This review examines the role of the general practitioner in assisting patients to stop smoking and in reducing levels of excessive drinking.
After over a decade of clinical trials, we discuss what interventions work in general practice and interpret the results of clinical trials conducted predominantly in Australia and the UK.
Studies have generally found a superiority of GPs' brief advice over non-intervention groups.
Very brief GP advice results in smoking abstinence rates from 5% to 10%, reduction in alcohol consumption of around 25-35% and reduction in proportions of excessive drinkers of around 45%. The greater investment of GPs' time and the more comprehensive interventions which include follow up usually resulted in higher abstinence rates among smokers from between 20% to 36%, and reduction in proportions of excessive drinkers of up to 60-70%.
Mots-clés Pascal : Alcoolisme, Tabagisme, Sevrage toxique, Efficacité traitement, Médecin généraliste, Rôle professionnel, Enquête, Homme
Mots-clés Pascal anglais : Alcoholism, Tobacco smoking, Poison withdrawal, Treatment efficiency, General practitioner, Occupational role, Inquiry, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0133022
Code Inist : 002B18I15. Création : 199406.