DOI: https://doi.org/10.30841/2307-5112.1-2.2020.204396

Updated Positions of Consultancy of the Patient with Drinking Alcohol Problems in the Family Doctor’s Practice (Based on European Experience)

Л. С. Бабінець

Abstract


Alcohol use causes many health disorders and other problems. The family physician and his/her staff play an indispensable role in the early detection of dangerous and harmful alcohol in their patients. The purpose is to analyze the current provisions of counseling the patient on the problem of alcohol use in clinical practice by a family doctor, as well as to formulate this skill in the process of teaching based on a European (Croatian) protocol for managing this problem in primary medical practice. The risks and consequences of drinking are an extremely big health problem because of its prevalence and severity. Managing such issues requires a holistic approach from patients, families and the entire community to its institutions and organizations. All physicians, especially family physicians with their staff, who play an essential role in the prevention and, in particular, the early detection of dangerous and harmful alcohol consumption, play a very important role in this. Every doctor, regardless of their specialty, must adopt a basic approach to dealing with alcohol problems. The main tasks of physicians in this situation are the following: ask, evaluate, provide advice, obtain consent and compliance with the patient, provide protocol assistance, and follow-up.

Keywords


alcohol abuse; counseling of patients; questioning; tactics of small interventions; practice of family doctor

References


Addiction Severity Index – Europe ASI. Available at: http://www.enotes.com/addiction-severity-index-asi-reference/addiction-severity-index-asi (13.12.2012).

American Society of Addiction medicine. Definition of addiction. Available at: http://www.asam.org/research-treatment/definition-of-addiction (13.12.2012).

Anderson P, Gual A, Colom J. Alcohol and primary health care: Clinical guidelines on identification and brief interventions. Barcelona: Department of health of the government of Catalonia, 2005.

Baklaić Ž, Dečković Vukres V, Kuzman M. eds. Hrvatski zdravstveno-statistički ljetopis za 2010. godinu (Croatian health service year book 2010). Zagreb: Hrvatski zavod za javno zdravstvo, 2011.

Babor TF, Higgins-Biddle J, Saunders J, Monteiro MG. AUDIT – the alcohol use disorders identification test. Geneve: WHO, 2001.

Kaner EF, Dickinson HO, Beyer FR, Campbell F, Schlesinger C, Heather N, Saunders JB, Burnand B, Pienaar ED. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews 2007; 2: 164.

Kovše K. Poraba alkohola in kazalci škodljive rabe alkohola v Sloveniji v letu 2007 (Alcohol Consumption and Indicators of Harmful Use of Alcohol in Slovenia in 2007). Ljubljana: Inštitut za varovanje zdravja RS (Institute of Health Protection of Slovenia), 2009. Available at: www.ivz.si (13.12.2012).

Kolšek M. Pitje alkohola (Alcohol drinking). In: Švab I, Rotar-Pavlič D (Eds.). Družinska medicina (Family Medicine). Ljubljana: Združenje zdravnikov družinske medicine (Association of Family Physicians), 2012: 101-12.

Tiljak H. Bolesti ovisnosti (Addiction diseases). In: Budak A et al. Obiteljska medicina. Udžbenik za studente i priručnik za liječnike. 3. i dop. izd. (Family medicine. Textbook for students and manual for doctors. 3rd edit.). Zagreb: Medicinski fakultet Sveučilišta u Zagrebu, 2000: 187-92.

WHO Global Report. Management of substance abuse. Country profiles 2011. Available at: http://www.who.int/substance_abuse/publications/global_alcohol_report/profi les/hrv.pdf Country (13.12.2012).




Copyright (c) 2020 Л. С. Бабінець

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

ISSN 2412-8708 (Online), ISSN 2307-5112 (Print)

Flag Counter

ISSN (print): 2307-5112.