SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"swepub:oai:DiVA.org:liu-145814"
 

Sökning: onr:"swepub:oai:DiVA.org:liu-145814" > Impact of practice,...

Impact of practice, provider and patient characteristics on delivering screening and brief advice for heavy drinking in primary healthcare: Secondary analyses of data from the ODHIN five-country cluster randomized factorial trial

Anderson, Peter (författare)
Newcastle Univ, England; Maastricht Univ, Netherlands
Kloda, Karolina (författare)
Pomeranian Med Univ, Poland
Kaner, Eileen (författare)
Newcastle Univ, England
visa fler...
Reynolds, Jillian (författare)
Hosp Clin Barcelona, Spain
Bendtsen, Preben (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
Pelgrum-Keurhorst, Myrna N. (författare)
Radboud Univ Nijmegen, Netherlands; Saxion Univ Appl Sci, Netherlands
Segura, Lidia (författare)
Govt Catalonia, Spain
Wojnar, Marcin (författare)
Med Univ Warsaw, Poland
Mierzecki, Artur (författare)
Pomeranian Med Univ, Poland
Deluca, Paolo (författare)
King’s College London, London, UK
Newbury-Birch, Dorothy (författare)
Teesside Univ, England
Parkinson, Kathryn (författare)
Newcastle Univ, England; State Agcy Prevent Alcohol Related Problems, Poland
Okulicz-Kozaryn, Katarzyna (författare)
State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland
Drummond, Colin (författare)
Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England
Laurant, Miranda G. H. (författare)
Radboud Univ Nijmegen, Netherlands; HAN Univ Appl Sci, Netherlands
Gual, Antoni (författare)
Neurosciences Institute, Hospital Clinic, IDIBAPS, Barcelona, Spain
visa färre...
 (creator_code:org_t)
TAYLOR & FRANCIS LTD, 2017
2017
Engelska.
Ingår i: European Journal of General Practice. - : TAYLOR & FRANCIS LTD. - 1381-4788 .- 1751-1402. ; 23:1, s. 241-245
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: The implementation of primary healthcare-based screening and advice that is effective in reducing heavy drinking can be enhanced with training. Objectives: Undertaking secondary analysis of the five-country ODHIN study, we test: the extent to which practice, provider and patient characteristics affect the likelihood of patients being screened and advised; the extent to which such characteristics moderate the impact of training in increasing screening and advice; and the extent to which training mitigates any differences due to such characteristics found at baseline. Methods: A cluster randomized factorial trial involving 120 practices, 746 providers and 46 546 screened patients from Catalonia, England, the Netherlands, Poland, and Sweden. Practices were randomized to receive training or not to receive training. The primary outcome measures were the proportion of adult patients screened, and the proportion of screen-positive patients advised. Results: Nurses tended to screen more patients than doctors (OR = 3.1; 95% CI: 1.9, 4.9). Screenpositive patients were more likely to be advised by doctors than by nurses (OR = 2.3; 95% CI: 1.4, 4.1), and more liable to be advised the higher their risk status (OR = 1.9; 95% CI: 1.3, 2.7). Training increased screening and advice giving, with its impact largely unrelated to practice, provider or patient characteristics. Training diminished the differences between doctors and nurses and between patients with low or high-risk status. Conclusions: Training primary healthcare providers diminishes the negative impacts that some practice, provider and patient characteristics have on the likelihood of patients being screened and advised.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

Primary healthcare; heavy drinking; screening and advice; training; patients; providers

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy