How accurately do general practitioners detect concurrent tobacco use and risky alcohol consumption? A cross-sectional study in Australian general practice

被引:0
作者
Bryant, Jamie [1 ,2 ,3 ]
Hobden, Breanne [1 ,2 ,3 ]
Forshaw, Kristy [1 ,2 ,3 ]
Oldmeadow, Christopher [3 ]
Walsh, Justin [1 ,2 ,3 ]
Sanson-Fisher, Rob [1 ,2 ,3 ]
机构
[1] Univ Newcastle, Fac Hlth & Med, Sch Med & Publ Hlth, Hlth Behav Res Collaborat, Callaghan, NSW 2308, Australia
[2] Univ Newcastle, Prior Res Ctr Hlth Behav, Callaghan, NSW 2308, Australia
[3] Hunter Med Res Inst, New Lambton Hts, NSW 2305, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
health behaviour; physicians' practice patterns; primary prevention; CLINICAL-PRACTICE; AUDIT-C; SMOKING; IDENTIFICATION; DISORDERS; DRINKING; CANCER; CARE;
D O I
10.1071/PY17122
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The negative health consequences of tobacco and risky alcohol consumption are compounded when used concurrently. Australian preventative health guidelines recommend that general practitioners (GPs) assess and provide evidence-based intervention. No studies, however, have examined the accuracy of GP detection of concurrent tobacco use and risky alcohol consumption or the factors associated with accurate detection. This study aimed to examine the: (i) accuracy of GP detection of concurrent tobacco and risky alcohol use compared to patient self-report; and (ii) GP and patient characteristics associated with accurate detection following a single clinical encounter. Patients attending 12 Australian general practices completed a survey assessing smoking and alcohol consumption. For each participating patient, GPs completed a checklist to indicate the presence of these risk factors. GP judgements were compared to patient self-report. Fifty-one GPs completed a health risk checklist for 1332 patients. Only 23% of patients who self-reported concurrent tobacco and risky alcohol use identified by their GP. Patients who visited their GP four to six times in the last year were most likely to have concurrent tobacco and risky alcohol use were identified. It is imperative to establish systems to increase detection of preventative health risks in general practice to enable the provision of evidence-based treatments.
引用
收藏
页码:378 / 384
页数:7
相关论文
共 32 条
[1]  
[Anonymous], 2012, AUSTR HLTH SURV 2011
[2]  
[Anonymous], 2016, Guidelines for preventive activities in general practice
[3]  
[Anonymous], 2014, AUSTR HLTH 2014
[4]   AUDIT-C as a brief screen for alcohol misuse in primary care [J].
Bradley, Katharine A. ;
DeBenedetti, Anna F. ;
Volk, Robert J. ;
Williams, Emily C. ;
Frank, Danielle ;
Kivlahan, Daniel R. .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2007, 31 (07) :1208-1217
[5]  
BRITT H., 2010, General practice activity in Australia 2000-01 to 2009-10: 10 year data tables. General practice series no.28. Cat. no. GEP 28
[6]  
Britt H, 2015, GEN PRACTICE SERIES, V38
[7]   Prevention and health promotion in clinical practice:: the views of general practitioners in Europe [J].
Brotons, C ;
Björkelund, C ;
Bulc, M ;
Ciurana, R ;
Godycki-Cwirko, M ;
Jurgova, E ;
Kloppe, P ;
Lionis, C ;
Mierzecki, A ;
Piñeiro, R ;
Pullerits, L ;
Sammut, MR ;
Sheehan, M ;
Tataradze, R ;
Thireos, EA ;
Vuchak, J .
PREVENTIVE MEDICINE, 2005, 40 (05) :595-601
[8]   Missed opportunities: general practitioner identification of their patients' smoking status [J].
Bryant, Jamie ;
Carey, Mariko ;
Sanson-Fisher, Rob ;
Mansfield, Elise ;
Regan, Tim ;
Bisquera, Alessandra .
BMC FAMILY PRACTICE, 2015, 16
[9]   Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].
Cabana, MD ;
Rand, CS ;
Powe, NR ;
Wu, AW ;
Wilson, MH ;
Abboud, PAC ;
Rubin, HR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465
[10]   Social desirability biases in self-reported alcohol consumption and harms [J].
Davis, Christopher G. ;
Thake, Jennifer ;
Vilhena, Natalie .
ADDICTIVE BEHAVIORS, 2010, 35 (04) :302-311