Asking patients about their drinking. A national survey among primary health care physicians and nurses in Sweden.
OBJECTIVE
To investigate the extent to which Swedish primary health care (PHC) general practitioners (GPs) and nurses discuss alcohol issues with their patients, their reasons for and against addressing alcohol issues, their perceived importance of these issues, and factors that could facilitate increased alcohol intervention activity among the PHC professionals.


METHODS
All Swedish GPs and nurses who have the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 1821 GPs (47% response rate) and 3125 nurses (55% response rate).


RESULTS
Fifty percent of the GPs and 28% of the nurses stated that they "frequently" discussed alcohol with their patients. The two most common reasons for asking patients about their drinking were that the GPs and nurses considered it part of their routines and the belief that the patient had alcohol-related symptoms. GPs said that improved opportunities for referral to specialists and provision of more knowledge about counselling techniques for use when alcohol-related symptoms are evident were the most important facilitators to increased intervention activity. Concerning the nurses, 93% stated that more time devoted to health-oriented work could facilitate increased alcohol intervention activity.


CONCLUSIONS
The findings highlight a considerable gap between the recognition of the significance of the alcohol problem and Swedish PHC intervention activity.
Holmqvist
Marika
M
Department of Health and Society, Linköping University, S-581 83 Linköping, Sweden. mahol@ihs.liu.se
Bendtsen
Preben
P
Spak
Fredrik
F
Rommelsjö
Anders
A
Geirsson
Magnus
M
Nilsen
Per
P
D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000706:statistics & numerical data; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006266:Health Education / Q000706:statistics & numerical data; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D012309:Risk-Taking; D013548:Sweden