Reasons why trauma surgeons fail to screen for alcohol problems.
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.
Random-sample survey (n=241) of members of the American Association for the Surgery of Trauma.
Main Outcome Measures
Reported screening and counseling practices.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0280582
Code Inist : 002B03F. Création : 16/11/1999.