多方面的干预,以增加提供酒精的简短干预在初级保健:一个混合方法的过程分析方法
Elizabeth Sturgiss1, Jenny Advocat1, Tina Lam2
1School of Primary and Allied Health Care, Monash University, Melbourne, Australia.
减少与酒精有关的危害 (REACH) 项目成功地增加了对初级保健机构酒精短暂干预的提供. 这一举措证明了将酒精危害减轻策略纳入一般实践的价值.
科学领域:
- 公共卫生 公共卫生
- 初级医疗保健医学 一级医疗保健医学
- 实施科学 实施科学
背景情况:
- 短期干预 (BIs) 有效地减少有害的酒精消费.
- 在初级保健中,BI的摄入量低于推值.
- 减少与酒精相关的危害 (REACH) 项目旨在加强BI在初级保健中的交付.
研究的目的:
- 评估REACH计划在一般实践中增加酒精BI的有效性.
- 确定影响临床医生采用这些干预措施的因素.
主要方法:
- 一个连续的,解释性的混合方法研究在六个澳大利亚的一般实践中进行.
- 使用了患者记录的时间序列分析和半结构面试.
- 实施研究的综合框架指导了这项研究.
主要成果:
- 干预地点显示,记录的酒精状态检查显著增加 (56.7%至60.4%).
- 对照地点没有出现显著变化 (55.2%至56.4%).
- 工作人员认为REACH资源是有用的和可以接受的.
结论:
- 该REACH项目有效地增加了在初级保健中提供酒精短期干预的数量.
- 支持性国家政策对于在一般实践中维持这些倡议至关重要.
- 临床医生接受和资源效用有助于该项目的成功.
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