Wilson D M
CMAJ. 1995 Mar 15;152(6):825-8.
Most people who have a drinking problem are not alcoholics. Even though problem drinkers tend to drink less than alcoholics and to have a shorter history of heavy drinking they are still at increased risk of health problems. To significantly reduce the burden of alcohol-related problems on society, priority should be given to reducing the number of problem drinkers. Because physicians are exposed to a large adult population, and because they have credibility in diagnosing problems, they have an important role to play in encouraging moderation in the use of alcohol. Although the potential for physicians to make a difference is commonly viewed with scepticism, studies have demonstrated that physician interventions can be effective. By working in partnership with other professionals and making use of the community and other resources that are now available, physicians can optimize the effectiveness of their interventions with problem drinkers.
大多数有饮酒问题的人并非酗酒者。尽管问题饮酒者的饮酒量往往比酗酒者少,且大量饮酒的历史较短,但他们仍然面临更高的健康问题风险。为了显著减轻与酒精相关问题给社会带来的负担,应优先减少问题饮酒者的数量。由于医生接触大量成年人群体,且在诊断问题方面具有可信度,他们在鼓励适度饮酒方面可发挥重要作用。尽管人们普遍对医生产生影响的可能性持怀疑态度,但研究表明医生的干预措施可能有效。通过与其他专业人员合作,并利用现有的社区及其他资源,医生可以优化针对问题饮酒者干预措施的效果。