Wenrich M D, Paauw D S, Carline J D, Curtis J R, Ramsey P G
Department of Medicine, University of Washington, Seattle 98195, USA.
J Gen Intern Med. 1995 Nov;10(11):631-4. doi: 10.1007/BF02602748.
The performances of 134 primary care physicians at initial screening about alcohol use and screening with the CAGE questions were assessed using 17 standardized patients. For three-fourths of the standardized patients, more than 50% of the physicians asked an initial alcohol screening question. However, use of the CAGE questions with six patients who reported drinking more than one drink per day was less consistent; for most of these patients, few physicians asked any CAGE questions. Fewer than 50% of the physicians included alcohol abuse in the differential diagnosis for three of four patients who drank four or more drinks per day. Methods are needed to incorporate the CAGE questions into primary care practices in a more systematic manner.
使用17名标准化患者评估了134名初级保健医生在初次筛查酒精使用情况以及使用CAGE问题进行筛查时的表现。对于四分之三的标准化患者，超过50%的医生询问了初次酒精筛查问题。然而，对于六名报告每天饮酒超过一杯的患者使用CAGE问题的情况不太一致；对于这些患者中的大多数，很少有医生询问任何CAGE问题。对于每天饮用四杯或更多杯酒的四名患者中的三名，不到50%的医生将酒精滥用纳入鉴别诊断。需要采用方法以更系统的方式将CAGE问题纳入初级保健实践。
