The role of private general practitioners in the treatment of alcohol dependence in the Free State province.
Objectives: The study was undertaken to investigate the role of private general practitioners (GPs) in the treatment of alcohol dependence in the Free State province. Design: A descriptive cross-sectional study. A questionnaire was used to describe the experiences of GPs with patients with alcohol d...
| Publicado en: | South African Family Practice Vol. 55; no. 6; pp. 561 - 567 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
African Online Scientific Information System PTY LTD
Nov/Dec2013
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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=92981149&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 92981149 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20786190 6CL4 jtl: South African Family Practice issn: 20786190 maglogo: N pubinfo: dt: Nov/Dec2013 vid: 55 iid: 6 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 92981149 104127654 104127654 10.1080/20786204.2013.10874417 92981149 ppf: 561 ppct: 6 formats: tig: atl: The role of private general practitioners in the treatment of alcohol dependence in the Free State province. aug: au: Van Zyl, P. M. Gagiano, C. A. Mollentze, W. F. Snyman, J. S. Joubert, G. affil: Senior Clinical Pharmacologist/Senior Lecturer, Department of Pharmacology, Faculty of Health Sciences, University, Free State, Bloemfontein sug: subj: Alcoholism Therapy Physicians, Family Physician's Role Human South Africa Descriptive Research Cross Sectional Studies Questionnaires Descriptive Statistics Detoxification, Alternative Therapy Adult Middle Age Aged Aged, 80 and Over Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Objectives: The study was undertaken to investigate the role of private general practitioners (GPs) in the treatment of alcohol dependence in the Free State province. Design: A descriptive cross-sectional study. A questionnaire was used to describe the experiences of GPs with patients with alcohol dependence. Outcome measures: The treatment role of individual participants was defined in terms of the range of services provided and the enablers and obstacles faced in performing interventions in their local context. Setting and subjects: Seventy-seven private GPs were selected by means of a stratified randomised sampling process from areas in the immediate proximity of regional hospitals, district hospitals, or basic environments (without local hospital services), in three geographical areas defined by existing health service delivery boundaries. Results: 29.9% of participants practised medical detoxification, either in hospital or in outpatient settings. Involvement related to the local organisation of treatment services in a geographical area. GPs in resource-constrained environments played an extended role outside of the traditional office-based model of care. Medical scheme funding policies were regarded as an obstacle to involvement in the treatment of alcohol-dependent patients by 76.5% of participants. Other major obstacles were lack of multidisciplinary teams, in-patient facilities and referral structures. Conclusion: Private GPs in the Free State play a context-dependent role in the treatment of alcohol-dependent patients in the province. This compensatory role needs to be acknowledged in service delivery planning in under-resourced areas, especially to ensure access to treatment and cost-effective management. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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