National Survey of Trauma Surgeons’ Use of Alcohol Screening and Brief Intervention

摘要: Background: A variety of policy groups have recommended that screening and brief interventions (BIs) for alcohol disorders be widely implemented in health care settings. This study was conducted to determine the current status intervention programs trauma centers evaluate specific barriers implementation BIs. The hypotheses tested were surgeons who support would less likely endorse purported a better understanding concept interventions. Methods: postal survey 711 members American Association Surgery Trauma Western performed assess treatment practices, along with intervention. Two logistic regression models constructed which factors result predict BIs help potentially modifiable issues facilitate implementation. Results: Three hundred eighty-three responded, 315 whom are currently practicing trauma. majority (267 [83%]) agreed center is an appropriate setting addressing harmful consumption. Over two thirds frequently check blood concentration, one third group reporting they always do. use formal questionnaires much frequent (25%). Nearly half (49%) understood However, report than patients suspected problem at their addressed while hospitalized. Several identified. Although only 2% thought counseling significantly increase costs, 7% too time consuming 13.6% it compromise patient confidentiality. Screening perceived threaten reimbursement by 27%. (55%) stated facility performing screening. One (36%) Logistic revealed those problems should referred professional (odds ratio [OR], 6.5; 95% confidence interval [CI], 2.3-18.2) (OR, 6.2; CI, 2.7-14.2). In model BIs, 5.7; 3.1-10.5) lack belief cost 0.14; 0.02-0.96) most potent predictors Conclusion: more 5 years ago. Barriers not as prevalent previously reported. Support implementing depends on whether believe sites disorders, treatment, understand interventions, constraints prohibitive. Widespread education effectiveness methods reduce recurrent alcohol-related injury.