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conferenceseries
.com
Volume 8
Journal of Community Medicine & Health Education
Public Health Congress 2018
July 23-24, 2018
July 23-24, 2018 Melbourne, Australia
5
th
World Congress on
Public Health, Nutrition & Epidemiology
Attitudes of French general practitioners towards people with alcohol use disorders: Amixed-method
study
Marie Costa
Economic and Social Sciences of Health and Medical Information Processing, France
Statement of the Problem:
Alcohol Use Disorder (AUD) is a major public health concern in France, especially because a large
proportion of people concerned do not receive medical care for this disorder. While AUD care is available in specialized center,
General Practitioners (GP) are in the first line to screen and manage AUD and/or to refer People with Alcohol Use Disorder
(PWAUD) to specialized care providers. Alongside that, the most recent French guidelines on alcohol misuse focused on
reduced alcohol drinking as a new therapeutic goal and the related availability of two new pharmacological treatments. We
conducted a mixed-method study to explore French physicians’ perceptions and practices regarding PWAUD in the context of
new national guidelines and treatment options in France.
Methodology & Theoretical Orientation:
We performed both semi-structured interviews (n=14) and a survey among 101
French GP. We used a thematic analysis to explore qualitative data. Concerning quantitative data, a descriptive analysis was
performed and we searched factors associated with AUD management.
Result:
We identified four main themes as pillars of GP practices regarding PWAUD- Baclofen as a driver of renewed interest
in AUD care, PWAUD profile diversity, strategies to get around patient denial when screening for AUD and opportunistic
screening for AUD. On the 101 respondents, 69.3% (n=70) managed AUD by themselves or helped by AUD specialist, 31.7%
(n=32) reported to perform systematically AUD screening and almost half of the participants (47.5%, n=48) thought that
abstinence was the only appropriate therapeutic goal for PWAUD. GP who screened AUD systematically were more likely to
be favorable to controlled drinking.
Conclusion&Significance:
GP inFrance donot performthe brief AUD interventions currently suggested by recommendations.
Instead they develop their own tools to screen for and manage AUD. Taking GP experiences and practices into account could
be useful to enhance existing guidelines and recommendations. However, providing AUD information and training to GP
remains important as our study highlights that AUD screening is not performed systematically in general practice.
mariecosta1212@gmail.comJ Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C3-039