Use of an Electronic Clinical Reminder for Brief Alcohol Counseling is Associated with Resolution of Unhealthy Alcohol Use at Follow-Up Screening
Use of an Electronic Clinical Reminder for Brief Alcohol Counseling is Associated with Resolution of Unhealthy Alcohol Use at Follow-Up Screening
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使用电子临床提醒进行简短的酒精咨询与后续筛查中不健康饮酒问题的解决相关
DOI：
10.1007/s11606-009-1100-z
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发表时间：
2010
影响因子：
5.7
通讯作者：
K. Bradley
中科院分区：
文献类型：
--
作者：
E. Williams;Gwen Lapham;C. Achtmeyer;B. Volpp;D. Kivlahan;K. Bradley
简要的酒精咨询是美国最重要的预防优先事项，但没有医疗保健系统已将其纳入日常护理。本研究评估了电子临床提醒简短的酒精咨询（“提醒”）的有效性。具体的目的是（1）确定使用的提醒和（2）评估是否使用的提醒与决议不健康的酒精使用在后续screening. METHODS提醒的普及实施于2004年2月在8个VA诊所，供应商常规使用临床提醒。符合这项回顾性队列研究条件的患者在AUDIT-C酒精筛查问卷（2004年2月至2006年4月）上筛查为阳性，并在1-36个月的随访期间重复AUDIT-C（平均14.5）。酒精咨询临床提醒的使用是从次级电子数据中测量的。不健康饮酒的消退定义为随访时筛查阴性，AUDIT-C评分降低≥2分。Logistic回归分析用于确定调整后的比例谁解决了不健康的酒精使用在那些有和没有提醒use. STSAmong 4，198参与者谁筛选不健康的酒精使用阳性，71%的使用酒精咨询临床提醒记录在他们的医疗记录。解决不健康饮酒的患者调整比例为31%（95% CI 30-33%）和28%（95% CI 25-30%），对于使用和不使用提醒的患者（p值= 0.031）结论：简短的酒精咨询临床提醒用于大多数不健康饮酒的患者，并与随访时饮酒量的适度减少相关。起来
BACKGROUND/OBJECTIVEBrief alcohol counseling is a foremost US prevention priority, but no health-care system has implemented it into routine care. This study evaluated the effectiveness of an electronic clinical reminder for brief alcohol counseling (“reminder”). The specific aims were to (1) determine the prevalence of use of the reminder and (2) evaluate whether use of the reminder was associated with resolution of unhealthy alcohol use at follow-up screening.METHODSThe reminder was implemented in February 2004 in eight VA clinics where providers routinely used clinical reminders. Patients eligible for this retrospective cohort study screened positive on the AUDIT-C alcohol screening questionnaire (February 2004–April 2006) and had a repeat AUDIT-C during the 1–36 months of follow-up (mean 14.5). Use of the alcohol counseling clinical reminder was measured from secondary electronic data. Resolution of unhealthy alcohol use was defined as screening negative at follow-up with a ≥2-point reduction in AUDIT-C scores. Logistic regression was used to identify adjusted proportions of patients who resolved unhealthy alcohol use among those with and without reminder use.RESULTSAmong 4,198 participants who screened positive for unhealthy alcohol use, 71% had use of the alcohol counseling clinical reminder documented in their medical records. Adjusted proportions of patients who resolved unhealthy alcohol use were 31% (95% CI 30–33%) and 28% (95% CI 25–30%), respectively, for patients with and without reminder use (p-value = 0.031).CONCLUSIONSThe brief alcohol counseling clinical reminder was used for a majority of patients with unhealthy alcohol use and associated with a moderate decrease in drinking at follow-up.
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影响初级保健医生使用酒精滥用预防干预措施变化的患者因素。
DOI：
10.15288/jsa.1996.57.203
发表时间：
1996
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
Volk,RJ;Steinbauer,JR;Cantor,SB
通讯作者：
Cantor,SB
婚姻状况是否预示着长期饮酒？
DOI：
10.15288/jsa.2004.65.255
发表时间：
2004
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
Matzger,Helen;Delucchi,Kevin;Weisner,Constance;Ammon,Lyndsay
通讯作者：
Ammon,Lyndsay
影响因子：
--
作者：
Ockene, JK;Adams, A;Hebert, JR
通讯作者：
Hebert, JR
在退伍军人健康管理局实施循证酒精筛查。
DOI：
--
发表时间：
2006
期刊：
The American journal of managed care
影响因子：
--
作者：
Bradley,KatharineA;Williams,EmilyC;Achtmeyer,CarolE;Volpp,Bryan;Collins,BonnyJ;Kivlahan,DanielR
通讯作者：
Kivlahan,DanielR