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General Practitioners, Prevention and Alcohol - A powerful cocktail? Facilitators and inhibitors of practising preventive medicine in general and early intervention for alcohol in particular: A 12-nation key informant and general practitioner study

Lookup NU author(s): Professor Brian McAvoy, Professor Eileen KanerORCiD


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This study reports a qualitative investigation of the views of key informants (KIs) and general practitioners (GPs) on the nature and extent of preventive medicine and early alcohol intervention in general practice and the current barriers and potential facilitating factors that influence practice. Sixty-seven KIs and 126 GPs were interviewed in 12 countries. There was strong personal and professional support for GP-delivered preventive medicine in general and early intervention for alcohol problems in particular. Opinions differed on whether national health policies encouraged or discouraged GPs to do more preventive medicine. The two key areas identified for prevention were smoking and alcohol, although all but two countries thought that alcohol was the most difficult area for GPs to discuss with patients. KIs and GPs identified similar barriers and facilitating factors. The main barriers were time constraints, lack of financial reimbursement or incentives and insufficient training and education. The main facilitating factors were more societal concern about alcohol, proactive patients, more time, financial reimbursement and supportive government policy.

Publication metadata

Author(s): Kaner EF; McAvoy BR; Barfod S; Gache P; Donovan RJ; Jalleh G; Saunders JB; Wutzke SE; Lee N; Heather N; McCormick R

Publication type: Article

Publication status: Published

Journal: Drugs: Education, Prevention and Policy

Year: 2001

Volume: 8

Issue: 2

Pages: 103-117

ISSN (print): 0968-7637

ISSN (electronic): 1465-3370

Publisher: Informa Healthcare


DOI: 10.1080/096876301300101825


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