Section on Alcohol, Tobacco, and Drug Use, Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 17th Floor, New York, NY 10016, USA; Department of Medicine, Division of General Internal Medicine and Clinical Innovation, NYU Grossman School of Medicine, New York, NY 10016, USA.
Section on Alcohol, Tobacco, and Drug Use, Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 17th Floor, New York, NY 10016, USA; Kaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Seattle, WA 98101, USA.
Med Clin North Am. 2022 Jan;106(1):13-28. doi: 10.1016/j.mcna.2021.08.002.
Unhealthy alcohol and drug use are among the top 10 causes of preventable death in the United States, but they are infrequently identified and addressed in medical settings. Guidelines recommend screening adult primary care patients for alcohol and drug use, and routine screening should be a component of high-quality clinical care. Brief, validated screening tools accurately detect unhealthy alcohol and drug use, and their thoughtful implementation can facilitate adoption and optimize the quality of screening results. Recommendations for implementation include patient self-administered screening tools, integration with electronic health records, and screening during routine primary care visits.
不健康的饮酒和药物使用是美国可预防死亡的十大原因之一，但在医疗环境中很少被发现和处理。指南建议对成年初级保健患者进行酒精和药物使用筛查，常规筛查应成为高质量临床护理的一部分。经过验证的简短筛查工具可以准确检测到不健康的饮酒和药物使用，其深思熟虑的实施可以促进采用并优化筛查结果的质量。实施建议包括患者自我管理的筛查工具、与电子健康记录的整合以及在常规初级保健就诊期间进行筛查。
