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[Provision of healthcare for people with risky alcohol use and severe alcohol use disorders in the state of Bremen, Germany: demand and guideline concordance?] / Versorgung von Personen mit riskantem Alkoholkonsum und schwerer Alkoholkonsumstörung in Bremen: bedarfsgerecht und leitlinienkonform?
Manthey, Jakob; Lindemann, Christina; Verthein, Uwe; Frischknecht, Ulrich; Kraus, Ludwig; Reimer, Jens; Grün, Annett; Kiefer, Falk; Schulte, Bernd; Rehm, Jürgen.
Afiliación
  • Manthey J; Institut für Klinische Psychologie und Psychotherapie, TU Dresden, Chemnitzer Straße 46, 01187, Dresden, Deutschland. jakob.manthey@tu-dresden.de.
  • Lindemann C; Zentrum für Interdisziplinäre Suchtforschung (ZIS), Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland. jakob.manthey@tu-dresden.de.
  • Verthein U; Zentrum für Interdisziplinäre Suchtforschung (ZIS), Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland.
  • Frischknecht U; Zentrum für Interdisziplinäre Suchtforschung (ZIS), Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland.
  • Kraus L; Feuerlein Centrum für Translationale Suchtmedizin, Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.
  • Reimer J; IFT Institut für Therapieforschung, München, Deutschland.
  • Grün A; Department for Public Health Sciences, Stockholm University, Stockholm, Schweden.
  • Kiefer F; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Ungarn.
  • Schulte B; Zentrum für Interdisziplinäre Suchtforschung (ZIS), Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland.
  • Rehm J; Gesundheit Nord, Bremen, Deutschland.
Article en De | MEDLINE | ID: mdl-31828370
BACKGROUND: Early detection of risky alcohol use and severe alcohol use disorders (AUDs) is crucial to avoid adverse health consequences. The German "Guidelines on Screening, Diagnosis and Treatment of Alcohol Use Disorders" recommend to routinely screen patients for hazardous alcohol use and to subsequently conduct brief interventions, for example in primary healthcare. For severe AUDs, provision of withdrawal treatment is recommended in inpatient settings if complications are anticipated. OBJECTIVES: To estimate the proportion of people with hazardous alcohol use or severe AUDs receiving healthcare as stipulated by the guidelines. MATERIALS AND METHODS: The prevalence of hazardous use (female ≥12 g; male ≥24 g) and severe AUDs (female ≥60 g; male ≥90 g) was estimated using per capita consumption of pure alcohol. Treatment rates were estimated using survey data (for hazardous use) and inpatient admissions (for severe AUDs). All estimates refer to the adult population (15 years or older) of the federal state of Bremen for 2016. RESULTS: Physicians screened 2.9% of all people with hazardous alcohol use and conducted brief interventions with 1.4%. Among people with severe AUDs, 7.1% received inpatient treatment. Among people with severe AUDs who required inpatient treatment, 14.1% received withdrawal treatment in inpatient settings. Treatment rates below average were registered among 21- to 39-year-olds. CONCLUSIONS: In Bremen, provision of guideline-conform healthcare for hazardous alcohol use and severe AUDs is insufficient, especially among 21- to 39-year-olds.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Trastornos Relacionados con Alcohol Tipo de estudio: Etiology_studies / Guideline / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: De Revista: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Trastornos Relacionados con Alcohol Tipo de estudio: Etiology_studies / Guideline / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: De Revista: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article