Adams P J, Powell A, McCormick R, Paton-Simpson G
Department of Psychiatry and Behavioural Science, University of Auckland.
N Z Med J. 1997 Aug 8;110(1049):291-4.
To assess current practices and attitudes of general practitioners towards prevention and intervention with problem drinkers.
GPs randomly selected in the Central and Southern Health Regions answered a 134 item questionnaire on their involvement with patients with alcohol related problems.
In all, 136 general practitioners responded representing 85% of those approached. When asked how often they provided interventions with alcohol problems, 86% reported managing under 13 patients per year, indicating an intervention rate of less than 1% of the mean practice size. In terms of disease prevention, 86% rated 'drinking moderately' as important but this endorsement ranked fifth behind other lifestyle behaviours such as 'not smoking' at 99%. When asked about their perceived role, they indicated higher role legitimacy but lower work satisfaction with alcohol problems. In terms of training, three-quarters stated they had received less than eleven hours of postgraduate alcohol education. They also rated their current effectiveness with alcohol problems as substantially less than potential effectiveness. They indicated the main obstacles to be: government funding policies, lack of adequate training and a need for improved resources and support services.
With research having established the effectiveness of interventions for harmful alcohol consumption, attention has shifted to ways of engaging general practitioners in providing interventions. This study highlighted how changes to government health policy and improved competency and skilled based training could lead to a greater acceptance by general practitioners of the role they could play in reducing alcohol related problems.
评估全科医生对问题饮酒者进行预防和干预的当前做法及态度。
在中部和南部卫生区域随机抽取的全科医生回答了一份关于他们参与酒精相关问题患者治疗情况的134项问卷。
共有136名全科医生做出回应，占被邀请者的85%。当被问及他们提供酒精问题干预的频率时，86%的人报告每年管理的患者少于13名，这表明干预率低于平均执业规模的1%。在疾病预防方面，86%的人认为“适度饮酒”很重要，但这一认可度在“不吸烟”（99%）等其他生活方式行为之后排名第五。当被问及他们所感知的角色时，他们表示在酒精问题方面角色合法性较高，但工作满意度较低。在培训方面，四分之三的人表示他们接受的研究生酒精教育少于11小时。他们还认为自己目前在处理酒精问题方面的效果远低于潜在效果。他们指出主要障碍在于：政府资助政策、缺乏足够的培训以及需要改善资源和支持服务。
随着研究证实了针对有害饮酒行为干预措施的有效性，注意力已转向促使全科医生参与提供干预措施的方法。本研究强调了政府卫生政策的变化以及基于能力和技能的培训改进如何能够使全科医生更愿意接受他们在减少酒精相关问题中可以发挥的作用。
