The management of alcohol, tobacco and illicit drug use problems by general practitioners in Australia

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Show simple item record Degenhardt, Louisa en_US Knox, Stephanie en_US Barker, Bridget en_US Britt, Helena en_US Shakeshaft, Anthony en_US
dc.contributor.editor en_US 2010-05-28T09:50:54Z 2010-05-28T09:50:54Z 2005 en_US
dc.identifier 2007003516 en_US
dc.identifier.citation Degenhardt Louisa et al. 2005, 'The management of alcohol, tobacco and illicit drug use problems by general practitioners in Australia', Routledge, vol. 24, no. 6, pp. 499-506. en_US
dc.identifier.issn 0959-5236 en_US
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract The aim of this study was to document the frequency of the management of illicit drug, alcohol and tobacco problems in general practice in Australia. Data from the Bettering the Evaluation and Care of Health (BEACH) study of general practice, April 1998 to March 2003, were analysed. BEACH is an ongoing national study of general practice in Australia. Each year a random sample of approximately 1000 general practitioners (GPs) participate, each providing details of 100 patient encounters. Samples are drawn from the Medicare data held by the Health Insurance Commission. Patient demographic breakdowns, medication, other treatment, referrals and other medical procedures ordered were examined for all problems labelled by GPs as illicit, alcohol and tobacco problems. Annually in Australia, it was estimated that 615 000 GP encounters - or 0.6% of all encounters - involved the management of illicit drug use problems presumably most commonly for problematic heroin use. Despite a much higher population prevalence of use and use disorders, the management of alcohol or tobacco use problems was less common, with 0.4% and 0.3% of encounters, respectively, comprising treatment of these problems. Clear demographic differences existed across the groups. The management of problems also differed, with illicit drug use problems more likely to involve provision of medication, and alcohol and tobacco treatment more likely to involve counselling and/or health advice. Despite higher rates of alcohol and tobacco use problems among patients seeing GPs in Australia, the rate of treatment for such problems was relatively lower than it was for illicit drug use problems. More efforts need to be directed towards assisting GPs to identify and target problematic alcohol and tobacco use among their patients. en_US
dc.language en_US
dc.publisher Routledge en_US
dc.relation.isbasedon en_US
dc.title The management of alcohol, tobacco and illicit drug use problems by general practitioners in Australia en_US
dc.parent Drug and Alcohol Review en_US
dc.journal.volume 24 en_US
dc.journal.number 6 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 499 en_US
dc.identifier.endpage 506 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 179900 en_US
dc.personcode 0000045661 en_US
dc.personcode 998486 en_US
dc.personcode 0000045662 en_US
dc.personcode 0000042982 en_US
dc.personcode 0000045663 en_US
dc.percentage 100 en_US Other Psychology and Cognitive Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Alcohol Drinking; Family Practice, statistics and numerical data; Physician's Practice Patterns, statistics and numerical data; Smoking; Substance-Related Disorders en_US

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