Physician beliefs about substance misuse and its treatment: Findings from a U.S. survey of primary care practitioners

Substance Use and Misuse

Volumn 40, Issue 8, 2005, Pages 1071-1084

  Johnson, Timothy P ^a,d,e   Booth, Alyse L ^b   Johnson, Patrick ^c,f  

^a UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^b ABA International   (United States)

^c DOWLING COLLEGE   (United States)

^d Survey Research Laboratory   (United States)

^e Department of Public Administration ^*  (United States)

^f Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Physician beliefs; Physician training; Primary care; Survey data; Treatment effectiveness

Indexed keywords

DRUG MISUSE; EVALUATION; FEMALE; GENERAL PRACTITIONER; HEALTH SURVEY; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT ATTITUDE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUALITY OF LIFE; REVIEW; SOCIOECONOMICS; SUBSTANCE ABUSE; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; DATA COLLECTION; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; PHYSICIANS, FAMILY; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME; UNITED STATES;

EID: 23044514595     PISSN: 10826084     EISSN: 15322491     Source Type: Journal    
DOI: 10.1081/JA-200030800     Document Type: Review

References (42)

1. American Association for Public Opinion Research. (2000). Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Ann Arbor, Michigan: American Association for Public Opinion Research.
2. Arborelius, E., Thakker, K. D. (1995). Why is it so difficult for general practitioners to discuss alcohol with patients? Fam. Pract. 12:419-422.
3. Bagnardi, V., Blangiardo, M., La Vecchia, C., Corrao, G. (2002). Alcohol consumption and the risk of cancer: a meta-analysis. Alcohol Res. Health 25:263-270.
4. Biemer, P. P., Lyberg, L. E. (2003). Introduction to Survey Quality. New York: John Wiley.
5. Brown, R. L., Carter, W. B., Gordon, M. J. (1987). Diagnosis of alcoholism in a simulated patient encounter by primary care physicians. J. Fam. Pract. 25:259-264.
6. Buchsbaum, D. G., Buchanan, R. G., Poses, R. M., Schnell, S. H., Lawton, M. J. (1992). Physician detection of drinking problems in patients attending a general medicine practice. J. Gen. Intern Med. 7:517-521.
7. Chappel, I. N. (1973). Attitudinal barriers to physician involvement with drug abusers. JAMA 224:1011-1013.
8. Cook, R. T. (1998). Alcohol abuse, alcoholism, and damage to the immune system-a review. Alcohol Clin. Exp. Res. 22:1927-1942.
9. Cohen, J., Cohen, P., West, S. G., Aiken, L. S. (2003). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. 3rd ed. Mahwah, NJ: Lawrence Erlbaum Associates.
10. Coulehan, J. L., Zettler-Segal, M., Block, M., McClelland, M., Schulberg, H. C. (1987). Recognition of alcoholism and substance abuse in primary care patients. Arch. Intern. Med. 147:349-352.
11. Deitz, D., Rohde, F., Bertolucci, D., Dufour, M. (1994). Prevalence of screening for alcohol use by physicians during routine physical examinations. Alcohol Health and Research World 18:162-168.
12. Downs, W. R., Robertson, J. F., Harrison, L. R. (1997). Control theory, labeling theory, and the delivery of services for drug abuse to adolescents. Adolescence 32:1-24.
13. Dufour, M. C., Stinson, F. S., Caces, M. F. (1993). Trends in cirrhosis morbidity and mortality: United States, 1979-1988. Semin. Liver Dis. 13(2):109-125.
14. Duszynski, K. R., Nieto, F. J., Valente, C. M. (1995). Reported practices, attitudes, and confidence levels of primary care physicians regarding patients who abuse alcohol and other drugs. Maryland Medical Journal 44:439-446.
15. Friedman, L. S., Johnson, B., Brett, A. S. (1990). Evaluation of substance-abusing adolescents by primary care physicians. Journal of Adolescent Health Care 11:227-230.
16. Felson, D. T., Kiel, D. P., Anderson, J. J., Kannel, W. B. (1988). Alcohol consumption and hip fractures: the Framingham Study. Am. J. Epidemiol. 128:1102-1110.
17. Fendrich, M., Johnson, T., Sudman, S., Wislar, J. S., Spiehler, V. (1999). The validity of drug use reporting in a high-risk community sample: a comparison of cocaine and heroin survey reports with hair tests. Am. J. Epidemiol. 149:955-62.
18. Gehshan, S. (1995). Missed opportunities for intervening in the lives of pregnant women addicted to alcohol or other drugs. JAMA 50:160-163.
19. Gfroerer, J. C., Epstein, J. F. (1999). Marijuana initiates and their impact on future drug abuse treatment need. Drug Alcohol Depend. 54:229-237.
20. Harwood, H., Fountain, D., Livermore, G. (1998). The Economic Costs of Alcohol and Drug Abuse in the United States, 1992. Rockville, MD: US Department of Health and Human Services.
21. Horgan, C., Skwara, K. C., Strickler, G. (2001). Substance Abuse: The Nation's Number One Health Problem. Princeton, NJ: Robert Wood Johnson Foundation.
22. Leckman, A. L., Umland, B. E., Blay, M. (1984). Prevalence of alcoholism in a family practice center. J. Fam. Pract. 18:867-870.
23. Levin, S. M., Sullivan, E., Fleming, M. (1998). A Guide to Substance Abuse Services for Primary Care Clinicians. Rockville, MD: Center for Substance Abuse Treatment.
24. Lucas, E. G. (1987). Alcohol in industry. BMJ 291:460-461.
25. Manwell, L. B., Fleming, M. F., Johnson, K., Barry, K. L. (1998). Tobacco, alcohol, and drug use in a primary care sample: 90-day prevalence and associated factors. J. Addict. Dis. 17:67-81.
26. Marcell, A. V., Halpern-Fellsher, B., Coriell, M., Millstein, S. G. (2001). Physicians' attitudes and beliefs concerning alcohol abuse prevention in adolescents. Am. J. Prev. Med. 22:49-55.
27. McGinnis, J. M., Foege, W. (1993). Actual causes of death in the United States. JAMA 270:2207-2212.
28. National Center on Addiction and Substance Abuse. (2000). Missed Opportunity: National Survey of Primary Care Physicians and Patients on Substance Abuse. New York: Columbia University.
29. Pasko, T., Seidman, B., Birkhead, S. (2000). Physician Characteristics and Distribution in the US. American Medical Association.
30. Ramstedt, M. (2001). Alcohol and suicide in 14 European countries. Addiction 96(Supplement):S59-S75.
31. Reid, A. L. A., Webb, G. R., Hennrikus, D., Fahey, P. P., Sanson-Fisher, R. W. (1986). Detection of patients with alcohol intake by general practitioners. BMJ 293:735-737.
32. Rossow, I. (2001). Alcohol and homicide: a cross-cultural comparison of the relationship in 14 European countries. Addiction 96(Supplement):S77-S92.
33. Rydon, P., Redman, S., Sanson-Fisher, R. W., Reid, A. L. A. (1992). Detection of alcohol-related problems in general practice. J. Stud. Alcohol. 53:177-202.
34. Schorling, J. B., Buchsbaum, D. G. (1997). Screening for alcohol and drug abuse. Med. Clin. North Am. 81:845-866.
35. Sherin, K. M., Piotrowski, Z. H., Panek, S. M., Doot, M. C. (1982). Screening for alcoholism in a community hospital. J. Fam. Pract. 15:1091-1095.
36. Thorn, B., Tellez, C. (1986). A difficult business: detecting and managing alcohol problems in general practice. British Journal of Addiction 81:405-418.
37. US Department of Health and Human Services (2000). Tenth Special Report to the US Congress on Alcohol and Health. Washington, DC: National Institute on Alcohol Abuse and Alcoholism.
38. Weisner, C., Mertens, J., Parthasarathy, S., Moore, C., Lu, Y. (2001). Integrating primary medical care with addiction treatment: a randomized controlled trial. JAMA 286:1715-1723.
39. Weller, D. P., Litt, J. C. B., Pols, R. G., Ali, R. L., Southgate, D. O., Harris, R. D. (1992). Drug and alcohol related health problems in primary care-what do GPs think? Med. J. Aust. 156:43-48.
40. Woodall, H. E. (1988). Alcoholics remaining anonymous: resident diagnosis of alcoholism in a family practice center. J. Fam. Pract. 26:293-296.
41. York, J. L., Hirsch, J. A. (1997). Association between blood pressure and lifetime drinking patterns in moderate drinkers. J. Stud. Alcohol 58:480-485.
42. Ziring, D. J., Adler, A. G. (1991). Alcoholism: are you missing the diagnosis? Postgrad. Med. 89:139-145.