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  1. Reasons why trauma surgeons fail to screen for alcohol problems.

    Article - En anglais

    Background 

    Alcohol screening and intervention have been recommended as routine components of trauma care but are rarely performed.

    Hypothesis : An association exists between current screening and counseling practices and the trauma surgeon's knowledge, attitude, and perceived role and responsibility toward alcohol problems.

    Participants 

    Random-sample survey (n=241) of members of the American Association for the Surgery of Trauma.

    Main Outcome Measures 

    Reported screening and counseling practices.

    Results 

    Fifty-four percent of respondents screened 25% or fewer patients, while only 29% screened most patients.

    The most common reason for not screening was lack of time.

    Most (76%) were not familiar with the most common clinically used screening questionnaires, and 83% reported no training in alcohol screening.

    Screening was more likely if attending physicians perceived a major responsibility for screening (P<. 001).

    Nonscreeners were twice as likely to state screening was « not what I was trained to do »and more frequently believed screening offends patients (P=001).

    Independent predictors of screening were perceived major role responsibility (odds ratio [OR], 2.35 ; 95% confidence interval [CI], 1.38-4.01) and confidence in screening ability (OR, 1.96 ; 95% CI, 1.05-3.67) and counseling ability (OR, 2.27 ; 95% Cl, 1.34-3.85).

    Eighty-eight percent of respondents would be willing to devote time to training if shown that counseling is effective. (...)

    Mots-clés Pascal : Dépistage, Alcool, Alcoolisme, Chirurgien, Traumatologie, Pratique professionnelle, Enquête, Homme

    Mots-clés Pascal anglais : Medical screening, Alcohol, Alcoholism, Surgeon, Traumatology, Professional practice, Survey, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0280582

    Code Inist : 002B03F. Création : 16/11/1999.