What May Stimulate General Practitioners to Undertake Screening and Brief Intervention for Excess Alcohol Consumption in Slovenia? A Focus Group Study
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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Three qualitative studies reported that GPs and nurses would feel incentivized if financial reimbursement for providing alcohol brief interventions was available.
“Three qualitative studies reported that GPs and nurses would feel incentivized if financial reimbursement for providing alcohol brief interventions was available [39, 80, 105];”
GPs and nurses often cited improving professional teamwork as a facilitator.
“GPs and nurses often cited improving professional teamwork (e.g. having a practice nurse delivering SBI, having receptionists giving patients screening tools) as a facilitator [39, 41, 54, 70, 71, 73, 76, 80, 91, 93, 97, 99].”
More time per consultation, more experience in delivering brief interventions, and simpler screening processes were reported as facilitators.
“More time per consultation [39, 70, 80, 92, 97], more experience in delivering brief interventions [93], and simpler screening processes (e.g. short and simple screening tools, giving patients self-report questionnaires) [39] were reported as facilitators.”
Better co-operation with specialized services, involving other professionals in general practice, public health educational campaigns, and more media attention were among the most commonly cited facilitators.
“Better co-operation with specialized services [20, 39, 59, 60, 80], involving other professionals in general practice (e.g. an addiction consultant or a specialized nurse) [39, 71, 105], public health educational campaigns [23, 47, 78, 99, 110] and more media attention [39, 110] were among the most commonly cited facilitators.”
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“1 Flow diagram of screening process Abouyanni [40] 2000 Australia English Cross-sectional 416 Poor Aira [41] 2003 Finland English Semi-structured interviews 35 Good Aira [42] 2004 Finland English Semi-structured interviews 35 Good Ampt [43] 2009 Australia English Semi-structured interviews 15 1 Good Anderson [44] 1985…”
BackgroundInfluential
- Authors
- Kersnik, J., Susič, T. P., Kolšek, M., & Švab, I.
- Affiliations
- University of Ljubljana (SI)
- Corresponding author
- Kersnik, J
- ORCID
- Švab, I
- Venue
- Journal of International Medical Research
- Publisher
- SAGE Publications
- Published
- 2009-10
- Volume
- 37
- Issue
- 5
- Pages
- 1561-1569
- ISSN
- 0300-0605 (ISSN-L)
- 1473-2300
- OpenAlex
- W2073118955
- Cited by
- 24
- References
- 36
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 6 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 2
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of International Medical Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- screening and brief intervention, alcohol consumption, general practitioners, alcohol-related problems, alcohol prevention, primary care, employee motivation, financial incentives, professional knowledge and skills, record keeping, workload, community support, Slovenia
- MeSH terms
- Alcohol Drinking, Alcoholism, Attitude of Health Personnel, Clinical Competence, Counseling, Decision Making, Diagnostic Tests, Routine, Humans, Physician-Patient Relations, Physicians, Family, Focus Groups, Slovenia
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