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首页> 外文期刊>BMC Family Practice >Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting
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Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting

机译：雷达之下：横断面研究在一般实践环境中识别高风险饮酒的挑战

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Background Primary care providers are an important source of information regarding appropriate alcohol consumption. As early presentation to a provider for alcohol-related concerns is unlikely, it is important that providers are able to identify at-risk patients in order to provide appropriate advice. This study aimed to report the sensitivity, specificity, positive predictive value and negative predictive value of General Practitioner (GP) assessment of alcohol consumption compared to patient self-report, and explore characteristics associated with GP non-detection of at-risk status. Method GP practices were selected from metropolitan and regional locations in Australia. Eligible patients were adults presenting for general practice care who were able to understand English and provide informed consent. Patients completed a modified AUDIT-C by touchscreen computer as part of an omnibus health survey while waiting for their appointment. GPs completed a checklist for each patient, including whether the patient met current Australian guidelines for at-risk alcohol consumption. Patient self-report and GP assessments were compared for each patient. Results GPs completed the checklist for 1720 patients, yielding 1565 comparisons regarding alcohol consumption. The sensitivity of GPs’ detection of at-risk alcohol consumption was 26.5%, with specificity of 96.1%. Higher patient education was associated with GP non-detection of at-risk status. Conclusions GP awareness of which patients might benefit from advice regarding at-risk alcohol consumption appears low. Given the complexities associated with establishing whether alcohol consumption is ‘at-risk’, computer-based approaches to routine screening of patients are worthy of exploration as a method for prompting the provision of advice in primary care.
机译：背景初级保健提供者是有关适当饮酒的重要信息来源。由于不太可能提早向医务人员提出与酒精有关的问题，医务人员应能够识别高危患者，以提供适当的建议，这一点很重要。这项研究旨在报告与患者自我报告相比，全科医生（GP）饮酒评估的敏感性，特异性，阳性预测值和阴性预测值，并探讨与未检测到GP处于危险状态相关的特征。方法GP的做法是从澳大利亚的大都市和地区选择的。符合条件的患者是能够接受普通话护理的成年人，他们能够理解英语并提供知情同意。患者在等待就诊时，通过触摸屏计算机完成了修改后的AUDIT-C，作为综合健康检查的一部分。全科医生会为每位患者填写一份清单，包括该患者是否符合现行的澳大利亚高危饮酒指南。比较每位患者的患者自我报告和GP评估。结果全科医生完成了1720例患者的检查清单，得出了1565例饮酒比较。 GP对高危饮酒的检测灵敏度为26.5％，特异性为96.1％。较高的患者教育水平与未检测到GP处于危险状态有关。结论GP对有风险饮酒的建议可能使哪些患者受益的认识较低。考虑到确定饮酒是否“有风险”会带来复杂性，基于计算机的例行筛查患者方法值得一提，因为它可以作为在初级保健中提供建议的方法。

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