Do general practitioners record alcohol abuse in the electronic medical records?

A comparison of survey and medical record data

L. Abidi, A. Oenema, M. van den Akker, D. van de Mheen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective:
Primary care professionals are encouraged to screen patients for alcohol abuse. However, patients with alcohol abuse are often under-diagnosed as well as under-registered in medical records in general practices. This study aims to report on the registration rates of alcohol abuse diagnoses in general practices in comparison to patients' self-reported rates of alcohol use disorder.
Research design and methods:
Data of a total number of 2,349 patients were analyzed from the SMILE study, a large prospective cohort study conducted in The Netherlands. Two data collection strategies were combined: (1) Patient self-report data on alcohol consumption as well as other sociodemographic characteristics; (2) Medical record (ICPC codes) data of diagnoses of chronic and acute alcohol abuse of the same patients. GPs' registrations of diagnoses were compared with the self-report data using descriptive statistics.
Results:
Based on the results of the patient reported data, 179 (14.8%) male participants had an alcohol use disorder. Of the total number of female patients, 82 (7.2%) had an alcohol use disorder. One of the male and none of the female patients with an alcohol use disorder were registered as such by the GP.
Conclusions:
This study found that 11.1% of the total patient sample reported an alcohol use disorder, of which a strikingly low number of patients were recorded as such by their GP. It is likely that low recognition due to barriers related to alcohol screening as well as registration avoidance due to the stigma around alcohol abuse play a role in low registration.
Original languageEnglish
Pages (from-to) 567-572
JournalCurrent Medical Research & Opinion
Volume34
Issue number3
DOIs
Publication statusPublished - 2018

Fingerprint

Electronic Health Records
General Practitioners
Alcoholism
Medical Records
Alcohols
General Practice
Self Report
Surveys and Questionnaires
Alcohol Drinking
Netherlands

Keywords

  • AUDIT-C
  • Alcohol abuse
  • BRIEF INTERVENTION
  • COMPLETENESS
  • DEPENDENCE
  • DOCUMENTATION
  • IMPLEMENTATION
  • PRIMARY-CARE
  • PROFESSIONALS
  • RECOGNITION
  • USE DISORDERS
  • diagnoses
  • general practice

Cite this

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title = "Do general practitioners record alcohol abuse in the electronic medical records?: A comparison of survey and medical record data",
abstract = "Objective: Primary care professionals are encouraged to screen patients for alcohol abuse. However, patients with alcohol abuse are often under-diagnosed as well as under-registered in medical records in general practices. This study aims to report on the registration rates of alcohol abuse diagnoses in general practices in comparison to patients' self-reported rates of alcohol use disorder.Research design and methods: Data of a total number of 2,349 patients were analyzed from the SMILE study, a large prospective cohort study conducted in The Netherlands. Two data collection strategies were combined: (1) Patient self-report data on alcohol consumption as well as other sociodemographic characteristics; (2) Medical record (ICPC codes) data of diagnoses of chronic and acute alcohol abuse of the same patients. GPs' registrations of diagnoses were compared with the self-report data using descriptive statistics.Results: Based on the results of the patient reported data, 179 (14.8{\%}) male participants had an alcohol use disorder. Of the total number of female patients, 82 (7.2{\%}) had an alcohol use disorder. One of the male and none of the female patients with an alcohol use disorder were registered as such by the GP.Conclusions: This study found that 11.1{\%} of the total patient sample reported an alcohol use disorder, of which a strikingly low number of patients were recorded as such by their GP. It is likely that low recognition due to barriers related to alcohol screening as well as registration avoidance due to the stigma around alcohol abuse play a role in low registration.",
keywords = "AUDIT-C, Alcohol abuse, BRIEF INTERVENTION, COMPLETENESS, DEPENDENCE, DOCUMENTATION, IMPLEMENTATION, PRIMARY-CARE, PROFESSIONALS, RECOGNITION, USE DISORDERS, diagnoses, general practice",
author = "L. Abidi and A. Oenema and {van den Akker}, M. and {van de Mheen}, D.",
year = "2018",
doi = "10.1080/03007995.2018.1424623",
language = "English",
volume = "34",
pages = "567--572",
journal = "Current Medical Research & Opinion",
issn = "0300-7995",
publisher = "Taylor and Francis Ltd.",
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}

Do general practitioners record alcohol abuse in the electronic medical records? A comparison of survey and medical record data. / Abidi, L.; Oenema, A.; van den Akker, M.; van de Mheen, D.

In: Current Medical Research & Opinion, Vol. 34, No. 3, 2018, p. 567-572.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Do general practitioners record alcohol abuse in the electronic medical records?

T2 - A comparison of survey and medical record data

AU - Abidi, L.

AU - Oenema, A.

AU - van den Akker, M.

AU - van de Mheen, D.

PY - 2018

Y1 - 2018

N2 - Objective: Primary care professionals are encouraged to screen patients for alcohol abuse. However, patients with alcohol abuse are often under-diagnosed as well as under-registered in medical records in general practices. This study aims to report on the registration rates of alcohol abuse diagnoses in general practices in comparison to patients' self-reported rates of alcohol use disorder.Research design and methods: Data of a total number of 2,349 patients were analyzed from the SMILE study, a large prospective cohort study conducted in The Netherlands. Two data collection strategies were combined: (1) Patient self-report data on alcohol consumption as well as other sociodemographic characteristics; (2) Medical record (ICPC codes) data of diagnoses of chronic and acute alcohol abuse of the same patients. GPs' registrations of diagnoses were compared with the self-report data using descriptive statistics.Results: Based on the results of the patient reported data, 179 (14.8%) male participants had an alcohol use disorder. Of the total number of female patients, 82 (7.2%) had an alcohol use disorder. One of the male and none of the female patients with an alcohol use disorder were registered as such by the GP.Conclusions: This study found that 11.1% of the total patient sample reported an alcohol use disorder, of which a strikingly low number of patients were recorded as such by their GP. It is likely that low recognition due to barriers related to alcohol screening as well as registration avoidance due to the stigma around alcohol abuse play a role in low registration.

AB - Objective: Primary care professionals are encouraged to screen patients for alcohol abuse. However, patients with alcohol abuse are often under-diagnosed as well as under-registered in medical records in general practices. This study aims to report on the registration rates of alcohol abuse diagnoses in general practices in comparison to patients' self-reported rates of alcohol use disorder.Research design and methods: Data of a total number of 2,349 patients were analyzed from the SMILE study, a large prospective cohort study conducted in The Netherlands. Two data collection strategies were combined: (1) Patient self-report data on alcohol consumption as well as other sociodemographic characteristics; (2) Medical record (ICPC codes) data of diagnoses of chronic and acute alcohol abuse of the same patients. GPs' registrations of diagnoses were compared with the self-report data using descriptive statistics.Results: Based on the results of the patient reported data, 179 (14.8%) male participants had an alcohol use disorder. Of the total number of female patients, 82 (7.2%) had an alcohol use disorder. One of the male and none of the female patients with an alcohol use disorder were registered as such by the GP.Conclusions: This study found that 11.1% of the total patient sample reported an alcohol use disorder, of which a strikingly low number of patients were recorded as such by their GP. It is likely that low recognition due to barriers related to alcohol screening as well as registration avoidance due to the stigma around alcohol abuse play a role in low registration.

KW - AUDIT-C

KW - Alcohol abuse

KW - BRIEF INTERVENTION

KW - COMPLETENESS

KW - DEPENDENCE

KW - DOCUMENTATION

KW - IMPLEMENTATION

KW - PRIMARY-CARE

KW - PROFESSIONALS

KW - RECOGNITION

KW - USE DISORDERS

KW - diagnoses

KW - general practice

U2 - 10.1080/03007995.2018.1424623

DO - 10.1080/03007995.2018.1424623

M3 - Article

VL - 34

SP - 567

EP - 572

JO - Current Medical Research & Opinion

JF - Current Medical Research & Opinion

SN - 0300-7995

IS - 3

ER -