Rohman M E, Cleary P D, Warburg M, Delbanco T L, Aronson M D
Blue Cross Blue Shield of Massachusetts, Boston 02110.
Am J Drug Alcohol Abuse. 1987;13(1-2):199-209. doi: 10.3109/00952998709001509.
This study examines the extent and characteristics of primary care physicians' response to their patients' drinking problems and several factors which might impede or facilitate their response. The data were collected in an anonymous questionnaire survey of primary care practitioners in the greater Boston area. Although most had been exposed to some type of alcohol education, few physicians were very confident in their patient management skills and few felt professionally responsible for long-term alcohol treatment. The data suggest that physicians may be reluctant to become involved in treatment they are not prepared to carry out or which they feel is not appropriate to their role. If physicians are to be encouraged to take an active role in the diagnosis and treatment of alcoholism, the emphasis of educational programs should go beyond increasing knowledge and changing attitudes, and focus instead on providing the necessary clinical skills.
本研究考察了初级保健医生对患者饮酒问题的应对程度和特点，以及可能阻碍或促进其应对的若干因素。数据通过对大波士顿地区初级保健从业者进行的匿名问卷调查收集。尽管大多数人接受过某种形式的酒精教育，但很少有医生对自己的患者管理技能非常自信，也很少有人认为自己在长期酒精治疗方面负有职业责任。数据表明，医生可能不愿参与他们没有准备好实施或认为不适合其角色的治疗。如果要鼓励医生在酒精中毒的诊断和治疗中发挥积极作用，教育项目的重点应超越增加知识和改变态度，而应侧重于提供必要的临床技能。
