Agile implementation of alcohol screening in primary care

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL BMC Family Practice Pub Date : 2024-07-11 DOI:10.1186/s12875-024-02500-7
Diana Summanwar, Chelan Ropert, James Barton, Rachael Hiday, Dawn Bishop, Malaz Boustani, Deanna Willis
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Abstract

Despite the United States Preventive Services Task Force recommendation to screen adults for unhealthy alcohol use, the implementation of alcohol screening in primary care remains suboptimal. A pre and post-implementation study design that used Agile implementation process to increase screening for unhealthy alcohol use in adult patients from October 2021 to June 2022 at a large primary care clinic serving minority and underprivileged adults in Indianapolis. In comparison to a baseline screening rate of 0%, the agile implementation process increased and sustained screening rates above 80% for alcohol use using the Alcohol Use Disorders Identification Test – Consumption tool (AUDIT-C). Using the agile implementation process, we were able to successfully implement evidence-based recommendations to screen for unhealthy alcohol use in primary care.
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在初级保健中敏捷实施酒精筛查
尽管美国预防服务工作组建议对成人进行不健康饮酒筛查,但酒精筛查在初级保健中的实施情况仍不理想。一项实施前和实施后的研究设计采用了敏捷实施流程,在 2021 年 10 月至 2022 年 6 月期间,在印第安纳波利斯一家为少数民族和贫困成年人提供服务的大型初级保健诊所中,增加了对成年患者的不健康饮酒筛查。与 0% 的基线筛查率相比,敏捷实施流程提高并维持了使用酒精使用障碍识别测试--消费工具(AUDIT-C)进行酒精使用筛查的 80% 以上的筛查率。利用敏捷实施流程,我们成功地实施了循证建议,在初级保健中筛查不健康的饮酒行为。
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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