5 years ago

NAT 6/08 - THL

NAT 6/08 - THL

Large scale

Large scale implementation of early identification and brief intervention in Swedish primary health care – will it be successful? ledning för socialtjänstens och hälso- och sjukvårdens verksamhet för personer med missbruks- och beroendeproblem. (National guidelines for persons with misuse and dependency problems), Stockholm Socialstyrelsen (2007): Alkoholförebyggande insatser inom hälso- och sjukvården. (Alcohol preventative efforts in health care). Stockholm [Online: NR/rdonlyres/317B35C9-18CE- 4BD4-81F6-A56C1C13B7E6/7122/200713 120.pdf] Socialstyrelsen (2008): En utvärdering av alkoholförebyggande insatser inom hälso- och sjukvården 2006–2007. (An evaluation of alcohol preventative efforts within health care 2006-2007). [Online: http://www. C7F8-4F56-BBA1-9189115438C3/10215/20 081036.pdf] Spak, F. & Andersson, A. (2008): Kartläggning av lokala utvärderingsaktiviteter och indikatorer inom landstingens arbete med riskbruk 2006–2007. (Survey on local evaluation activities and indicators with in the county councils work with hazardous use of alcohol 2006–2007). Socialmedicin, Sahlgrenska Akademin vid Göteborgs universitet. Online: Riskbruksprojektet/Utvärdering/ Utvärde- 488 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 5. 2 0 0 8 . 6 ring_webben_projektrapport%20_final.pdf] (available 080901) Spak, F. & Blanck, P. (2006): En bra början – En utvärdering av alkohol- och drogskadeförebyggande arbete i Västra Götaland 2003–2005. (A good start – an evaluation of alcohol and drug preventative work in Vastra Gotaland 2003–2005). Socialmedicin, Sahlgrenska Akademin vid Göteborgs universitet. Pdf version 2006–06–02. [Online:] (available 080901) Tomson, Y. & Romelsjö, A. & Åberg, H. (1998): Excessive drinking – brief intervention by a primary health care nurse. A randomized controlled trial. Scandinavian Journal Primary Health Care 16 (3): 188–92 Winberg, J. & Nordström, A. (2002): I primärvården finns stort intresse för beroendelära – utnyttja det! Det har man gjort i Västerbotten. (Primary Health Care has a great interest to learn about substance abuse. Use it! The county of Vasterbotten has done so.) Läkartidningen 99 (43): 4256–4158 WHO (1986): Ottawa charter for health promotion. Köpenhamn: WHO Europe Personal communication with Magnus Geirsson 081112.

MariKa holMqvist ulric herMansson PreBen Bendtsen FredriK sPaK Per nilsen Alcohol prevention activity in Swedish primary health care and occupational health services Asking patients about their drinking Introduction Alcohol use in Sweden has increased substantially in recent years. Between 1996 and 2003, total alcohol consumption per capita per year (aged over 15) rose from 8.8 litres to 10.3 litres of pure alcohol. Since then, consumption has stabilised at about 10 litres (Boman et al. 2007). This development means that there is a great need for more widespread implementation of alcohol preventive activities in Sweden (Johansson et al. 2005). To address this issue, the Swedish government adopted a new national alcohol action plan in 2001. An important part of the plan is the health care system, which is required to implement measures for identifying and counteracting alcohol-related problems at an early stage, i.e. secondary prevention (Ministry of Health and Social Affairs 2001). A 2005 government proposal identified primary health care (PHC) and occupational health services (OHS) as important settings in the national strategy for increased secondary alcohol prevention (Ministry of Health and Social Affairs 2005). A B S T R A C T M. Holmqvist & U. Hermansson & P. Bendtsen & F. Spak & P. Nilsen: Alcohol prevention activity in Swedish primary health care and occupational health services. Asking patients about their drinking AIMS To investigate the alcohol preventive activity in Swedish Occupational health services (OHS) and Primary health care (PHC) in relation to education in handling risky drinking, perceived skills in achieving change in patients’ alcohol habits, and knowledge in alcohol issues among the physicians and nurses in these two settings. DESIGN AND METHODS All Swedish physicians and nurses in OHS and PHC having the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 313 OHS physicians (response rate 54%), 759 OHS nurses (69%), 1821 PHC physicians (47%), and 3125 PHC nurses (55%). Regression analyses were used to assess the independent and interacting effects of skills, knowledge, education, sex, age, and years in practice, patient encounters per week, and location of unit. RESULTS OHS professionals were more active in initiating discussions about alcohol with their patients than their colleagues in PHC. OHS professionals considered themselves more skilful and knowledgeable than PHC professionals. OHS nurses and PHC physicians were NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Research report 489

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