Casswell S, McPherson M
N Z Med J. 1982 Jul 14;95(711):462-6.
A postal survey of New Zealand general practitioners gathered information from a self-selected sample about their response to alcohol problems. Responses to a series of attitude statements measured the extent to which doctors held traditional beliefs about alcoholism as a disease, the management of which requires abstinence; emerging concepts of alcohol dependence and more moralistic attitudes. General practitioners who responded to the survey were found to be largely in sympathy with the disease concept of alcohol problems though some of the more recently emerging concepts were also widely accepted. The majority reported that they felt they did have an active role to play in connection with the alcohol problems of their patients, both in terms of treatment or advice giving, and referral to specialist agencies. Over half of the respondents requested guidelines for treatment and advice giving. Only a small proportion of general practitioners reported pessimism about their personal role in relation to their patients' alcohol problems. The results are discussed in the context of recent research evidence showing the relative efficacy of a structured advice-counseling session of the type in which general practitioners might engage.
一项针对新西兰全科医生的邮政调查从一个自行选择的样本中收集了他们对酒精问题的应对信息。对一系列态度陈述的回答衡量了医生在多大程度上持有关于酗酒是一种疾病的传统观念，这种疾病的治疗需要戒酒；以及酒精依赖的新观念和更具道德主义色彩的态度。结果发现，对调查做出回应的全科医生大多赞同酒精问题的疾病观念，不过一些最新出现的观念也被广泛接受。大多数医生报告称，他们觉得自己在患者的酒精问题方面确实可以发挥积极作用，无论是在治疗、提供建议还是转介到专业机构方面。超过一半的受访者请求提供治疗和建议的指导方针。只有一小部分全科医生表示对自己在患者酒精问题上的个人角色感到悲观。本文将结合近期研究证据来讨论这些结果，这些证据表明了全科医生可能参与的那种结构化咨询建议环节的相对有效性。
