Search: onr:"swepub:oai:DiVA.org:liu-145814" > Impact of practice,...
Fältnamn | Indikatorer | Metadata |
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000 | 05081naa a2200505 4500 | |
001 | oai:DiVA.org:liu-145814 | |
003 | SwePub | |
008 | 180321s2017 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1458142 URI |
024 | 7 | a https://doi.org/10.1080/13814788.2017.13743652 DOI |
040 | a (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Anderson, Peteru Newcastle Univ, England; Maastricht Univ, Netherlands4 aut |
245 | 1 0 | a 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 |
264 | c 2017-10-12 | |
264 | 1 | b TAYLOR & FRANCIS LTD,c 2017 |
338 | a print2 rdacarrier | |
500 | a Funding Agencies|Netherlands Organization for Health Research and Development (ZonMW, Prevention Programme) [200310017-ODHIN]; Polish science financial resources | |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
653 | a Primary healthcare; heavy drinking; screening and advice; training; patients; providers | |
700 | 1 | a Kloda, Karolinau Pomeranian Med Univ, Poland4 aut |
700 | 1 | a Kaner, Eileenu Newcastle Univ, England4 aut |
700 | 1 | a Reynolds, Jillianu Hosp Clin Barcelona, Spain4 aut |
700 | 1 | a Bendtsen, Prebenu Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken4 aut0 (Swepub:liu)prebe15 |
700 | 1 | a Pelgrum-Keurhorst, Myrna N.u Radboud Univ Nijmegen, Netherlands; Saxion Univ Appl Sci, Netherlands4 aut |
700 | 1 | a Segura, Lidiau Govt Catalonia, Spain4 aut |
700 | 1 | a Wojnar, Marcinu Med Univ Warsaw, Poland4 aut |
700 | 1 | a Mierzecki, Arturu Pomeranian Med Univ, Poland4 aut |
700 | 1 | a Deluca, Paolou King’s College London, London, UK4 aut |
700 | 1 | a Newbury-Birch, Dorothyu Teesside Univ, England4 aut |
700 | 1 | a Parkinson, Kathrynu Newcastle Univ, England; State Agcy Prevent Alcohol Related Problems, Poland4 aut |
700 | 1 | a Okulicz-Kozaryn, Katarzynau State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland4 aut |
700 | 1 | a Drummond, Colinu Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England4 aut |
700 | 1 | a Laurant, Miranda G. H.u Radboud Univ Nijmegen, Netherlands; HAN Univ Appl Sci, Netherlands4 aut |
700 | 1 | a Gual, Antoniu Neurosciences Institute, Hospital Clinic, IDIBAPS, Barcelona, Spain4 aut |
710 | 2 | a Newcastle Univ, England; Maastricht Univ, Netherlandsb Pomeranian Med Univ, Poland4 org |
773 | 0 | t European Journal of General Practiced : TAYLOR & FRANCIS LTDg 23:1, s. 241-245q 23:1<241-245x 1381-4788x 1751-1402 |
856 | 4 | u https://www.tandfonline.com/doi/pdf/10.1080/13814788.2017.1374365?needAccess=true |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-145814 |
856 | 4 8 | u https://doi.org/10.1080/13814788.2017.1374365 |
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