Barriers to Identification and Treatment of Hazardous Drinkers as Assessed by Urban/Rural Primary Care Doctors

References

• Fredrick , S S , Dufour , M C , Steffens , R A and DeBakey , S F . 1993 . Alcohol-related mortality in the United States, 1979–1989 . Alcohol Health Res World , 17 : 251 – 260 .
   Google Scholar
• Rice , P D . 1993 . The economic cost of alcohol abuse and alcohol dependence: 1990 . Alcohol Health Res World , 17 : 10 – 11 .
   Google Scholar
• National Institute of Diabetes and Digestive and Kidney Diseases . 1995 . “ Diabetes In America ” . In National Institutes of Health Ed. Diabetes in America, NIH Publication No. 95–1468, , 2nd edition , 1 – 11 . National Institutes of Health .
   Google Scholar
• Anderson , P , Cremona , A Paton , A . 1993 . The risk of alcohol . Addiction , 88 : 1493 – 1508 .
   PubMed Web of Science ®Google Scholar
• Bradley , K A , Donovan , D M and Larson , E B . 1993 . How much is too much? Advising patients about safe levels of alcohol consumption . Arch Intern Med. , 153 : 2734 – 2740 .
   PubMedGoogle Scholar
• Conner , P G . 1994 . The general internist . Alcohol Health Res World , 18 : 110 – 116 .
   Google Scholar
• Fleming , M F and Barry , K L . 1992 . “ Clinical overview of alcohol and drug disorders ” . In Addictive Disorders , Edited by: Fleming , M F and Barry , K L . 3 – 21 . St. Louis : Mosby Yearbook .
   Google Scholar
• Barry , K L and Fleming , M F . 1994 . The family physician . Alcohol Health Res World , 18 : 105 – 109 .
   PubMedGoogle Scholar
• Barry , K L and Fleming , M F . 1993 . The Alcohol Use Disorders Identification Test (AUDIT) and the SMAST-13: predictive validity in a rural primary care sample . Alcohol Alcohol , 28 : 33 – 42 .
   PubMed Web of Science ®Google Scholar
• Fleming , M F , Barry , K L Manwell , L B . 1997 . Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices . AMA. , 277 : 1039 – 1045 .
   PubMed Web of Science ®Google Scholar
• Leckman , A L , Umland , B E and Blay , M . 1984 . Prevalence of alcoholism in a family practice center . J Fam Pract , 18 : 867 – 870 .
   PubMed Web of Science ®Google Scholar
• Schorling , J B , Klas , P T , Willems , J P and Everett , A S . 1994 . Addressing alcohol use among primary care patients: differences between family medicine and internal medicine residents . J Gen Intern Med. , 9 : 248 – 254 .
   PubMed Web of Science ®Google Scholar
• US Department of Health and Human Services . 1997 . A Guide to Substance Abuse Services for Primary Care Clinicians , Washington, DC : US Government Printing Office . Treatment Improvement Protocol (TIP) Services 24. DHHS Pub No (SMA)97–3139
   Google Scholar
• Grant , A M , Niyonsenga , T Dion , I . 1998 . Cardiovascular disease. Physician attitudes toward prevention and treatment . Can Fam Physician , 44 : 780 – 787 .
   Google Scholar
• Cleary , P D , Miller , M Bush , B T . 1988 . Prevalence and recognition of alcohol abuse in a primary care population . Am J Med. , 85 : 466 – 471 .
   PubMed Web of Science ®Google Scholar
• Deitz , D , Rohde , F , Bertolucci , D and Dufor , M . 1994 . Prevalence of screening for alcohol use by physicians during routine physical examinations . Alcohol Health Res World , 18 : 162 – 168 .
   PubMed Web of Science ®Google Scholar
• Buchsbaum , D . 1994 . Effectiveness of treatment in general medicine patients with drinking problems . Alcohol Health Res World , 18 : 140 – 145 .
   PubMedGoogle Scholar
• Lairson , D R , Harrist , R Martin , D W . 1992 . Screening for patients with alcohol problems: severity of patients identified by the CAGE . J Drug Educ , 22 : 337 – 352 .
   PubMed Web of Science ®Google Scholar
• Salaspuro , M . 1994 . Biological state markers of alcohol abuse . Alcohol Health Res World , 18 : 131 – 134 .
   Google Scholar
• Searight , H R . 1992 . Screening for alcohol abuse in primary care: current status and research needs . Fam Pract Res J. , 12 : 193 – 204 .
   PubMedGoogle Scholar
• Wenrich , M D , Paauw , D S Carline , J D . 1995 . Do primary care physicians screen patients about alcohol intake using the CAGE questions? . J Gen Intern Med. , 10 : 631 – 634 .
   PubMed Web of Science ®Google Scholar
• Bradley , K A . 1994 . The primary care practitioner's role in the prevention and management of alcohol problems . Alcohol Health Res World , 18 : 97 – 103 .
   PubMedGoogle Scholar
• Dawson , D A . 1994 . Consumption indicators of alcohol dependence . Addiction , 89 : 345 – 350 .
   PubMed Web of Science ®Google Scholar
• Escobar , F , Espi , F and Canteras , M . 1995 . Diagnostic tests for alcoholism in primary health care: compared efficacy of different instruments . Drug Alcohol Depend , 40 : 151 – 158 .
   PubMed Web of Science ®Google Scholar
• Girela , E , Villanueva , E , Hernandez-Cueto , C and Luna , J D . 1994 . Comparison of the CAGE questionnaire versus some biochemical markers in the diagnosis of alcoholism . Alcohol Alcohol , 29 : 337 – 343 .
   PubMedGoogle Scholar
• Ford , D E , Klag , M J Whelton , P K . 1994 . Physician knowledge of the CAGE alcohol screening questions and its impact on practice . Alcohol Alcohol , 29 : 329 – 336 .
   PubMed Web of Science ®Google Scholar
• Geller , G , Levine , D M Mamon , J A . 1989 . Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism . JAMA , 261 : 3115 – 3120 .
   PubMed Web of Science ®Google Scholar
• Mehler , P S , McClellan , M D Lezotte , D . 1995 . Improving identification of and intervention for alcoholism . West J Med. , 163 : 335 – 340 .
   Google Scholar
• Gottlieb , N H , Mullen , P D and McAlister , A L . 1987 . Patients' substance abuse and the primary care physician: patterns of practice . Addict Behav , 12 : 23 – 32 .
   PubMed Web of Science ®Google Scholar
• Larme , A C and Pugh , J A . 1998 . Attitudes of primary care providers toward diabetes: barriers to guideline implementation . Diabetes Care , 21 : 1391 – 1396 .
   PubMed Web of Science ®Google Scholar
• Grant , B F . 1997 . Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample . J Stud Alcohol , 58 : 365 – 371 .
   PubMed Web of Science ®Google Scholar
• Bien , T H , Miller , W R and Tonigan , J S . 1993 . Brief interventions for alcohol problems: a review . Addiction , 88 : 315 – 335 .
   PubMed Web of Science ®Google Scholar
• Persson , J and Magnusson , P H . 1989 . Early intervention in patients with excessive consumption of alcohol: a controlled study . Alcohol , 6 : 403 – 408 .
   PubMed Web of Science ®Google Scholar
• National Council for Community Behavioral Healthcare . December 1997 . Primary care physicians report difficulty in obtaining mental health services , December , National Council News .
   Google Scholar
• American Psychiatric Association. 1994 . DSM-IV diagnostic and statistical manual of mental disorders, , 4th Edition. , Washington, DC : American Psychiatric Association .
   Google Scholar