Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru.
Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an interve...
| Publicado en: | Global Public Health Vol. 18; no. 1; pp. 1 - 20 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174160554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174160554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17441692 15UG jtl: Global Public Health issn: 17441692 maglogo: N pubinfo: dt: Jan2023 vid: 18 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 174160554 174160554 174160554 10.1080/17441692.2023.2207410 174160554 ppf: 1 ppct: 19 formats: tig: atl: Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru. aug: au: Kokole, Daša Mercken, Liesbeth Anderson, Peter Mejía-Trujillo, Juliana Perez-Gomez, Augusto Bustamante, Ines Piazza, Marina Natera Rey, Guillermina Arroyo, Miriam Pérez De León, Alejandra Bautista Aguilar, Natalia Medina Aguilar, Perla Sonia Schulte, Bernd O'Donnell, Amy de Vries, Hein Jané-Llopis, Eva affil: Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands sug: subj: Alcohol Drinking Colombia Health Screening Evaluation Policy Making Psychosocial Factors Health Policy Evaluation Implementation Science Primary Health Care COVID-19 Complications COVID-19 Pandemic Psychosocial Factors Treatment Outcomes Funding Source Colombia Human Qualitative Studies Interviews Comparative Studies Document Analysis Quantitative Studies Demography Semi-Structured Interview Descriptive Statistics Male Female Male Female ab: Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an intervention focused on improving detection and management of heavy alcohol use in primary care in Colombia, Mexico and Peru. Qualitative data obtained through interviews, logbooks and document analysis are used to explain quantitative data on number of alcohol screenings and screening providers in each of the countries. Existing alcohol screening standards in Mexico, and policy prioritisation of primary care and consideration of alcohol as a public health issue in Colombia and Mexico positively contributed to the outcome, while the COVID-19 pandemic had a negative impact. In Peru, the context was unsupportive due to a combination of: political instability amongst regional health authorities; lack of focus on strengthening primary care due to the expansion of community mental health centres; alcohol considered as an addiction rather than a public health issue; and the impact of COVID-19 on healthcare. We found that wider environment-related factors interacted with the intervention implemented and can help explain country differences in outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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