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The role of alcohol...
The role of alcohol in the management of hypertension in patients in European primary health care practices - a survey in the largest European Union countries
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Rehm, Jürgen (author)
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Arbesu Prieto, Jose Angel (author)
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Beier, Markus (author)
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Duhot, Didier (author)
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Rossi, Alessandro (author)
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Schulte, Bernd (author)
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Zarco, Jose (author)
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Aubin, Henri-Jean (author)
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Bachmann, Michael (author)
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Grimm, Carsten (author)
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- Kraus, Ludwig (author)
- Stockholms universitet,Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD),IFT Institut für Therapieforschung, Germany
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Manthey, Jakob (author)
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Scafato, Emanuele (author)
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Gual, Antoni (author)
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(creator_code:org_t)
- 2016-09-08
- 2016
- English.
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In: BMC Family Practice. - : Springer Science and Business Media LLC. - 1471-2296. ; 17
- Related links:
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https://doi.org/10.1...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Background: Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. Methods: Internet based survey of 3081 primary care physicians, recruited via the mailing lists of associations for general practitioners (GPs) in France, Germany, Italy, Spain and the UK. Clinical practice, attitudes, knowledge, education and training were assessed. Logistic regression to predict screening, brief intervention and treatment for alcohol dependence in the management of hypertension were assessed. Results: Overall, about one third of the interviewed GPs reported sufficient screening in cases with HTN (34.0 %, 95 % confidence interval (CI):32.1-35.8 %). One out of five GPs screened and delivered brief interventions in HTN patients with hazardous consumption (22.2 %, 95 % CI: 20.6-23.8 %) and about one in 13 GPs provided treatment for HTN patients with alcohol dependence other than advice or brief intervention (7.8 %, 95 % CI: 6.8-8.9 %). Post-graduate training and belief in their effectiveness predicted interventions. There were marked differences between countries. Conclusions: While current interventions were overall low, marked differences between countries indicate that current practices could be improved. Education and post-graduate training seems to be key in improving clinical practice of including interventions for problematic alcohol consumption and alcohol dependence in primary health care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Beroendelära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Substance Abuse (hsv//eng)
Keyword
- Primary health care
- Blood pressure
- Hypertension
- Hazardous drinking
- Alcohol use disorders
- Disease management
- Screening
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Rehm, Jürgen
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Arbesu Prieto, J ...
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Beier, Markus
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Duhot, Didier
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Rossi, Alessandr ...
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Schulte, Bernd
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show more...
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Zarco, Jose
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Aubin, Henri-Jea ...
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Bachmann, Michae ...
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Grimm, Carsten
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Kraus, Ludwig
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Manthey, Jakob
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Scafato, Emanuel ...
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Gual, Antoni
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and General Practice
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Substance Abuse
- Articles in the publication
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BMC Family Pract ...
- By the university
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Stockholm University