#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Alcohol in primary health care: experiences and attitudes of Czech general practitioners


Authors: L. Csémy 1,2;  H. Sovinová 2
Authors‘ workplace: Národní ústav duševního zdraví, Klecany, Ředitel: prof. MUDr. Cyril Höschl, DrSc., FRCPsych. 1;  Státní zdravotní ústav, Praha, Ředitelka: Ing. Jitka Sosnovcová 2
Published in: Prakt. Lék. 2015; 95(2): 77-82
Category: Of different specialties

Overview

The major objective of this paper is to describe the experiences and attitudes of Czech practitioners to tackle alcohol problems in primary care.

Information was collected via structured face to face interviews. The Czech translation of the ODHIN questionnaire was applied. A total of 294 general practitioners were interviewed.

Moderate drinking is considered to be very important for the health by 35% of physicians. Greater importance is attributed by doctors to smoking, non-use of drugs and adherence to drug prescribing. 8.5% of doctors reported they are very effective in reduction of drinking among their patients. Estimate of subjective self-efficiency would be increased to 32% if adequate specialized training were provided. More experience in solving problems with alcohol in their practice was presented by a quarter of interviewed physicians. Barriers to broader implementation of screening and brief intervention are lack of time, lack of professional training and lack of funding for preventive activities.

Broader implementation of screening and brief interventions in primary practice to reduce hazardous and harmful alcohol consumption would favourably influence the health status of the population and result in savings of the costs of subsequent treatment of health consequences of excessive alcohol consumption.

Keywords:
alcohol consumption – general practitioners – screening and brief interventions


Sources

1. Anderson P, Kaner E, Wutzke S, et al. Attitudes and management of alcohol problems in general practice: descriptive analysis based on findings of a World Health Organization international. Alcohol Alcohol. 2003; 38(6): 597–601.

2. Anderson P, Wojnar M, Jakubczyk A, et al. Managing alcohol problems in general practice in Europe: results from the European ODHIN survey of general practitioners. Alcohol Alcohol 2014; 49(5): 531–539.

3. Baan R, Straif K, Grosse Y, et al. Carcinogenicity of alcoholic beverages. Lancet Oncol 2007; 8(4): 292–293.

4. Gmel G, Rehm JT. Harmful alcohol use. Alcohol research and health 2003; 27(1): 52–62.

5. Gual A, He Y, Torup L, et al. Randomised, doubleblind, placebo controlled efficacy study of nalmefene. Eur Neuropsychopharmacol 2013; 23(11): 1432–1442.

6. Gutjahr E, Gmel G, Rehm J. Relation between average alcohol consumption and disease: an overview. Eur Addict Res 2001; 7(3): 117–127.

7. O’Donnell A, Anderson P, Newburn-Birch D, et al. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol 2014; 49(1): 66–78.

8. Rehm J, Gmel G, Sempos TC, Trevisan M. Alcohol-related morbidity and mortality. Alcohol Res Health 2003; 27(1): 39–51.

9. Rehm J, Mathers C, Popova S, et al. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 2009; 373(9682): 2223–2233.

10. Rehm J, Taylor B, Mohapatra S, et al. Alcohol as a risk factor for liver cirrhosis-a systematic review and meta-analysis. Drug Alcohol Rev 2010; 29(4): 437–445.

11. Ridolfo B, Stevenson C. The quantification of drug-caused mortality and morbidity in Australia, 1998. Canberra: Australian Institute of Health and Welfare. Drug Statistics Series no. 7. Cat. no. PHE 29, 2001.

12. Room R, Rehm J. Alcohol and non-communicable disease – cancer, heart disease and more. Addiction 2011; 106(1): 1–2.

13. Sovinová H, Csémy L. Kernová V. Užívání alkoholu a tabáku v České republice: Zpráva o situaci za období posledních deseti let. Praha: Státní zdravotní ústav 2014.

14. Van den Brink W, Aubin HJ, Bladstrom A, et al. Efficacy of as-needed nalmefene in alcohol-dependent patients with at least a high drinking risk level: results from a subgroup analysis of two randomized controlled 6-month studies. Alcohol Alcohol 2013; 48(5): 570–578.

15. Vrána K. Vliv alkoholu na úmrtnost v České republice. Demografie 2007 [on-line]. Dostupné z: http://www.demografie.info/?cz_detail_clanku&artclID=496.

16. WHO. Global Status Report on Alcohol and Health. Geneva: World Health Organization 2011.

17. Wolf-Maier K, Cooper RS, Banegas JR, et al. Hypertension prevalence and BP levels in 6 European countries, Canada and US. JAMA 2003; 289(18): 2363–2369.

Labels
General practitioner for children and adolescents General practitioner for adults
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#