在初级保健中对酒精使用的查:评估法国全科医生实践
Tangui Barré1, Vincent Di Beo1, Perrine Roux1
1Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille Cedex 5, France.
Alcohol and alcoholism (Oxford, Oxfordshire)
|October 11, 2023
概括
法国的全科医生 (GPs) 显示出改善的酒精查实践,但许多人仍然不使用标准化工具. 建议加强全科医生的酒精查策略培训,以更好地识别有风险的患者.
科学领域:
- 公共卫生 公共卫生
- 一般实践 一般实践
- 成 药物 药物 药物 药物
背景情况:
- 酒精消费是全球主要的健康风险,对过早死亡和残疾作出重大贡献.
- 在初级保健机构内有效识别高风险的酒精使用对公共卫生干预至关重要.
- 一般医生 (GPs) 在查和解决危险饮酒问题方面发挥着至关重要的作用.
研究的目的:
- 评估法国全科医生的风险饮酒查频率.
- 确定与更频繁的查和一般医生使用验证的查工具相关的因素.
- 评估法国初级保健中酒精查实践的现状.
主要方法:
- 对法国全科医生的代表性样本进行了横截面调查.
- 使用多项逻辑回归分析来确定与查频率和工具使用相关的因素.
- 从2412名全科医生收集了数据,反应率为73%.
主要成果:
- 42.8%的全科医生报告说,他们系统地查所有患者是否有风险饮酒.
- 然而,48.0%的全科医生表示,他们从未使用对潜在危险患者的标准化查工具.
- "早期识别和简短干预"战略的认识和使用,以及舒适地讨论减少饮酒,与更频繁和标准化的查相关.
结论:
- 虽然法国GP的酒精查实践显示出一些改进,但在一致使用标准化工具方面仍然存在重大差距.
- 对于法国的全科医生来说,对有效的酒精查方法的进一步培训至关重要,包括增加频率和采用标准化工具.
- 改进这些做法可以更好地识别患有高风险饮酒的患者.
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