Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Addict Dis. 2008;27(3):77-97. doi: 10.1080/10550880802122687.

Encouraging physicians to screen for and intervene in substance use disorders: obstacles and strategies for change.

Author information

  • 1Department of Public Policy and Primary Prevention, American Medical Association, 515 North State Street, Chicago, IL 60610, USA. Richard.Yoast@ama-assn.org

Abstract

The scientific literature was reviewed to identify obstacles and effective ways to improve primary care physician screening, interventions, and management of patient substance use disorders (SUDs). Major obstacles identified are physician lack of skills and self-efficacy in patient counseling, inadequate training at all levels of medical education, and lack of reimbursement and other health care systems support for services to patients. Physician abuse of drugs does not appear to be a major obstacle. Physician attitudes about patients with SUDS and the effectiveness of treatment services need to be addressed. Research points to the use of a multifaceted change strategy. Key components include practice-based training emphasizing screening and counseling skills throughout medical education, clinical systems to ensure regular SUD services (screening, intervention, and referral) to patients, and reimbursement and coverage systems to support physician interventions and patient services.

PMID:
18956531
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon
    Loading ...
    Write to the Help Desk