Article

What May Stimulate General Practitioners to Undertake Screening and Brief Intervention for Excess Alcohol Consumption in Slovenia? A Focus Group Study

Department of Family Medicine, Medical Faculty Maribor, University of Maribor, Maribor, Slovenia.
The Journal of international medical research (Impact Factor: 1.44). 10/2009; 37(5):1561-9. DOI: 10.1177/147323000903700534
Source: PubMed

ABSTRACT

Screening and brief intervention (SBI) presents an effective early response by healthcare professionals to their patients' alcohol-related problems. This qualitative research study used focus group discussions with general practitioners (GPs) to identify incentives that may increase the use of SBI in Slovene general practice. Seven categories of actions that may improve the use of SBI were identified: motivation, professional institution, financial support, adequate knowledge and skills, community support, workload (i.e. relief from the burden of current obligations in order to allow more time for prevention), and record keeping (suitable medical documentation). Several of these actions can be changed by the GPs themselves (motivation, adequate knowledge and skills, and record keeping), while the remaining four require more extensive community action on the part of society as a whole, e.g. government intervention. The results of this study will guide future changes in the way that prevention strategies for excess alcohol consumption will be implemented in Slovenia.

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    • "In addition, previous research also points toward a series of structural and organizational factors that influence alcohol intervention delivery. Lack of training or suitable intervention materials (68, 72), inadequate financial incentives (73, 74), unsupportive specialist alcohol service provision (3, 67), and everyday time pressures (67, 75) has all been identified by GPs and other health practitioners as barriers to their successful engagement in and delivery of brief interventions for alcohol (32, 59, 62, 64, 73, 76–79). Moreover, these barriers are often interrelated. "
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    • "Other Slovenian studies also addressed some issues related to this topic (8,21-24) and showed that preventive measures were important both to family physicians and patients. This is also in line with some foreign studies (2,3). "
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