Alcohol screening and brief intervention: dissemination strategies for medical practice and public health
Alcohol screening and brief intervention: dissemination strategies for medical practice and public health
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DOI：
10.1046/j.1360-0443.2000.9556773.x
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发表时间：
2000-05-01
期刊：
影响因子：
6
通讯作者：
Higgins-Biddle, JC
中科院分区：
文献类型：
--
作者：
Babor, TF;Higgins-Biddle, JC
本文介绍了危险饮酒的概念，并考虑了酒精筛查和简短干预（SBI）在医疗实践和有组织的医疗保健系统中减少酒精相关问题的潜力。回顾了这种方法背后的研究证据，然后在临床预防服务的公共卫生模型的背景下讨论了将 SBI 传播到医疗保健系统的潜在策略。人们逐渐达成共识，认为应该在一般医疗保健环境中推广 SBI，但需要进一步研究来确定实现广泛传播的最佳方法。为了提供与 SBI 相关的综合模型，传播策略针对三个目标群体进行了讨论：(1) 个体患者和从业者； (2) 卫生保健机构和卫生系统； (3) 社区和公众。传播策略从社会变革、社会科学、商业营销和教育领域考虑，考虑其将 SBI 创新转化为常规临床实践的潜力。本文所评论的方法中隐含的一个总体策略是将酒精 SBI 嵌入到更广泛的预防性卫生服务中，其效用越来越被认为是更传统临床医学的重要补充。
This paper introduces the concept of risky drinking and considers the potential of alcohol screening and brief intervention (SBI) to reduce alcohol-related problems in medical practice and in organized systems of health care. The research evidence behind this approach is reviewed Potential strategies for the dissemination of SBI to systems of health care are then discussed within the context of a public health model of clinical preventive services. There is an emerging consensus that SBI should be promoted in general healthcare settings, but further research is needed to determine the best ways to achieve widespread dissemination. In an attempt to provide an integrative model that is relevant to SBI, dissemination strategies are discussed far three target groups: (1) individual patients and practitioners; (2) health care settings and health systems; and (3) the communities and the general population. Dissemination strategies are considered from the fields of social change, social science, commercial marketing and education in terms of their potential for translating SBI innovations into routine clinical practice. One overarching strategy implicit in the approaches reviewed in this article is to embed alcohol SBI in the more general context of preventive health services, the utility of which is becoming increasingly recognized as a critical supplement to more traditional clinical medicine.