SBIRT in Emergency Care Settings: Are We Ready to Take it to Scale?

SBIRT in Emergency Care Settings: Are We Ready to Take it to Scale?
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DOI:
10.1111/j.1553-2712.2009.00549.x
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发表时间:
2009-11-01
影响因子:
4.4
通讯作者:
Saitz, Richard
Saitz, Richard
中科院分区:
医学3区
文献类型:
--
作者:
Bernstein, Edward;Bernstein, Judith A.;Saitz, Richard

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本文总结了一个小组讨论“SBIRT在急诊护理设置:我们准备好采取规模?Edward伯恩斯坦博士评论了急诊科(艾德)筛查、短暂干预(BI)和转诊治疗(SBIRT)研究、实践和知识转化的历史发展。Jack Stein博士谈到了SBIRT赠款计划迄今为止的进展情况、报销流程、SBIRT吸取的教训和未回答的问题。Richard Saitz博士回顾了酒精和药物艾德筛查和BI证据的局限性,并警告在没有足够样本量和临床重要结局的随机对照试验证据的情况下进行实践和广泛传播的危险。
This article summarizes a panel discussion on "SBIRT in the emergency care setting: are we ready to take it to scale?" Dr. Edward Bernstein commented on the historical developments of emergency department (ED) screening, brief intervention (BI), and referral to treatment (SBIRT) research, practice, and knowledge translation. Dr. Jack Stein addressed SBIRT grant program progress to date, the reimbursement stream, SBIRT lessons learned, and unanswered questions. Dr. Richard Saitz reviewed the limitations of the evidence for alcohol and drug ED screening and BI and cautioned on the danger of proceeding to practice and broad dissemination without evidenced based on randomized controlled trials with sufficient sample size and clinically important outcomes.