How Primary Care Providers Talk to Patients About Alcohol: A Qualitative Study
Kinsey A. McCormick, BA, Nancy E. Cochran, MD Anthony L. Back, MD, Joseph O.
Merrill, MD, MPH, Emily C. Williams, MPH, Katharine A. Bradley, MD, MPH
Provider discomfort and avoidance are important
barriers to evidence based brief alcohol counseling. Three themes were
identified: (1) providers often did not explore patient-disclosed
alcohol use; (2) advice about alcohol use was typically vague and/or
tentative in contrast to smoking-related advice, which was more common
and usually more clear and firm; and (3) discomfort on the part of the
provider was evident during alcohol-related discussions. Journal of General Internal Medicine; J GEN INTERN MED 2006; 21:966–972.
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