title: Alcohol enquiry by GPs - Understanding patients' perspectives: A qualitative study.
abstract: BACKGROUND
  Patients' beliefs and attitudes toward receiving alcohol enquiry from general practitioners (GPs) are unclear. These need to be understood to implement pragmatic, early detection and brief intervention strategies.
  
  
  METHODS
  We purposively sampled 23 participants from respondents of an earlier survey conducted in a general practice clinic in Sydney, Australia. Semi-structured interviews were conducted between June and August 2014, recorded, transcribed and analysed using grounded theory method to develop an explanatory model.
  
  
  RESULTS
  There were three factors that influenced patients' acceptability of alcohol enquiry by GPs: • perceived relevance of the alcohol enquiry dialogue to the consultation • approach and language used in the patient-doctor interaction • unease regarding the moral and stigmatising dimension of alcohol consumption.
  
  
  CONCLUSIONS
  Patients are positive towards the role of GPs in health promotion, but nonetheless have reservations towards engaging in alcohol discussions. Setting the context for alcohol dialogue, linking it to patients' agendas, collaborative consultation styles and respecting patients' sensitivity may improve acceptability.
authors.affiliation: BSc (Med) MBBS MMH (GP) FRACGP, Staff Specialist in General Practice, General Practice Unit, South Western Sydney Local Health District; Conjoint Senior Lecturer, University of New South Wales, Sydney, NSW; RACGP National Research and Evaluation Ethics Committee, NSW.
authors.forename: Chun Wah Michael
authors.initials: CW
authors.lastname: Tam
authors.forename: Louis
authors.initials: L
authors.lastname: Leong
authors.forename: Nicholas
authors.initials: N
authors.lastname: Zwar
authors.forename: Charlotte
authors.initials: C
authors.lastname: Hespe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D001291:Attitude of Health Personnel; D001315:Australia / Q000453:epidemiology; D005260:Female; D058005:General Practitioners / Q000941:ethics*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations / Q000941:ethics*; D036301:Qualitative Research