Doctors' willingness to intervene in patients' drug and alcohol problems

Roche, Ann M.; Richard, Glenn P.

doi:10.1016/0277-9536(91)90010-a

Cited by 69Substance Abuse Treatment and OutcomesPatient-Provider Communication in HealthcareOpioid Use Disorder Treatment

Doctors' willingness to intervene in patients' drug and alcohol problems

Roche, Ann M., Richard, Glenn P.·1991·Social Science & Medicine

DOI 10.1016/0277-9536(91)90010-a

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Abstract

A telephone survey of 103 Sydney general practitioners (GPs) was conducted to assess the extent of agreement or disagreement with 15 statements originating from an earlier, focus groups study, concerning patients' drug and alcohol problems. Another aim of the present study was to determine whether the results provided evidence for a typology of general practitioners. A cluster analysis indicated the presence of three groups: Interactive Problem Solvers; Traditionalist Healers and; Distant Technologists. However, a subsequent principal components analysis and re-examination of the distributions of scores lead to the preferred explanation that the survey was measuring a continuous dimension--"Willingness To Intervene" (WTI). Overall, the GPs' responses suggested high levels of willingness to intervene, although older doctors showed less willingness to intervene than younger doctors. Implications of these findings for medical educators are discussed in relation to evidence that, in practice, doctors often fail to intervene in patients' drug and alcohol problems. Willingness to intervene is viewed as one of several necessary factors, such as knowledge, clinical skills and self efficacy, none of which are sufficient alone to guarantee intervention. Arising from consideration of the willingness to intervene dimension, a general model of probability of medical intervention is outlined.

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“However, few at-risk drinkers are identified as such and counselled to cut down [17–23].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [22]

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Additional file 2 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545356
Additional file 1 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545353
Additional file 3 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545359
Additional file 4 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545362

General practitioners' experiences of patients with drug and alcohol problems
ROCHE, A. M., GURAY, C., & SAUNDERS, J. B. (1991) · British Journal of Addiction · doi:10.1111/j.1360-0443.1991.tb01779.x · Cited by 100 · see citing works
Self-citation
Increasing Primary Care Providers’ Willingness to Intervene in Alcohol- and Drug-Related Problems: A Review 1
ROCHE, A. M. (1996) · Substance Abuse · doi:10.1080/08897079609444750 · Cited by 20 · see citing works
Self-citation
Incentives for general practitioners to provide brief interventions for alcohol problems.
Adams, P. J., Powell, A., McCormick, R., & Paton-Simpson, G. (1997) · PubMed · Cited by 33 · see citing works
General practitioners' diagnostic skills and referral practices in managing patients with drug and alcohol‐related health problems: implications for medical training and education programmes
FUCITO, U. M., GOMES, B. S., MURNION, B., & HABER, P. S. (2003) · Drug and Alcohol Review · doi:10.1080/09595230310001613930 · Cited by 45 · see citing works
Untitled work
(1982) · PubMed · Cited by 5 · see citing works

Authors: Roche, A. M., & Richard, G. P.
Affiliations: Royal Prince Alfred Hospital (AU)
New South Wales Department of Health (AU)
ORCID: Roche, Ann M.
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 1991-01
Volume: 33
Issue: 9
Pages: 1053-1061
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/0277-9536(91)90010-a
OpenAlex: W1981078241
Cited by: 68
References: 32
Citations by year: 2024: 1 · 2021: 5 · 2019: 1 · 2018: 2 · 2016: 4 · 2015: 2 · 2013: 1 · 2012: 1
FWCI: 0.73
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: general practitioners, willingness to intervene, drug-related problems, alcohol problems, physician attitudes, medical education, self-efficacy, primary care
MeSH terms: Adult, Aged, Alcohol Drinking, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Physician-Patient Relations, Physicians, Family, Pilot Projects, Volition, Wales, Substance-Related Disorders

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Doctors' willingness to intervene in patients' drug and alcohol problems

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