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Discussing alcohol use with the GP: a qualitative study.

Sandra Coste1, Laetitia Gimenez1,2, Aurélie Comes1

  • 1General Practice Department, Toulouse III University, Toulouse, France.

BJGP Open
|April 30, 2020
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Summary

Patients with alcohol use disorder (AUD) want GPs to screen them kindly and without judgment. Early screening by general practitioners (GPs) can be a key milestone, encouraging patients toward treatment.

Keywords:
addictionsalcohol abusequalitative research

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Area of Science:

  • General Practice
  • Addiction Medicine
  • Qualitative Research

Background:

  • Most General Practitioners (GPs) recognize their role in early alcohol use disorder (AUD) diagnosis.
  • Only 23% of GPs routinely screen for alcohol use due to concerns about disturbing patient relationships.
  • Patient-doctor trust is paramount, influencing the approach to sensitive health discussions.

Purpose of the Study:

  • To explore patient experiences with early alcohol use screening by GPs.
  • To understand patient perspectives on how GPs can approach AUD discussions.

Main Methods:

  • Qualitative study involving 12 patients with AUD in remission or treatment.
  • Semi-structured interviews were conducted and analyzed using grounded theory.
  • Analysis continued until theoretical data saturation was achieved.

Main Results:

  • Patients perceive AUD as a chronic, shameful disease.
  • Patients expect GPs to offer kind listening, information, and support.
  • A non-judgmental attitude from GPs facilitates patient disclosure and treatment seeking.

Conclusions:

  • Patients desire GPs to address alcohol use non-judgmentally and with kindness.
  • Patients feel GPs sometimes exhibit fear or denial regarding AUD discussions.
  • Patients view any consultation as a potential opportunity for discussing alcohol use.