Addressing alcohol dependence in primary care: longitudinal registry-based study of practitioner activity following new policy and access to training.
The present study aimed to investigate the extent to which two new implementation strategies—a new policy mandating alcohol interventions in primary care and access to online training, impacted alcohol-related clinical activities in primary care in Stockholm. This was a prospective longitudinal regi...
| Publicado en: | European Journal of Public Health Vol. 35; no. 4; pp. 720 - 726 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2025
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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=187125734&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187125734 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2025 vid: 35 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 187125734 187125734 187125734 10.1093/eurpub/ckaf060 187125734 ppf: 720 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Addressing alcohol dependence in primary care: longitudinal registry-based study of practitioner activity following new policy and access to training. aug: au: Hyland, Karin Hammarberg, Anders Hedman-Lagerlöf, Erik Wiklund, Olle Rosendahl, Ingvar Andreasson, Sven Nilsen, Per affil: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden sug: subj: Alcoholism Prevention and Control Primary Health Care Health Policy Staff Development Implementation Science Human Prospective Studies Sweden Questionnaires Policy Making Funding Source Descriptive Statistics ab: The present study aimed to investigate the extent to which two new implementation strategies—a new policy mandating alcohol interventions in primary care and access to online training, impacted alcohol-related clinical activities in primary care in Stockholm. This was a prospective longitudinal register-based study. One hundred twenty-nine primary care clinics in Region Stockholm agreed to provide data. The new healthcare policy was introduced in February 2021. A brief digital training for primary care professionals on managing harmful alcohol use and dependence was launched 10 months later. Seven indicators that reflect alcohol-related clinical activities were obtained from electronic case files: structured documentation on alcohol habits, the AUDIT instrument, ordering of blood tests for biomarkers of heavy drinking, prescription of medicines for alcohol dependence, registered alcohol-related diagnoses, completed advice regarding alcohol use disorder (AUD), and referrals to specialized care. Data from registers were collected before and after the policy and training was available. At baseline low levels of alcohol-related clinical activities were found in primary care. A modest, clinically non-significant increase was seen for all indicators except for frequency of prescription of medicines for alcohol dependence, over the whole follow-up. The digital training was not associated with an increase in alcohol-related clinical activities. While a policy making alcohol interventions mandatory, combined with a training program, has strong support from implementation science, only a modest, clinically non-significant increase in alcohol-related clinical activities was found. Stronger implementation strategies seem necessary to improve management of alcohol dependence in primary care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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