MAIN OUTCOME MEASURE
The primary outcome measures were the percentage of respondents who reported screening for excessive alcohol consumption and the percentage of respondents using a validated excessive alcohol consumption screening tool.
RESULTS
Of the 347 ED physicians evaluated (38.6% response rate), approximately 16% reported "always/usually," 70% "sometimes," and 14% "never" screening adult patients (≥18 years) for excessive alcohol use. Less than 20% of the respondents who screened for excessive drinking used a recommended screening tool. Only 10.5% of all respondents (15.4% "always," 9.5% "sometimes" screened) received an electronic health record (EHR) reminder to screen for excessive alcohol use. Key barriers to screening included limited time (66.2%) and treatment options for patients with drinking problems (43.1%).
CONCLUSIONS
Only 1 in 6 ED physicians consistently screened their patients for excessive drinking. Increased use of EHR reminders and other systems interventions (eg, electronic screening and brief intervention) could help improve the delivery of screening and follow-up services for excessive drinkers in EDs.
目的
评估急诊科医生目前对过量饮酒的筛查实践情况，以及他们对进行这种筛查的感知障碍、看法和态度。
设计
2016 年 11 月至 2017 年 1 月，通过电子方式向急诊科医生的代表性小组发放了一份关于过度饮酒筛查实践的简短在线评估。对饮酒筛查的频率、影响筛查的因素以及对筛查的态度等进行了描述性统计分析。
设置
在线评估发送给全国范围内的急诊科医生小组。
参与者
自愿成为美国急诊医师学院急诊医学实践研究网络调查小组一部分的急诊科医生小组。
主要观察指标
主要观察指标是报告筛查过量饮酒的受访者比例和使用经过验证的过量饮酒筛查工具的受访者比例。
结果
在评估的 347 名急诊科医生中（38.6%的应答率），约 16%的医生表示“经常/通常”，70%的医生表示“有时”，14%的医生表示“从不”筛查成年患者（≥18 岁）是否存在过量饮酒行为。筛查过量饮酒的受访者中，不到 20%的人使用了推荐的筛查工具。只有 10.5%的所有受访者（15.4%的人“经常”，9.5%的人“有时”筛查）收到了电子健康记录（EHR）提醒，以筛查患者是否存在过量饮酒问题。筛查的主要障碍包括时间有限（66.2%）和治疗有饮酒问题的患者的选择有限（43.1%）。
结论
只有 1/6 的急诊科医生会定期对患者进行饮酒过量筛查。增加使用 EHR 提醒和其他系统干预措施（例如，电子筛查和简短干预）可以帮助改善急诊科过量饮酒者的筛查和随访服务的提供。
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