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


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

Summary

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


Zdroje

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Štítky
General practitioner for children and adolescents General practitioner for adults
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