Risky drinkers and their physicians
© Sovinova and Csemy 2015
Published: 24 September 2015
The study is focused on prevalence of risky and harmful drinking in Czech adults and on opinions of Czech GPs about the impact of alcohol on health of their patients. Self-assessment of doctors' effectiveness in reduction of patients' alcohol consumption was also addressed.
Material and methods
Risky or harmful alcohol consumption was found in one in five Czech adults. 34% of respondents reported their doctor asked them about alcohol consumption and 8.6% received advice to reduce or stop drinking. This advice was more common for respondents over 45 years of age. In contrast with this only 22 respondents (1.2%) felt they would need professional help[1, 2]. About one third of the sample of Czech GPs considered None or very low drinking as very important for good health. Greater importance doctors attributed to other risk behaviors. The study identified lack of time, lack of professional training and lack of funding for preventive activities as barriers to broader implementation of alcohol consumption screening and brief intervention (SBI). Only 8.5% of GPs reported they were very effective in influencing drinking habits among their patients. 32% subjectively believe their efficiency in this area would be increased with adequate specialized training.
Only eight to nine percent of PHC patients receive recommendation to reduce drinking. GPs feel insecure regarding SBI to reduce alcohol consumption in patients, which could be changed if adequate education is provided. To overcome major barriers of wider implementation of SBI in PHC joint efforts and common interest of GPs, health insurance agencies and the Ministry of Health are needed.
The research has received funding from the European Union's Seventh Framework Programme for research, technological development and demonstration under grant agreement no 259268 - Optimizing delivery of health care intervention (ODHIN).
Research has been financially supported by a grant from the Czech Ministry of Education no. ODHIN-7E11001 and received institutional support of the Czech Ministry of Health.
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