Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Altarum, Ann Arbor, MI, 48105, USA.
BMC Prim Care. 2024 Jul 11;25(1):251. doi: 10.1186/s12875-024-02500-7.
Despite the United States Preventive Services Task Force recommendation to screen adults for unhealthy alcohol use, the implementation of alcohol screening in primary care remains suboptimal.
A pre and post-implementation study design that used Agile implementation process to increase screening for unhealthy alcohol use in adult patients from October 2021 to June 2022 at a large primary care clinic serving minority and underprivileged adults in Indianapolis.
In comparison to a baseline screening rate of 0%, the agile implementation process increased and sustained screening rates above 80% for alcohol use using the Alcohol Use Disorders Identification Test - Consumption tool (AUDIT-C).
Using the agile implementation process, we were able to successfully implement evidence-based recommendations to screen for unhealthy alcohol use in primary care.
尽管美国预防服务工作组建议对成年人进行不健康饮酒筛查，但在初级保健中实施酒精筛查的情况仍不理想。
采用敏捷实施流程，在印第安纳波利斯的一家为少数族裔和贫困成年人服务的大型初级保健诊所，对 2021 年 10 月至 2022 年 6 月期间成年患者的不健康饮酒情况进行酒精筛查，在实施前后进行研究设计。
与基线筛查率为 0%相比，使用酒精使用障碍识别测试 - 消费工具（AUDIT-C），敏捷实施流程将酒精使用筛查率提高并维持在 80%以上。
通过使用敏捷实施流程，我们成功实施了针对初级保健中不健康饮酒筛查的基于证据的建议。
