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Research Article

The general practitioner's role in AOD issues: overcoming individual, professional and systemic barriers

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Pages 223-230 | Published online: 12 Jul 2009

  • Fleming MF, Mundt MP, French MT, Manwell LB, Stauffacher EA, Barry KL. Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis. Alcohol Clin Exp Res 2002;26:36-43.
  • FlemingM, Manwell L, Barry K, AdamsW, Stauffacher E. Brief physician advice for alcohol problems in older adults: a randomised community-based trial. J Fam Pract 1999;48:378-84.
  • Jacka D, Clode D, Patterson S, Wyman K. Attitudes and practices of general practitioners training to work with drugusing patients. Drug Alcohol Rev 1999;18:287-91.
  • Roche A. Have efforts to improve medical students' drug and alcohol knowledge, skills and attitudes worked? Drug Alcohol Rev 1997;16:157-70.
  • Glanz A. the role of general practitioners in the treatment of drug misuse, with particular emphasis on the problem of HIV transmission [PhD thesis]. London: University of London, 1993.
  • Zweben J. Counselling issues in methadone maintenance treatment. J Psychoact Drugs 1991;23:177-91.
  • Groves P, Strang J. Why do general practitioners work with opiate misusers?: a qualitative study of high and low activity general practitioners. Drugs Educ Prev Policy 2001;8:132-9.
  • Silagy C, Ketteridge S. Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, issue 3 (last updated 12/1/98). Oxford: Cochrane Library, 1998.
  • Centre for Addiction and Mental Health. Managing alcohol, tobacco and other drug problems: a pocket guide for physicians and nurses. Toronto: University of Toronto, 2001.
  • MillerM, Draper G. Statistics on drug use in Australia 2000. Canberra: Australian Institute of Health and Welfare, 2001.
  • Young J, Ward J. Implementing guidelines for smoking cessation advice in Australia. Fam Pract 2001;18:14-20.
  • Stanton WR. Substance use: progression in the use of tobacco, alcohol and other drugs. In: Suva PA, Stanton WR, eds. From child to adult: the Dunedin multidisciplinary health and development study. Auckland: Oxford University Press, 1996:186-205.
  • Ministerial Council on Drug Strategy. National Alcohol Strategy: a plan for action 2001 to 2003-2004. Canberra: Commonwealth of Australia, 2001.
  • Stockwell T, Heale P, ChikritzhsTN, Dietze P, Catalano P. How much alcohol is drunk in Australia in excess of the new Australian alcohol guidelines? Med J Aust 2002; 176:91-2.
  • Roche AM, Deehan A. Women's alcohol consumption: emerging patterns, problems and public health implications. Drug Alcohol Rev 2002;21:169-78.
  • Ministerial Council on Drug Strategy. National Drug Strategic Framework 1998-1999 and 2002-2003 building partnerships: a strategy to reduce the harm caused by drugs in our community. Canberra: Commonwealth of Australia, 1998.
  • Analysis Section Pharmaceutical Benefits Branch. Expenditure and Prescriptions January 2001 to December 2001. Canberra: Commonwealth Department of Health and Ageing; 2001.
  • Topp L, Kaye S, BrunoR, et al. Australian drug trends 2001. IDRS findings of the illicit drug reporting system. Sydney: National Drug and Alcohol Research Centre, 2002.
  • Spooner C. The nature and treatment of psychoactive substance use disorders among adolescents [PhD thesis]. Sydney: University of New South Wales, 1999.
  • Hall W, TeessonM, LynskeyM, Degenhardt L. The 12-month prevalence of substance use and ICD-IO substance use disorders in Australian adults: findings from the National Survey of Mental Health and Wellbeing. Addiction 1999;94:1541-50.
  • Australian Bureau of Statistics. National survey of mental health and well-being of adults: users' guide 1997. Canberra: Australian Bureau of Statistics, 1998.
  • Holmwood C, McCabe D. Principles for the assessment, diagnosis and management of patients with co-existing mental health and substance use problems in the general practice setting. Adelaide: Primary Mental Health Care Australian Resource Centre, 2001.
  • The Smoking Cessation Clinical Practice Guideline Panel and Staff. The Agency for Health Care Policy and Research Smoking Cessation Practice Guideline. JAMA 1996; 275:1270-80.
  • Hindler C, Nazareth I, Kong M, Cohen J, Farmer R, Gerada C. Drug users' views on general practitioners. Br Med J 1995;310:302.
  • Fountain J, Strang J, Griffiths P, Powis B, Gossop M. Measuringmet and unmet need of drug misusers: integration of quantitative and qualitative data. Eur Addict Res 2000;6:97-103.
  • Kahan M, Wilson L, Becker L. Effectiveness of physicianbased interventions with problem drinkers: a review. Can Med Assoc J 1995:152:851-9.
  • Fleming MF, Barry KL, Manwell LB, et al. Brief physician advice for problem alcohol drinkers. A randomised controlled trial in community-based primary care practices. JAMA 1997;277:1039-45.
  • Richmond R, Heather N, Wodak A, Kehoe L, Webster I. Controlled evaluation of a general practice-based brief intervention for excessive drinking. Addiction 1995;90: 119-32.
  • Holder HD, Blose JO. The reduction of health care costs associated with alcoholism treatment. J Stud Alcohol 1992;53:293-302.
  • Anonymous. Health care intervention services: third formative report 1993. Albany, NY: New York State Office of Alcoholism and Substance Abuse Services, 1993.
  • US Department of Health and Human Services (USDHHS). Treating tobacco use and dependence: clinical practice guidelines. Rockville,MD: USDHHS, 2000.
  • Richmond R. Retracing the steps of Marco Polo: from clinical trials to diffusions of interventions for smokers. Addict Behav 1996;21:683-97.
  • Roche A, Guray C, Saunders JB. General practitioners' experiences of patients with drug and alcohol problems. Br J Addict 1991;86:263-75.
  • Aalto M, Pekuri P, Seppa K. Primary health care professionals' activity in intervening in patients' alcohol drinking: a patient perspective. Drug Alcohol Depend 2002;66:39-43.
  • Cherpitel CK, Soghikian K, Hurley LR Alcohol-related health services and identification of patients in the emergency department. Ann Emerg Med 1996;28:418-23.
  • Sheridan J, Strang J,Taylor N, Barber N. HIV Prevention and drug treatment services for drug misusers: a national study of community pharmacists' attitudes and their involvement in training. Addiction 1997;92:1737-48.
  • Shapiro H. Rapporteur summary. In: Barjolin J-C, Ford C (eds), Managing drug users in general practice. Why? How? London: Royal College of General Practitioners, 1996:8-9.
  • Richmond R, G-Novak K, Kehoe L, Calfas G, Mendelsohn CP, Wodak A. Effect of training on general practitioners; use of a brief intervention for excessive drinkers. Aust NZ J Public Health 1998;22:206-9.
  • LancasterT, Silagy C, Fowler G. Training health professionals in smoking cessation. Cochrane Database of Systematic Reviews, issue 2. Oxford: Cochrane Library, 2001.
  • Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systematic review of continuing medical education. JAMA 1995;274:700-5.
  • Davis DA,Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME: a review of 50 randomised controlled trials. JAMA 1992;268:1111-17.
  • SibleyJC, Sackett DL, NeufeldV, et al. A randomised trial of continuing medical education. N Engl J Med 1982; 306:511-15.
  • Bell J. Quality improvement for methadone maintenance treatment. Subst Use Misuse 2000;35:1735-6.
  • Groves P, Heuston J, Durand MA, Albery I, GossopM, Strang J. The identification and management of substance misuse problems by general practitioners. J Mental Health 1996;5:183-93.
  • Bell JR. Lessons from a training program for methadone prescribers. MedJ Aust 1995;162:143-4.
  • Chew G, Miflin B, Stradley A Queensland methadone prescribers training program. In: Dealing with drugs: ethics, economics and efficiency. The Second Window of Opportunity National Congress hosted by the Winter school in the sun: Brisbane: Alcohol and Drug Foundation of Queensland, 1995:73-8.
  • Allsop S, Bell J, Brough R, et al. Learning objectives for methadone prescribers. Canberra: Commonwealth Department of Health and Family Services, 1997.
  • Substance Misuse Management in General Practice. Developing a network to support GPs and other members of the primary health care team who work with substance misuse. 2001 [http://www.smmgp.demon.co.uk/index.htm], accessed 14 May 2002.
  • Boud P, Presser M. Key principles for high quality student learning in higher education--from a learning perspective. An Australian Universities Teaching Committee project. Paper presented at workshop: Information and communication technologies and their role in flexible learning. Sydney, 27 April 2001.
  • Richmond RL, Anderson P. Research in general practice for smokers and excessive drinkers in Australia and the UK. III. Dissemination of interventions. Addiction 1994;89:49-62.
  • Roche AM. What is this thing called work-force development? In: Roche AM, McDonald J, eds. Systems, settings, people: work-force development challenges for the alcohol and other drugs field. Adelaide: National Centre for Education and Training on Addiction, 2001:5-22.
  • NHS Centre for Reviews and Dissemination. Getting evidence into practice. Effect Health Care 1999;5:1-16.
  • Davis D, Thomas O'Brien MA, Freemantle N, et al. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282 867-74.
  • Ashenden R, Silagy C, Weller D. A systematic review of the effectiveness of promoting lifestyle change in general practice. FamPract 1997; 14:160-75.
  • Schofield MJ, Walsh RA, Sanson-Fisher RW. Training medical students in behavioural and cognitive strategies. Behav Change 1994;11:6-18.
  • Sanson-Fisher RW, Redman S, Walsh R, Mitchell K, Red ALA, Perkins JJ. Training medical practitioners in information transfer skills: the new challenge. Med Educ 1991 ;25:322-33.
  • Richmond R, Mendelsohn CP, Kehoe L. General practitioners' utilisation of a brief smoking cessation program following reinforcement contact after training: a randomised trial. PrevMed 1997 ;27-.27-83.
  • Bero LA, GrilIi R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings. Br Med J1998;317:465-8.
  • Johansson K, Bendtsen P, Akerlind I. Early intervention for problem drinkers: readiness to participate among general practitioners and nurses in Swedish primary health care. Alcohol Alcohol 2002;37:38-42.
  • Gorman DM,WernerJM, Jacobs LM, Duffiy SW. Evaluation of an alcohol education package for non-specialist health care and social workers. Br J Addict 1990;85: 223-33.
  • Roche A, Watt K, Fischer J. General practitioners' views of home detoxification. Drug and Alcohol Review 2001; 20:395-406.
  • Abouyanni G, Stevens LJ, Harris MF, et al. GP attitudes to managing drug- and alcohol-dependent patients: a reluctant role. Drug Alcohol Rev 2000;19:165-70.
  • Matheson C, Bond C, Mollison J. Attitudinal factors associated with community pharmacists' involvement in services for drug misusers. Addiction 1999;94:1349-59.
  • Joint Consultative Committee in Psychiatry. Primary care psychiatry: the last frontier--a report of the joint consultative committee in psychiatry. Adelaide: Australian Government Publishing Service, Primary Mental Health Care Resource Centre, Flinders University of South Australia, 1997.
  • Harris MF, Davies GP. Shared care through divisions of general practice: moving forward. Med J Aust 1999;171: 85-8.
  • Copeland J. Shared care in the management of alcohol and other drug-related disorders: a review of the literature. The Mental Health Shared Care Network commitment to divisions of general practice. Sydney: School of Community Medicine, University of New South Wales, 1998.
  • Robbins H, Krakow M. Evolution of a comprehensive tobacco control program: building system capacity and strategic partnerships--lessons from Massachusetts. Tobacco Control 2000;9:423-30.
  • McCaw B, Herman WH, Syme SL, Hunkeler EF. Beyond screening for domestic violence a systems model approach in a managed care setting. Am J Prev Med 2001;21:170-6.
  • Wood C. Drug treatment empowering GPs. Connexions 1998/1999;19:13-17.
  • Fiellin DA, O'Connor PG, ChawarskiM, Fakes JP, Pantalon MV, Schottenfeld RS. Methadone maintenance in primary care--a randomised controlled trial. JAMA 2001;286:1724-31.
  • Groves P, Heuston J, Albery I, Gerada C, Gossop M, Strang J. Evaluation of a service to strengthen primary care responses to substance-misusing patients: welcomed, but little impact. Drugs Educ Prev Policy 2002;9:21-33.
  • Huffman JA, Moolchan ET. The phases of treatment model for methadone maintenance: implementation and evaluation. JfPsychoact Drugs 1994;26:181-97.
  • Heuston J, Groves P, Al Nawad J, Albery I, Gossop M, Strang J. Caught in the middle: receptionists and their dealings with substance misusing patients. J Subst Use 2001;6:1511-1571.
  • Carnegie M, Gomel M, Saunders J, Britt H, Burns L. General practice receptionists' attitudes and beliefs towards preventive medicine before and after training and support interventions. FamPract 1996;13:504-10.
  • Gruer L,Wilson P, Scott R, et al. General practitioner centred scheme for treatment of opiate dependent drug injectors in Glasgow. Br MedJ 1997;314:1730.
  • Bell J. Training health professionals to deliver methadone treatment. In: Ward J, Mattick RP HaIlW, eds. Methadone maintenance treatment and opioid replacement therapies. Amsterdam: Harwood Academic Publishers, 1998:361-78.
  • Dwyer P, Allsop S, Reilly D. Work-force issues for rural health professionals. In: Griffiths S, Dunn P, Ramanathan S, eds. Drug and alcohol services in rural and remote Australia. Wagga Wagga, NSW: Australian Rural Health Research Institute, 1998:55-64.
  • Department of Health and Ageing. Better outcomes in mental health care. 2001 [http://www.kdgp.com.au/news/bhri/mental%20health%20 fact%20sheet%20-%20Nov%202001.pdf], accessed 8 May 2002.
  • Hughes R. Australian public health nutrition work-force project. In Touch, Public Health Association 2001;March 2001:9.
  • National Public Health Partnerships (NPHPs). Factors in public health work-force development: investment decisions. Melbourne: NPHP, 2001.
  • Australian Research Centre in Sex Health and Society. Who are the community-based HIV/hepatitis C education workforce? Melbourne: Latrobe University, 2000.
  • Cochrane D.The future healthcare work-force project and its influence on work-force reform in the United Kingdom. Sydney: Paper presented to the Health Leaders Network, 16 March 2001.
  • Barjolin J, Ford C. Managing drug users in general practice. Why? How? London: Royal College of General Practitioners, 1996.
  • Australian Bureau of Statistics. National Health Survey Aboriginal andTorres Strait Islander: results: report no: ABS catalogue no. 2039.0. Canberra: Australian Bureau of Statistics, 1999.
  • Hornblow A. The New Zealand health work-force: a stocktake of issues and capacity, 2001. Wellington: Health Work-force Advisory Committee, 2002.

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