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[A multicenter primary care study on alcohol consumption]

J M Bueno Ortiz1, J Aubà Llambrich, A Altaba Barceló

  • 1ABS Sant Adrià 1. Institut Català de la Salut, Barcelona.

Atencion Primaria
|February 15, 1997
PubMed
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Medical records show low documentation of alcohol consumption, with only 2.8% of patients identified as at-risk drinkers. This highlights a need for improved screening and intervention strategies in primary care settings.

Area of Science:

  • Public Health
  • Primary Care Medicine
  • Clinical Auditing

Background:

  • Alcohol consumption is a significant public health concern.
  • Effective identification and management of at-risk drinking are crucial in primary care.
  • Current documentation practices for alcohol consumption in medical records are not well understood.

Purpose of the Study:

  • To assess the recording of alcoholic drink consumption in general medical records.
  • To evaluate actions taken when at-risk drinkers were identified.
  • To identify barriers to accurate alcohol consumption recording.

Main Methods:

  • A descriptive study utilizing clinical auditing was conducted.
  • Data were collected from 399 primary care (PC) clinical records across 4 health centers.

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  • The study focused on documenting alcohol consumption and identifying at-risk drinkers.

    • Main Results:

    • Only 24.8% of records documented alcoholic drink consumption in the past two years.
    • A mere 2.8% of records (11 cases, all male) identified at-risk drinkers.
    • Low recording rates were attributed to professional, organizational, and external support factors, with professional and organizational issues prioritized.

    Conclusions:

    • Significant under-recording of alcohol consumption exists in primary care records.
    • Specific interventions are necessary to improve alcohol screening and documentation.
    • Continuous quality improvement methodologies can identify causes and inform change strategies for better patient care.