PHYSICIAN DETECTION OF DRINKING PROBLEMS IN PATIENTS ATTENDING A GENERAL MEDICINE PRACTICE

被引：81

作者：

BUCHSBAUM, DG

BUCHANAN, RG

POSES, RM

SCHNOLL, SH

LAWTON, MJ

机构：

[1] the Department of Internal Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia

[2] the Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia

[3] the Alcohol and Drug Education/Rehabilitation Program (MJL), Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1992年 / 7卷 / 05期

关键词：

PROBLEM DRINKING; ALCOHOL ABUSE AND DEPENDENCE; PHYSICIAN DETECTION;

D O I：

10.1007/BF02599456

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To assess the patient and physician characteristics that influence physicians' detection of problem drinking in their medical patients. Setting: The outpatient medical clinic at an urban university teaching hospital staffed by interns and residents. Design: Cross-sectional study of a randomly chosen sub-sample of consecutive patients. Measurement: Univariate and multivariate analysis with calculated adjusted odds ratios of factors associated with physician detection of drinking problems. A problem was diagnosed according to the patient's results on the alcohol module of the Diagnostic Interview Schedule (DIS). Results: Physicians detected 22% of 189 presumably inactive problems and 49% of 92 current problems, i.e., those that have occurred within the preceding year. Multivariate correlates of detection of active problems included male patient gender, presence of gastrointestinal complications of excessive drinking, number of concurrent medical disorders, and previous medical record reference to alcohol (p < 0.05). Physician gender and year of training were not associated with detection. Conclusion: Our physcians appear to rely on specific patient characteristics as well as the patient's medical record to detect drinking problems in their ambulatory patients. Their reliance upon these factors may binder their detection of drinking problems in women patients and less seriously impaired individuals.

引用

页码：517 / 521

页数：5

共 38 条

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