Why do general practitioners not screen and intervene regarding alcohol consumption in Slovenia? A focus group study

Susič, Tonka Poplas; Kersnik, Janko; Kolšek, Marko

doi:10.1007/s00508-010-1335-z

Cited by 16 publications

(24 citation statements)

References 30 publications

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“…This confirms the findings of our study that FPs seemed to think a lot about the practical management of patients. FPs are known to be practically oriented and recognize the implications and the benefits of using some knowledge and tests in their everyday management of patients [13,15,19]. The high perceived importance of giving information about the risk of passing a mutation onto children points to the basic feature of family medicine – the inclusion of family features in the management of patients [20].…”

Section: Discussionmentioning

confidence: 99%

Family physicians’ self-perceived importance of providing genetic test information to patients: A cross-sectional study from Slovenia

Peterlin

2014

Med Sci Monit

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BackgroundManagement of patients with genetic problems, including provision of genetic testing, is increasingly becoming a part of primary health care. The aim of this study was to determine the family physicians’ (FPs) self-perceived importance of providing genetic test information to their patients.Material/MethodsThis was an observational cross-sectional postal study in the whole population of Slovenian family physicians (N=950). Its main outcome measure was the perceived importance of providing genetic test information on each of 10 items on a 5-point Likert scale.ResultsThere were 271 (27.1% response rate) FPs that completed the questionnaire, out of which 205 (75.6%) were women. Mean age of the sample was 45.5±10.6 years. More than 90% of Slovene FPs felt that it was their professional duty to discuss genetic testing issues with their patients. They were particularly prone to discuss clinical implications of positive and negative test results, as well as giving the patients information about the risk of passing a mutation onto children.ConclusionsMost Slovene family physicians feel responsible and willing to offer and discuss genetic testing and implications with their patients. Additional education should be provided to empower them for this task.

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Section: Discussionmentioning

confidence: 99%

Family physicians’ self-perceived importance of providing genetic test information to patients: A cross-sectional study from Slovenia

Peterlin

2014

Med Sci Monit

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“…In many countries, the main barrier to providing treatment of psychiatric disorders is the limited treatment in primary care settings ( 28 ). In Slovenia, this is particularly the case because of the high workload of Slovenian family physicians, meaning they are less likely to become involved in the treatment and prevention of mental health disorders, including ADHD ( 29 , 30 ). This leads to lower recognition and treatment of mental disorders and underprescription of psychiatric medicines ( 31 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and incidence of attention-deficit/hyperactivity disorder in Slovenian children and adolescents: a database study from a national perspective

2015

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AimTo estimate prevalence and incidence of attention deficit hyperactivity disorder (ADHD) in children and adolescents in Slovenia using different epidemiological models.MethodsData from the National Institute of Public Health of the Republic of Slovenia for the period 1997-2012 were analyzed. The database includes the annual number of newly diagnosed outpatients with ADHD in Slovenia. The evaluation for ADHD diagnoses was done in accordance with the Tenth Revision of the International Classification of Diseases (ICD-10) outpatient data codes. In model 1, a linear increase was proposed to fit the data in the period from 1997 to 2003 in order to extrapolate the data before 1997. In model 2 and 3, an exponential increase in the annual incidence rate was proposed.ResultsThe incidence rate of ADHD diagnosis in 1997 was 0.032% and in 2012 it increased to 0.082%. Mean prevalence rate was 750 (95% confidence interval: 660-840) per 100 000 children and adolescents. It was estimated that the prevalence rate in 2020 would be 1% (95% confidence interval: 0.875-1.125), which is 6.3-fold higher than in 1997.ConclusionsADHD is a common mental health disorder among Slovenian children and adolescents, but it remained underdiagnosed compared with Western countries. Our results indicated a need for improved timely interventions in Slovenia, not only in child and adolescent psychiatry but also in primary settings and adult psychiatry, where ADHD should be more efficiently recognized.

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“…Training on how to deliver SBI or encouragement to do so may be unlikely to overcome these issues unless programs take account of such concerns (eg, by signposting evidence that patients are broadly positive about lifestyle questions if they appear relevant to their own health and are asked in the proper way). Rather than simply training one group of practitioners, systematic, large-scale approaches aimed at professional, organizational, and social levels may do more to transform attitudes regarding alcohol and treatment behaviors (eg, by facilitating discussion of health risks between GPs and patients) [22, 57, 64, 66–68]. …”

Section: Implementation Of Brief Interventions In Health Care Settingsmentioning

confidence: 99%

New Developments in Brief Interventions to Treat Problem Drinking in Nonspecialty Health Care Settings

Wilson

Heather

Kaner

2011

Curr Psychiatry Rep

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The delivery of brief interventions (BIs) in health care settings to reduce problematic alcohol consumption is a key preventive strategy for public health. However, evidence of effectiveness beyond primary care is inconsistent. Patient populations and intervention components are heterogeneous. Also, evidence for successful implementation strategies is limited. In this article, recent literature is reviewed covering BI effectiveness for patient populations and subgroups, and design and implementation of BIs. Support is evident for short-term effectiveness in hospital settings, but long-term effects may be confounded by changes in control groups. Limited evidence suggests effectiveness with young patients not admitted as a consequence of alcohol, dependent patients, and binge drinkers. Influential BI components include high-quality change plans and provider characteristics. Health professionals endorse BI and feel confident in delivering it, but training and support initiatives continue to show no significant effects on uptake, prompting calls for systematic approaches to implementing BI in health care.

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Why do general practitioners not screen and intervene regarding alcohol consumption in Slovenia? A focus group study

Abstract: Lack of knowledge and guidelines, and inadequate counselling skills can be solved through educational programs. In order to change drinking habits, substantial changes in public and personal attitudes towards alcohol consumption, involving many partners, are necessary.

Cited by 16 publications

References 30 publications

Family physicians’ self-perceived importance of providing genetic test information to patients: A cross-sectional study from Slovenia

Family physicians’ self-perceived importance of providing genetic test information to patients: A cross-sectional study from Slovenia

Prevalence and incidence of attention-deficit/hyperactivity disorder in Slovenian children and adolescents: a database study from a national perspective

New Developments in Brief Interventions to Treat Problem Drinking in Nonspecialty Health Care Settings

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