Show simple item record

 
dc.contributorDepartament de Salut
dc.contributor.authorColom-Farran, Joan
dc.contributor.authorScafato, Emanuele
dc.contributor.authorSegura-García, Lidia
dc.contributor.authorGandin, Claudia
dc.contributor.authorStruzzo, Pierluigi
dc.date.accessioned2022-03-07T11:03:36Z
dc.date.available2022-03-07T11:03:36Z
dc.date.issued2014-11-11
dc.identifier.citationColom J, Scafato E, Segura L, Gandin C, Struzzo P. Brief interventions implementation on alcohol from the European health systems perspective. Front Psychiatry. 2014 Nov 11;5:161.
dc.identifier.issn1664-0640
dc.identifier.urihttp://hdl.handle.net/11351/7119
dc.descriptionAlcohol; Brief interventions; Health system
dc.description.abstractAlcohol-related health problems are important public health issues and alcohol remains one of the leading risk factors of chronic health conditions. In addition, only a small proportion of those who need treatment access it, with figures ranging from 1 in 25 to 1 in 7. In this context, screening and brief interventions (SBI) have proven to be effective in reducing alcohol consumption and alcohol-related problems in primary health care (PHC) and are very cost effective, or even cost-saving, in PHC. Even if the widespread implementation of SBI has been prioritized and encouraged by the World Health Organization, in the global alcohol strategy, the evidence on long term and population-level effects is still weak. This review study will summarize the SBI programs implemented by six European countries with different socio-economic contexts. Similar components at health professional level but differences at organizational level, especially on the measures to support clinical practice, incentives, and monitoring systems developed were adopted. In Italy, cost-effectiveness analyses and Internet trials shed new light on limits and facilitators of renewed, evidence-based approaches to better deal with brief intervention in PHC. The majority of the efforts were aimed at overcoming individual barriers and promoting health professionals' involvement. The population screened has been in general too low to be able to detect any population-level effect, with a negative impact on the acceptability of the program to all stakeholders. This paper will present a different point of view based on a strategic broadening of the implemented actions to real inter-sectoriality and a wider holistic approach. Effective alcohol policies should strive for quality provision of health services and the empowerment of the individuals in a health system approach.
dc.language.isoeng
dc.publisherFrontiers Research Foundation
dc.relation.ispartofseriesFrontiers in Psychiatry;5
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.sourceScientia
dc.subjectAlcoholisme - Prevenció
dc.subjectAtenció primària
dc.subjectTelemedicina
dc.subject.meshAlcoholism
dc.subject.mesh/prevention & control
dc.subject.meshTelemedicine
dc.subject.meshPrimary Health Care
dc.titleBrief interventions implementation on alcohol from the European health systems perspective
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3389/fpsyt.2014.00161
dc.subject.decsalcoholismo
dc.subject.decs/prevención & control
dc.subject.decstelemedicina
dc.subject.decsatención primaria de la salud
dc.relation.publishversionhttps://doi.org/10.3389/fpsyt.2014.00161
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.authoraffiliation[Colom J, Segura L] Programa d’Abús de Substàncies, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. [Scafato E, Gandin C] Istituto Superiore di Sanità, Rome, Italy. [Struzzo P] Regional Centre for the training in Primary Care (Ceformed), Monfalcone, Italy. Department of Life Sciences, University of Trieste, Trieste, Italy
dc.identifier.pmid25426083
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record