General practitioners' experiences of patients with drug and alcohol problems

ROCHE, ANN M.; GURAY, COLLEEN; SAUNDERS, JOHN B.

doi:10.1111/j.1360-0443.1991.tb01779.x

Cited by 101Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentPrimary Care and Health Outcomes

General practitioners' experiences of patients with drug and alcohol problems

ROCHE, ANN M., GURAY, COLLEEN, SAUNDERS, JOHN B.·1991·British Journal of Addiction

DOI 10.1111/j.1360-0443.1991.tb01779.x

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Abstract

Convergent focus groups, a qualitative research methodology, were used to determine what general practitioners considered to be the main obstacles and disincentives to the effective management of persons with drug and alcohol problems. Seven groups were conducted, involving 44 general practitioners whose practices were based in representative parts of metropolitan Sydney and a rural area of New South Wales. The study revealed that most doctors are not as threatened, resistant or pessimistic about drug and alcohol intervention as much of the previous work in the area would suggest. However, they held different views according to the drug in question. General practitioners were more sympathetic to patients with alcohol problems but only some agreed that it was a legitimate area for medical involvement and one in which they were prepared to become involved. The prescribing and use of minor tranquillisers was widely tolerated and perceived to present few problems for individuals or the community. Opiate users, by contrast, were least favoured, with hostility expressed by most towards them. A provisional typology of general practitioners was developed with three distinct groupings (‘interactive problem‐solvers’, ‘traditionalist healers’ and ‘technologists’), according to the model of medical practice assumed. This scheme, whilst not definitive, provides a structure for targeting general practitioners for medical education and has implications for tailoring medical training programs at both the undergraduate and postgraduate levels. General issues relating to the development of typologies are discussed.

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In 2 qualitative studies from Australia and the UK, GPs acknowledged they were not interested in dealing with alcohol problems.
“In 2 qualitative studies from Australia and the UK, GPs acknowledged they were not interested in dealing with alcohol problems [105, 107].”
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 [107]
In 4 quantitative and 4 qualitative studies, GPs were sceptical that patients would follow their advice.
“In 4 quantitative and 4 qualitative studies GPs were sceptical that patients would follow their advice [20, 42, 47, 49, 78, 83, 91, 107];”
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 [107]

A Contribution to the Philosophy of medicine
SZASZ, T. S. (1956) · A M A Archives of Internal Medicine · doi:10.1001/archinte.1956.00250230079008 · Cited by 916 · see citing works
Doctors talking to patients
Gray, D. P. (1984) · PubMed Central · Cited by 474 · see citing works
Qualitative research on chronic illness: A commentary on method and conceptual development
Conrad, P. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90266-u · Cited by 255 · see citing works
Alcohol: Our favourite drug
Plant, M. (1986) · UWE Research Repository (UWE Bristol) · Cited by 227 · see citing works
Doctor-Patient Communication
Goldwyn, R. M. (1984) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198405000-00027 · Cited by 175 · see citing works
Detection of patients with high alcohol intake by general practitioners.
Reid, A. L. A., Webb, G. R., Hennrikus, D. J., Fahey, P. P., & Sanson‐Fisher, R. (1986) · BMJ · doi:10.1136/bmj.293.6549.735 · Cited by 126 · see citing works
A Difficult Business: detecting and managing alcohol problems in general practice
Thom, B., & TÉLLEZ, C. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00347.x · Cited by 122 · see citing works
Managing alcohol problems in general practice.
Anderson, P. (1985) · BMJ · doi:10.1136/bmj.290.6485.1873 · Cited by 122 · see citing works
The Identification of Alcohol‐related Problems by General Practitioners
CLEMENT, S. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00325.x · Cited by 103 · see citing works
A survey of general practitioners' opinion and attitude to drug addicts and addiction
Abed, R., & Neira-Munoz, E. (1990) · British Journal of Addiction · doi:10.1111/j.1360-0443.1990.tb00632.x · Cited by 86 · see citing works
A Review of Medical Education in Alcohol and Other Drug Abuse
Lewis, D. C. (1987) · JAMA · doi:10.1001/jama.1987.03390210093032 · Cited by 61 · see citing works
Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: views on treatment.
Glanz, A. (1986) · BMJ · doi:10.1136/bmj.293.6546.543 · Cited by 59 · see citing works
Undergraduate Training in Substance Abuse in the United Kingdom
Glass, I. B. (1989) · British Journal of Addiction · doi:10.1111/j.1360-0443.1989.tb00569.x · Cited by 55 · see citing works
Patients' substance abuse and the primary care physician: Patterns of practice
Gottlieb, N. H., Mullen, P. D., & McAlister, A. L. (1987) · Addictive Behaviors · doi:10.1016/0306-4603(87)90005-0 · Cited by 52 · see citing works
Future caregivers' views on alcoholism treatment. A poor prognosis.
Wechsler, H., & Rohman, M. (1982) · Journal of Studies on Alcohol · doi:10.15288/jsa.1982.43.939 · Cited by 45 · see citing works
Holistic physicians and family practitioners: Similarities, differences and implications for health policy
Goldstein, M. S., Sutherland, C., Jaffe, D. T., & Wilson, J. A. (1988) · Social Science & Medicine · doi:10.1016/0277-9536(88)90178-5 · Cited by 40 · see citing works
Images of general practice: The perceptions of the doctor
Calnan, M. (1988) · Social Science & Medicine · doi:10.1016/0277-9536(88)90005-6 · Cited by 40 · see citing works
Shadowland: general practitioners and the treatment of opiate‐abusing patients
McKeganey, N. (1988) · British Journal of Addiction · doi:10.1111/j.1360-0443.1988.tb00483.x · Cited by 38 · see citing works
Do general practitioners promote health?: a needs assessment (for editorial comment, see page 242; see also page 250)
Bauman, A. E., Mant, A., Middleton, L., Mackertich, M., & Jane, E. (1989) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1989.tb101191.x · Cited by 30 · see citing works
Towards a typology of general practitioners' attitudes to general practice
Bucks, R. S., Williams, A., Whitfield, M. J., & Routh, D. A. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90152-i · Cited by 25 · see citing works
Practice Orientations Among General Medical Practitioners in England and Wales
Mechanic, D. (1970) · Medical Care · doi:10.1097/00005650-197001000-00003 · Cited by 23 · see citing works
The doctor-patient relationship during medical internship: The evolution of dissatisfaction
Sparr, L. F., Gordon, G. H., Hickam, D. H., & Girard, D. E. (1988) · Social Science & Medicine · doi:10.1016/0277-9536(88)90184-0 · Cited by 20 · see citing works
Medical students' performance in reporting alcohol-related problems.
Flaherty, J. A., & Flaherty, E. G. (1983) · Journal of Studies on Alcohol · doi:10.15288/jsa.1983.44.1083 · Cited by 20 · see citing works
A review of medical education in alcohol and other drug abuse
Lewis, D. C. (1987) · JAMA · doi:10.1001/jama.257.21.2945 · Cited by 20 · see citing works
An initiative for teaching about alcohol and other drugs in Australian medical schools
Gladstone, W. E., Webster, I. W., & Rotem, A. (1987) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1987.tb133515.x · Cited by 16 · see citing works
Impediments to Alcohol Education.
Kinney, J., Price, T. R., & Bergen, B. J. (1984) · Journal of Studies on Alcohol · doi:10.15288/jsa.1984.45.453 · Cited by 15 · see citing works
Influencing health behaviour: how significant is the general practitioner?
Calnan, M., & Johnson, B. (1983) · Health Education Journal · doi:10.1177/001789698304200203 · Cited by 14 · see citing works
What cancer tells us about general practice. Birth of an hypothesis
Aı̈ach, P., Cèbe, D., & Broclain, D. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90264-s · Cited by 7 · see citing works

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Brief interventions for alcohol problems: a meta‐analytic review of controlled investigations in treatment‐seeking and non‐treatment‐seeking populations
Moyer, A., Finney, J. W., Swearingen, C. E., & Vergun, P. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00018.x · Cited by 1,092 · see citing works
“The extent to which healthcare professionals are receptive to, or are qualified for delivering, such interventions effectively has been debated (Roche et al. 1991; Bradley et al. 1995; Rollnick, Butler & Hodgson 1997; Kaner et al. 1999; Andréasson, Hjalmarsson & Rehnmen 2000).”
Background
Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals
Schulze, B., & Angermeyer, M. C. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00028-x · Cited by 749 · see citing works
Barriers to accessing generic health and social care services: a qualitative study of injecting drug users
Neale, J., Tompkins, C. N. E., & Sheard, L. (2007) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2007.00739.x · Cited by 251 · see citing works
Staff regard towards working with substance users: a European multi‐centre study
Gilchrist, G., Moskalewicz, J., Slezáková, S., Okruhlica, Ľ., Torrens, M., Vajd, R., & Baldacchino, A. (2011) · Addiction · doi:10.1111/j.1360-0443.2011.03407.x · Cited by 232 · see citing works
Factors influencing inquiry about patients’ alcohol consumption by primary health care physicians: qualitative semi-structured interview study
Aira, M., Kauhanen, J., Larivaara, P., & Rautio, P. (2003) · Family Practice · doi:10.1093/fampra/cmg307 · Cited by 164 · see citing works
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) · Implementation Science · doi:10.1186/s13012-020-01073-0 · Cited by 141 · see citing works
“Roche [107] 1991 Australia English Focus groups 44 Fair Rush [108] 1994 Canada English Cross-sectional 1235 Good Rush [109] 1995 Canada English Focus groups Semi-structured interviews 12 Good”
Method
Guidelines for the Treatment of Alcohol Problems
Haber, P., & Riordan, B. C. (2009) · PsycEXTRA Dataset · doi:10.1037/e674042010-001 · Cited by 149 · see citing works
ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY
ANDERSON, P. (2004) · Alcohol and Alcoholism · doi:10.1093/alcalc/agh072 · Cited by 147 · see citing works
“Although SBI programmes are effective (Moyer et al., 2002), with very favourable benefit‐cost ratios (Fleming et al., 2002), primary care health workers commonly report that they are reluctant to screen and advise patients in relation to alcohol use (Roche and Richard, 1991; Roche et al., 1991, 1996; Richmond and Mend…”
Background
Brief interventions: good in theory but weak in practice
ROCHE, A. M., & Freeman, T. (2004) · Drug and Alcohol Review · doi:10.1080/09595230410001645510 · Cited by 145 · see citing works
“This ‘therapeutic nihilism’ concerning alcohol and drug-related problems has been identified in the literature as a common barrier to intervening with clients with AOD problems [34,42], despite findings that interventions with clients with AOD problems are of comparable efficacy to interventions for other chronic dise…”
BackgroundSelf-citation
Obstacles to carrying out brief intervention for heavy drinkers in primary health care: a focus group study
AALTO, M., PEKURI, P., & SEPPÄ, K. (2003) · Drug and Alcohol Review · doi:10.1080/09595230100100606 · Cited by 119 · see citing works
ATTITUDES AND MANAGEMENT OF ALCOHOL PROBLEMS IN GENERAL PRACTICE: DESCRIPTIVE ANALYSIS BASED ON FINDINGS OF A WORLD HEALTH ORGANIZATION INTERNATIONAL COLLABORATIVE SURVEY
Anderson, P. (2003) · Alcohol and Alcoholism · doi:10.1093/alcalc/agg119 · Cited by 97 · see citing works
Qualitative investigation of barriers to accessing care by people who inject drugs in Saskatoon, Canada: perspectives of service providers
Lang, K., Neil, J., Wright, J., Dell, C. A., Berenbaum, S. L., & El‐Aneed, A. (2013) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/1747-597x-8-35 · Cited by 75 · see citing works
“Many investigations have found that service providers are uncomfortable when providing treatment to PWIDs [22,23], and have trouble navigating available services [10,24].”
Background
Doctors' willingness to intervene in patients' drug and alcohol problems
Roche, A. M., & Richard, G. P. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90010-a · Cited by 68 · see citing works
Self-citation
General practitioners' attitudes towards patients with disabilities: The need for training and support
Aulagnier, M., Verger, P., Ravaud, J., Souville, M., Lussault, P.-Y., Garnier, J.-P., & Paraponaris, A. (2005) · Disability and Rehabilitation · doi:10.1080/09638280500164107 · Cited by 67 · see citing works
Drug and alcohol related health problems in primary care — what do GPs think?
Weller, D., Litt, J., Pols, R. G., Southgate, D., Harris, R. D., & Ali, R. L. (1992) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1992.tb126383.x · Cited by 67 · see citing works
Brief intervention, three decades on: An overview of research findings and strategies for more widespread implementation
Nilsen, P., Kaner, E., & Babor, T. F. (2008) · Nordic Studies on Alcohol and Drugs · doi:10.1177/145507250802500608 · Cited by 64 · see citing works
The general practitioner's role in AOD issues: overcoming individual, professional and systemic barriers
ROCHE, A. M., Hotham, E. D., & RICHMOND, R. L. (2002) · Drug and Alcohol Review · doi:10.1080/0959523021000002679 · Cited by 61 · see citing works
“In Australia, the situation with respect to the AOD workforce generally, and GPs in particular, is strikingly similar with factors recognized in the United Kingdom [37] also identified here [33].”
BackgroundResultInfluentialSelf-citation
GP attitudes to managing drug‐ and alcohol‐dependent patients: a reluctant role
ABOUYANNI, G., STEVENS, L. J., HARRIS, M. F., WICKES, W. A., RAMAKRISHNA, S. S., TA, E., & KNOWLDEN, S. M. (2000) · Drug and Alcohol Review · doi:10.1080/713659318 · Cited by 59 · see citing works
Research in general practice for smokers and excessive drinkers in Australia and the UK. III. Dissemination of interventions
RICHMOND, R. L., & Anderson, P. (1994) · Addiction · doi:10.1111/j.1360-0443.1994.tb00849.x · Cited by 54 · see citing works
Child protection or professional self-preservation by the baby nurses? Public health nurses and child protection in Ireland
Butler, S. (1996) · Social Science & Medicine · doi:10.1016/0277-9536(95)00378-9 · Cited by 52 · see citing works
Health-related quality of life of HIV-infected women: evidence for the reliability, validity and responsiveness of the Medical Outcomes Study Short-Form 20
Smith, M. Y., Feldman, J., Kelly, P. J., DeHovitz, J. A., Chirgwin, K., & Minkoff, H. (1996) · Quality of Life Research · doi:10.1007/bf00435968 · Cited by 51 · see citing works
How Much Is Too Much?
Bradley, K. A. (1993) · Archives of Internal Medicine · doi:10.1001/archinte.1993.00410240036004 · Cited by 50 · see citing works
Methadone treatment for opiate dependent patients in general practice and specialist clinic settings: Outcomes at 2-year follow-up
Gossop, M., Stewart, D., Browne, N., & Marsden, J. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00040-0 · Cited by 45 · see citing works
“Commonly they feel they lack appropriate training (Bell, Cohen, & Cremona, 1990; Roche et al., 1991).”
Background
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
Overdose in young people using heroin: associations with mental health, prescription drug use and personal circumstances
Burns, J. M., Martyres, R., Clode, D., & Boldero, J. (2004) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2004.tb06351.x · Cited by 43 · see citing works
How general practitioners view alcohol use. Clearing up the confusion.
Rush, B. R., Ellis, K. S., Crowe, T. G., & Powell, L. Y. (1994) · PubMed Central · Cited by 41 · see citing works
General practice involvement in the management of alcohol misuse: dynamics and resistances
Durand, M. A. (1994) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(94)90072-8 · Cited by 35 · see citing works
The role of corticosteroids in the management of childhood asthma
van Asperen, P. P., Mellis, C. M., & Sly, P. D. (2002) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2002.tb04347.x · Cited by 34 · see citing works
The Impact of a Brief Interclerkship about Substance Abuse on Medical Studentsʼ Skills
Matthews, J., Kadish, W., Barrett, S., Mazor, K. M., Field, D., & Jonassen, J. A. (2002) · Academic Medicine · doi:10.1097/00001888-200205000-00017 · Cited by 33 · see citing works
“Many physicians continue to believe that SA is a social or moral issue rather than a medical disorder.(10) As part of our response to the need for curriculum enhancement regarding the diagnosis and treatment of SA disorders, the University of Massachusetts Medical School (UMMS) introduced a two-day required SA intercl…”
Background
Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum
Seale, J. P., Shellenberger, S., & Clark, D. C. (2010) · BMC Medical Education · doi:10.1186/1472-6920-10-33 · Cited by 31 · see citing works
“The medical literature reveals a long list of clinician barriers to management of substance abusing patients, including stigmatization of substance abusers [26,27], lack of time [28-33], inadequate training [34-37], lack of confidence in their intervention skills [38,39], inadequate office-based assessment and treatme…”
Background
The influence of individual and organizational factors on the reported smoking intervention practices of staff in 20 antenatal clinics
Cooke, M., Mattick, R. P., & Campbell, E. M. (1998) · Drug and Alcohol Review · doi:10.1080/09595239800186981 · Cited by 31 · see citing works
Significant relationships and social supports of injecting drug users and their implications for HIV/AIDS services
Stowe, A., Ross, M. W., WODAK, A. D., Thomas, G. V., & Larson, S. A. (1993) · AIDS Care · doi:10.1080/09540129308258581 · Cited by 30 · see citing works
Prevalence of Alcohol Dependence and Abuse in General Practice
Hill, A., Rumpf, H., Hapke, U., Drießen, M., & John, U. (1998) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1998.tb03892.x · Cited by 27 · see citing works
Comparison of methods for teaching clinical skills in assessing and managing drug‐seeking patients
Taverner, Dodding, & White, J. M. (2000) · Medical Education · doi:10.1046/j.1365-2923.2000.00493.x · Cited by 27 · see citing works
Alcohol‐induced reinforcement: Dopamine and 5‐HT3 receptor interactions in animals and humans
Johnson, B. A., & Cowen, P. J. (1993) · Drug Development Research · doi:10.1002/ddr.430300308 · Cited by 27 · see citing works
How and when health‐care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study
Clifford, A., Shakeshaft, A. P., & Deans, C. (2011) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2011.00305.x · Cited by 26 · see citing works
“Interview questions were informed by the findings of qualitative studies exploring the perceptions of health-care practitioners to alcohol SBI delivery in Indigenous [13,14] and non-Indigenous [9,15,16] primary health-care settings, and notes recorded during field visits to participating ACCHSs.”
BackgroundResult
Physicians’ enquiries into their patients’ alcohol use: public views and recalled experiences
Rush, B. R., Urbanoski, K. A., & Allen, B. A. (2003) · Addiction · doi:10.1046/j.1360-0443.2003.00410.x · Cited by 26 · see citing works
Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil
do Amaral-Sabadini, M. B., Ronzani, T. M., & Formigoni, M. L. O. D. S. (2010) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2009.00120.x · Cited by 25 · see citing works
“related to these two factors: organisational and personal attitudes and beliefs [10,11,14,23–27].”
Background
Prescribers' perceptions of the diversion and injection of medication by opioid substitution treatment patients
Larance, B., Degenhardt, L. J., O’Brien, S., Lintzeris, N., WINSTOCK, A. R., Mattick, R. P., Bell, J., & Ali, R. L. (2011) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2010.00274.x · Cited by 24 · see citing works
“Prescribers’ beliefs about their patients, particularly with respect to adherence, are important; they will directly influence whether or not they participate in OST [19,20], their choice of medication and their assessment of suitability for unsupervised dosing.”
Background
Efectividad del consejo médico a pacientes alcohólicos y bebedores excesivos atendidos en consultas de atención primaria
García, J., Moral, R. R., de Torres, L. Á. P., Sánchez, L. C., Cerezo, N. L., & de la Iglesia, J. M. (2003) · Atención Primaria · doi:10.1016/s0212-6567(03)70674-x · Cited by 24 · see citing works
The identification and management of substance misuse problems by general practitioners
HEUSTON, M. A. D. P. G. J. (1996) · Journal of Mental Health · doi:10.1080/09638239650037072 · Cited by 21 · see citing works
General Practitioners' Management of Problem Drinkers - attitudes, knowledge and practice
Greenwood, N. (2001) · Drugs Education Prevention and Policy · doi:10.1080/096876301300101843 · Cited by 20 · see citing works
“…1985), they may be unwilling to intervene for various reasons, including not feeling competent to deal with such problems (Deehan et al., 1998a; Roche et al., 1991), time pressure (Rowland et al., 1987) and negative attitudes towards alcohol misusers (Cartwright, 1980; Clement, 1986; Fisher et…”
Background
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
Training primary health care workers about drugs: a national survey of UK trainers' perceptions towards training
Albery, I. P., Heuston, J., Durand, M. A., Groves, P., Gossop, M., & Strang, J. (1996) · Drug and Alcohol Review · doi:10.1080/09595239600186111 · Cited by 17 · see citing works
Medical education in substance use disorders
Saunders, J. B., & ROCHE, A. M. (1991) · Drug and Alcohol Review · doi:10.1080/09595239100185301 · Cited by 17 · see citing works
Self-citation
The Effects of Screening Brief Intervention Referral to Treatment (SBIRT) Training on Health Professional Trainees’ Regard, Attitudes, and Beliefs toward Patients who use Substances
Lukowitsky, M. R., Balkoski, V. I., Bromley, N., & Gallagher, P. A. (2021) · Substance Abuse · doi:10.1080/08897077.2021.1944955 · Cited by 15 · see citing works
General Practitioners' views of home detoxification
ROCHE, A. M., Watt, K., & FISCHER, J. (2001) · Drug and Alcohol Review · doi:10.1080/09595230120092788 · Cited by 15 · see citing works
“Focus groups were used to examine GPs ̃views as they are considered superior to individual interviews when dealing with topics about which little is known, or where respondents have limited knowledge [27,28].”
MethodSelf-citation
Alcohol enquiry by GPs - Understanding patients' perspectives: A qualitative study.
Tam, C. W. M., Leong, L. H.-L., Zwar, N. A., & Hespe, C. M. (2015) · PubMed · Cited by 14 · see citing works
The role of general practitioners’ working style and brief alcohol intervention activity
Aalto, M., Värre, T., Pekuri, P., & Seppä, K. (2003) · Addiction · doi:10.1046/j.1360-0443.2003.00487.x · Cited by 12 · see citing works
Attitudes towards substance addiction: A study of Turkish University students
Süngü, H. (2015) · Educational Research and Reviews · doi:10.5897/err2015.2096 · Cited by 13 · see citing works
Experiences of Illicit Drug Overdose: An Ethnographic Study of Emergency Hospital Attendances
Neale, J. (1999) · Contemporary Drug Problems · doi:10.1177/009145099902600308 · Cited by 13 · see citing works
Educational Approaches to Prescribing Practices and Substance Abuse
Chappel, J. N. (1991) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1991.10471607 · Cited by 13 · see citing works
Alcoholism, brief intervention and the institutional context: a focus-group study with French and Finnish general practitioners
Egerer, M. D. (2011) · Critical Public Health · doi:10.1080/09581596.2011.637901 · Cited by 12 · see citing works
“GPs’ involvement in alcoholism treatment and brief interventions has been examined in a variety of studies (e.g. Roche et al. 1991, Richmond and Anderson 1994, Rush et al. 1994, Fleming et al. 1997, Wilk et al. 1997, Deehan et al. 1998, Kaner et al. 1999, McAvoy et al. 1999, Aalto et al. 2003).”
Background
Establishing a drug and alcohol service in an Australian rural area
Helliwell, D., REILLY, D., & Rippingale, C. (1992) · Drug and Alcohol Review · doi:10.1080/09595239200185501 · Cited by 12 · see citing works
“One study found that general practitioners (GPs) expressed hostile attitudes towards opiate users [2] and a recent National Campaign Against Drug Abuse”
Background
Making better use of qualitative research: illustrations from medical education research
ROCHE, A. M. (1991) · Health Education Journal · doi:10.1177/001789699105000308 · Cited by 12 · see citing works
Self-citation
Childhood Trauma and the Inability to Access Hospital Care Among People who Inject Drugs
Randhawa, G., Azarbar, A., Dong, H., Milloy, M., Kerr, T. H., & Hayashi, K. (2018) · Journal of Traumatic Stress · doi:10.1002/jts.22286 · Cited by 11 · see citing works
Os usuários de álcool, Atenção Primária à Saúde e o que é "perdido na tradução"
Fontanella, B. J. B., Demarzo, M., Mello, G. A., & Fortes, S. (2011) · Interface - Comunicação Saúde Educação · doi:10.1590/s1414-32832011000200020 · Cited by 8 · see citing works
Measuring factors that influence the response of medical practitioners and social workers to problem drinkers: a pilot study
Gorman, D. M., JACOBS, L. M., & McAlpine, D. D. (1994) · Drug and Alcohol Review · doi:10.1080/09595239400185361 · Cited by 9 · see citing works
Caught in the middle: receptionists and their dealings with substance misusing patients
Heuston, J., Groves, P., Nawad, J. A., Albery, I. P., Gossop, M., & Strang, J. (2001) · Journal of Substance Use · doi:10.1080/14659890152558769 · Cited by 8 · see citing works
“…towards the treatment of substance misusing patients within general practice (Pontamianos et al. 1985, Greenwood 1992, Glanz 1986, Abed and Neira-Munoz 1990), although attitudes towards alcohol misusers may be less unsympathetic than to opiate misusers (Roche et al. 1991, Deehan et al. 1997).”
Background
A Study of Drug Misusers' Contacts with General Practitioners
Gabbay, M., Smith, M., & Dawkes, M. (1996) · Addiction Research & Theory · doi:10.3109/16066359609010752 · Cited by 8 · see citing works
More than three times as many Indigenous Australian clients at risk from drinking could be supported if clinicians used AUDIT-C instead of unstructured assessments
Conigrave, J. H., Lee, K. S., Haber, P., Vnuk, J., Doyle, M., & Conigrave, K. M. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00306-5 · Cited by 7 · see citing works
“Beyond resource constraints, clinicians have reported discomfort in talking to their clients about drinking (in mainstream settings) [46].”
Background
Perceptions, professional responsibility and management experiences of patients with alcohol, tobacco and opioid use disorder by residents in general practice and teaching general practitioners
Rouillon-Montauriol, M., Laporte, C., Ingrand, P., Castéra, P., Patrizio, P. D., Messaadi, N., Binder, P., & Dupouy, J. (2021) · European Journal of General Practice · doi:10.1080/13814788.2021.1917542 · Cited by 6 · see citing works
“Previous studies found that GPs were more sympathetic to patients with alcohol problems and less favourable towards opiate users [1].”
BackgroundInfluential
Shared Care Methadone Clinics a Survey of Patient Satisfaction Behaviour Change and Staff Views
Gabbay, M., Clarke, S., Willert, E., & Esmail, A. (1999) · Addiction Research & Theory · doi:10.3109/16066359909004379 · Cited by 6 · see citing works
Perceived role of primary care physicians in Nova Scotia's reformed health care system. Qualitative study.
Sangster, L. M., & McGuire, D. (1999) · PubMed Central · Cited by 6 · see citing works
Identification and Brief Interventions for Alcohol Problems: Evaluation of a Training Program for Primary Health Care Professionals
Panagiotidis, P., Papadopoulou, M., & Diakogiannis, I. (2010) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2010.511079 · Cited by 5 · see citing works
Experiential Training in Substance Abuse Counseling: Curricular Design and Instructional Practices
Osborn, C. J., & Lewis, T. F. (2005) · Journal of Teaching in the Addictions · doi:10.1300/j188v03n02_04 · Cited by 5 · see citing works
“Roche, Guray, and Saunders (1991) conducted convergent focus groups with medical practitioners in Australia concerning their experiences of patients who were substance abusers.”
Why do General Practitioners Work with Opiate Misusers?: a qualitative study of high and low activity general practitioners
Groves, J. S. P. (2001) · Drugs Education Prevention and Policy · doi:10.1080/096876301300101861 · Cited by 5 · see citing works
“Consequently GPs may be less willing to work with opiate misusers than other groups of patients (Deehan et al., 1997; King, 1989; Naji et al., 1989; Roche et al., 1991; Sibbald & Freeling, 1988).”
Background
Attitudes of family medicine residents towards patients with alcohol-related problems
Santos, G., & Rosário, F. (2015) · Revista Portuguesa de Clínica Geral · Cited by 4 · see citing works
Parental attitudes to health of children in child‐care centres and options when children are ill
Slack-Smith, L. M., Read, A. W., & Stanley, F. J. (2000) · Journal of Paediatrics and Child Health · doi:10.1046/j.1440-1754.2000.00593.x · Cited by 4 · see citing works
Training Primary Health Care Staff about Alcohol: A study of alcohol trainers in the UK
Albery, I. P., Durand, M. A., Heuston, J., Groves, P., Gossop, M., & Strang, J. (1997) · Drugs Education Prevention and Policy · doi:10.3109/09687639709017414 · Cited by 4 · see citing works
Evaluation of a Service to Strengthen Primary Care Responses to Substance-misusing Patients: welcomed, but little impact
Groves, P., Heuston, J., Albery, I. P., Gerada, C., Gossop, M., & Strang, J. (2002) · Drugs Education Prevention and Policy · doi:10.1080/09687630252694850 · Cited by 4 · see citing works
“GPs may feel they lack appropriate training (Bell et al., 1990; Roche et al., 1991) and they and other primary care staff may feel already overstretched with insuf®cient time to treat substance-misusing patients (Durand, 1994).”
Background
Managing opiate misusers in primary care: a local study of support and training issues
Groves, P., Heuston, J., Albery, I. P., Gerada, C., Gossop, M., & Strang, J. (2000) · Journal of Substance Use · doi:10.3109/14659890009053087 · Cited by 4 · see citing works
Bias Does Not Exist in Treating Knee Periprosthetic Joint Infection Among Patients With Substance Use Disorder
Smith, E. L., Dugdale, E. M., McAlpine, K. J., Habibi, A. A., Niu, R., Baratz, M. D., & Freccero, D. M. (2021) · Orthopedics · doi:10.3928/01477447-20210414-10 · Cited by 3 · see citing works
Establishment and evaluation of a statewide drug and alcohol specialist advisory service
Crocker, C., Burns, F., Saunders, J. B., & Cairns, D. R. (1996) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.1996.tb01058.x · Cited by 3 · see citing works
Self-citation
Concurrent opioid dependence and mental health problems: a review of the issues for general practice
Duffy, J., Ask, A., & MacDougall, C. (2001) · Australian Health Review · doi:10.1071/ah010188 · Cited by 3 · see citing works
Why general practitioners might avoid drug and alcohol work
MacQueen, A. (1997) · Drug and Alcohol Review · doi:10.1080/09595239700186831 · Cited by 3 · see citing works
Exploring barriers for psychiatrists in discussing substance abuse with child and adolescent patients: a multiple goals approach
Wombacher, K., Watterson, T. C., Scott, A. M., Harrington, N. G., & Martin, C. A. (2018) · Journal of Applied Communication Research · doi:10.1080/00909882.2018.1528374 · Cited by 3 · see citing works
Ethnicity and Psychotherapy with HIV-infected Patients: Three Case Studies
Wicks, L. A. (1996) · Journal of Social Distress and the Homeless · doi:10.1007/bf02090459 · Cited by 3 · see citing works
“Psychological and social support have been shown to be critical factors in how a person copes with illness, and complies with medical treatment ( Rabkin, Remien, & Wilson, 1994; Salame, Rossi, Ornelas, & Sepulveda,”
Background
Contact Between Injecting Drug Users and General Practitioners and its Implications for Health Education
Stowe, A., & WODAK, A. D. (1992) · Journal of the Royal Society of Health · doi:10.1177/146642409211200304 · Cited by 3 · see citing works
Screening and Brief Intervention Practice Systems and Implementation
Muench, J. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4779-5_15 · Cited by 2 · see citing works
Percepciones y opiniones del médico de atención primaria sobre el consumo de alcohol
veiga, M. V., Ledo, M. D. P. R., & rodríguez, I. L. (2003) · Trastornos Adictivos · doi:10.1016/s1575-0973(03)70130-5 · Cited by 2 · see citing works
Atitudes dos internos de medicina geral e familiar para com os doentes com problemas ligados ao álcool
Unit, F. M. R. V. L. F. H., Santos, G., & Rosário, F. (2015) · Revista Portuguesa de Clínica Geral · doi:10.32385/rpmgf.v31i6.11622 · Cited by 2 · see citing works
Evaluation and Comparison of Short Form Methadone Maintenance Treatment Training Courses Among Iranian General Physician and Psychologist Participants
Zafarghandi, M. B. S., Dadfar, M., Arezoomandan, R., Veisy, F., & Rod, A. B. (2019) · Illness Crisis & Loss · doi:10.1177/1054137319842750 · Cited by 2 · see citing works
Patient beliefs and attitudes towards the acceptability of receiving alcohol use enquiry from general practitioners: a literature reviewPreprint
Leong, L. H.-L., & Tam, C. W. M. (2014) · doi:10.7287/peerj.preprints.439v1 · Cited by 2 · see citing works
Primary healthcare professionals’ attitudes toward patients with current or previous drug use
Garpenhag, L., & Dahlman, D. (2024) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2024.2349063 · Cited by 1 · see citing works
Treatment of alcohol problems.
Shand, F., Gates, J., Fawcett, J., & Mattick, R. P. (1984) · PubMed · Cited by 1 · see citing works
Intervenciones efectivas en el tratamiento de los problemas de alcohol
Segura, L., Gual, A., & Farran, J. C. (2005) · FMC - Formación Médica Continuada en Atención Primaria · doi:10.1016/s1134-2072(05)71282-2 · Cited by 1 · see citing works
The role of the medical practitioner in drug and alcohol treatment
Whelan, G. (1996) · Drug and Alcohol Review · doi:10.1080/09595239600186201 · Cited by 1 · see citing works
Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
Holmqvist, M. (2009)
Álcool - Impacto no indivíduo e na sociedade.
Ribeiro, C. (2008)
PREVALENCE OF UNSOLVED DRINKING PROBLEMS FOR DUI DRIVERS REFERRED FOR MEDICAL EVALUATION IN SWITZERLAND
Cesare, M. D., Jomini, V., Selz, R., Mangin, P. J., Vaucher, P., Favrat, B., & Augsburger, M. P. (2015) · International Journal of Research -GRANTHAALAYAH · doi:10.29121/granthaalayah.v3.i9.2015.2942
Introduction
Rassool, G. H. (2011) · doi:10.1007/978-0-230-34456-3_1
Prescribing Doctor attitudes, experiences and perspectives on the provision of methadone maintenance treatment in Dublin.
Hout, M. C. V., & Bingham, T. (2011)
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
Therapists’ experiences of the therapeutic alliance with clients with drug problems: An interpretative phenomenological analysis
Andersson, H. (2014) · UEL Research Repository (University of East London) · doi:10.15123/pub.4024
Accesibilidad a tratamiento en personas con problemas de alcohol y otras sustancias de abuso / Access to treatment for people with alcohol and other substance abuse problems
Gilchrist, G., & Fonseca, F. (2011)
Early intervention for alcohol use: family physicians' motivations and perceived barriers.
(1995) · Europe PMC (PubMed Central) · Cited by 63 · see citing works

Doctors' willingness to intervene in patients' drug and alcohol problems
Roche, A. M., & Richard, G. P. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90010-a · Cited by 68 · see citing works
Self-citation
Untitled work
(1982) · PubMed · Cited by 5 · see citing works
Problem drug users known to Bristol general practitioners.
Parker, J., & Gay, M. (1987) · Europe PMC (PubMed Central) · Cited by 9 · 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
A Difficult Business: detecting and managing alcohol problems in general practice
Thom, B., & TÉLLEZ, C. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00347.x · Cited by 122 · see citing works

Authors: ROCHE, A. M., GURAY, C., & SAUNDERS, J. B.
Affiliations: Royal Prince Alfred Hospital (AU)
ORCID: ROCHE, ANN M.
SAUNDERS, JOHN B.
Venue: British Journal of Addiction
Publisher: Wiley
Published: 1991-03
Volume: 86
Issue: 3
Pages: 263-275
ISSN: 0952-0481 (ISSN-L)
2056-5178
DOI: 10.1111/j.1360-0443.1991.tb01779.x
OpenAlex: W2067203752
Cited by: 100
References: 27
Citations by year: 2024: 1 · 2022: 1 · 2021: 8 · 2019: 1 · 2018: 2 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 1
FWCI: 5.55
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5443 d)
Locations: British Journal of Addiction (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords: general practitioners, drug-related problems, alcohol problems, barriers to treatment, medical interventions, opiate users, drug prescribing, medical education
MeSH terms: Adult, Alcoholism, Family Practice, Female, Humans, Male, New South Wales, Physician-Patient Relations, Physician's Role, Substance-Related Disorders

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General practitioners' experiences of patients with drug and alcohol problems

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