Physician unawareness of serious substance abuse.
To describe and assess the prevalence of perceived physician unawareness of serious substance abuse.
Patients and methods
We report an observational study with validation of multivariable results of data collected by interview from persons presenting for addictions treatment in the public system who reported having a physician.
Of 3,253 patients interviewed, 87% (2,843) responded to the question about having a physician.
Of 1,440 patients who stated that they had physicians, 45% (651) reported that the physician who cared for them was unaware of their substance abuse.
In multivariable logistic regressions adjusting for sociodemographics, health status, and substance abuse histories, the following patient characteristics were found to be independently associated with physician unawareness of substance abuse and were confirmed in a validation analysis (OR=Odds Ratio, CI=95% Confidence Interval) : no prior episodic medical illness (OR=1.98, CI=1.35-2.92), no heath insurance (OR=1.89, CI=1.33-2.70), no prior mental health treatment (OR=1.75, CI=1.06-2.88), no chronic medical illness (OR=1.69, CI=1.18-2.40), no prior substance abuse treatment (OR 1.64, Cl 1.17-2.31), and no prior detoxification (OR=1.54, CI=1.14-2.22).
Forty-five percent of patients with substance abuse serious enough to prompt a presentation for treatment stated that the physician who cared for them was unaware of their substance abuse. (...)
Mots-clés Pascal : Toxicomanie, Alcoolisme, Diagnostic, Médecin, Soin santé primaire, Prise conscience, Personnel sanitaire, Homme
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Diagnosis, Physician, Primary health care, Awareness, Health staff, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0432526
Code Inist : 002B18H04. Création : 19/12/1997.